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Effects of a Remote Videoconferencing-based Expressive Writing Program on Posttraumatic Stress, Resilience, and Post-traumatic Growth among Traumatized Nurses

°£È£ÇàÁ¤ÇÐȸÁö 2024³â 30±Ç 2È£ p.152 ~ 162
KMID : 0614820240300020152
ä³²Èñ ( Chae Nam-Hee ) - 

±èÁö¿µ ( Kim Ji-Young ) - 

Abstract

¿¬±¸¸ñÀû: º» ¿¬±¸ÀÇ ¸ñÀûÀº ¿Ü»ó »ç°Ç °æÇèÀÌ ÀÖ´Â °£È£»ç¸¦ À§ÇÑ ¿ø°ÝÈ­»ó ±â¹Ý Ç¥ÇöÀû ±Û¾²±â ÇÁ·Î±×·¥ÀÇ È¿°ú¸¦ È®ÀÎÇϱâ À§ÇÔÀÌ´Ù.

¿¬±¸¹æ¹ý: º» ¿¬±¸´Â ¹«ÀÛÀ§ ´ëÁ¶±º »çÀü¡¤»çÈÄ ¼³°è¸¦ Àû¿ëÇÑ ¿¬±¸ÀÌ´Ù. ÀÚ·á¼öÁýÀº 2020³â 8¿ù 18ÀϺÎÅÍ 2020³â 11¿ù 6ÀϱîÁö Àü¶óºÏµµ ÀÏ°³ º´¿øÀÇ ¿Ü»ó°æÇèÀÌ ÀÖ´Â °£È£»ç 48¸íÀ» ´ëÁ¶±º(n=24)°ú ½ÇÇ豺(n=24)¿¡ ¹«ÀÛÀ§·Î ¹èÁ¤ÇÏ¿© ÁøÇàÇÏ¿´´Ù. º» ¿¬±¸ÀÇ ¼³¹®Àº ¿Ü»ó ÈÄ ½ºÆ®·¹½º, ±Øº¹·Â, ¿Ü»ó ÈÄ ¼ºÀå ôµµ¸¦ »ç¿ëÇÏ¿© ¿Â¶óÀÎÀ¸·Î ½ÃÇàÇÏ¿´´Ù. ½ÇÇ豺Àº PennebakerÀÇ Ç¥ÇöÀû ±Û¾²±â ¿øÄ¢À» Àû¿ëÇÏ¿© ±¸¼ºÇÑ Ç¥ÇöÀû ±Û¾²±â ÇÁ·Î±×·¥À» ȸ±âº° 90ºÐ, ¸ÅÁÖ 2ȸ±â ¾¿ ÃÑ 6ȸ ±âÀÇ ÇÁ·Î±×·¥À» 3ÁÖ µ¿¾È Âü¿©ÇÏ¿´°í, ÁßÀç È¿°ú´Â »çÀü Á¶»ç ÈÄ 3ÁÖ °£°ÝÀ¸·Î »çÈÄ, ÃßÈÄ Á¶»ç·Î È®ÀÎÇÏ¿´´Ù. ¼öÁýµÈ ÀÚ·á´Â ¥ö©÷-test, fisher¡¯s exact test, µ¶¸³ t °ËÁ¤, ¹Ýº¹ÃøÁ¤ ºÐ»êºÐ¼®À¸·Î ºÐ¼®ÇÏ¿´´Ù.

¿¬±¸°á°ú: ½ÇÇ豺Àº ¿Ü»ó ÈÄ ½ºÆ®·¹½º(F=135.41, p<.001), ±Øº¹·Â(F=94.88, p<.001), ¿Ü»ó ÈÄ ¼ºÀå(F=109.28, p<.001) Á¡¼ö¿Í ½Ã°£ °æ°ú¿¡ µû¸¥ Á¡¼öº¯È­ ¾ç»ó¿¡ À¯ÀÇÇÑ Â÷ÀÌ°¡ ÀÖ¾úÀ¸³ª ´ëÁ¶±ºÀº À¯ÀÇÇÑ Â÷ÀÌ°¡ ¾ø¾ú´Ù.

°á·Ð: ¿Ü»ó »ç°Ç °æÇè °£È£»ç¿¡°Ô Ç¥ÇöÀû ±Û¾²±â ÇÁ·Î±×·¥Àº °£È£»çÀÇ ¿Ü»ó ÈÄ ½ºÆ®·¹½º, ±Øº¹·Â°ú ¿Ü»ó ÈÄ ¼ºÀå¿¡ È¿°úÀûÀÎ °£È£ ÁßÀçÀÓÀ» ¾Ë ¼ö ÀÖ´Ù. º» ¿¬±¸ÀÇ Ç¥ÇöÀû ±Û¾²±â ÇÁ·Î±×·¥À» °£È£»çÀÇ ¿Ü»ó ÈÄ ½ºÆ®·¹½º¸¦ °ü¸®ÇÏ´Â ÇÁ·Î±×·¥À¸·Î È°¿ëµÉ ¼ö ÀÖÀ» °ÍÀÌ´Ù.

Purpose: To examine the effects of a remote videoconferencing-based expressive writing program on the posttraumatic stress, resilience, and posttraumatic growth among traumatized nurses.

Methods: A randomized controlled group study with a pretest-posttest design was adopted. Data were collected between August 18 and November 6, 2020 from 48 nurses who experienced trauma working at a hospital in Jeonbuk Province (24 participants each in the experimental and the control groups). The experimental group participated in six sessions of the expressive writing program following the principles of Pennebaker¡¯s expressive writing. Sessions (duration 90 minutes) were conducted twice a week for three weeks.

Results: Compared with the control group, the experimental group exhibited a statistically significant difference in posttraumatic stress (F=135.41, p<.001), resilience (F=94.88, p<.001), and post-traumatic growth scores (F=109.28, p<.001) immediately following intervention, and these scores were maintained at the 3-week follow-up.

Conclusion: The findings suggest that the expressive writing program can be effectively used for the prevention and management of posttraumatic stress in nurses at a risk of trauma.
KeyWords
°£È£»ç, ¿Ü»ó ÈÄ ¼ºÀå, ¿Ü»ó ÈÄ ½ºÆ®·¹½º Àå¾Ö, ±Øº¹·Â, ±Û¾²±â
Nurses, Posttraumatic growth, Posttraumatic stress disorders, Psychological resilience, Writing
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