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중환자실 간호사의 죽음 인식, 임종간호 태도, 정신건강이 임종간호 스트레스에 미치는 영향

Influence of Death Perception, Attitude Toward Terminal Care, Mental Health on the Terminal Care Stress of Intensive Care Unit Nurses

임상간호연구 2019년 25권 3호 p.323 ~ 332
황정옥 ( Hwang Jung-Ok ) - 인제대학교 간호학과

김상희 ( Kim Sang-Hee ) - 인제대학교 간호학과

Abstract


Purpose: This study aimed to identify the factors affecting the terminal care stress of nurses in intensive care units in terms of their death perception, attitude toward terminal care, and mental health.

Methods: This descriptive study collected data from 118 nurses in intensive care units in one tertiary referral hospital and three general hospitals. The instruments used in the study were the Terminal Care Stress Assessment Tool, the View
of Life and Death Scale, the Frommelt Attitudes toward Nursing Care of the Dying Scale (FATCOD), and the Mental Health Assessment Tool. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficient, and multiple regression.

Results: There was a significant positive correlation between terminal care stress and death perception (r=.31, p<.001). The factors significantly influencing the terminal care stress of the participants included gender (β=.33, p<.001), religion (β=.24, p=.004), and death perception (β=.35, p<.001), and the overall explanatory power was 23.1% (F=12.73, p<.001).

Conclusion: To decrease terminal care stress among nurses, establishing the death perception of nurses based on value clarification about death may be necessary. Furthermore, this study suggests an intervention study examining the effect of an education program on terminal care stress among ICU nurses.

키워드

중환자실 간호사; 임종간호 스트레스; 죽음인식; 임종간호 태도; 정신건강
Intensive Care Units; Terminal Care; Death; Attitude; Mental Health
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