The Association Between Physical Violence Experience and Post-Traumatic Stress Disorder in Emergency Department Nurses: The Moderating Role of Isolation

Sung Hee Lee, Min kyong Kim
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Abstract

The present study aimed to investigate the moderating role of isolation in the relationship between physical violence experience and post-traumatic stress disorder in emergency department nurses. Physical violence experience, post-traumatic stress disorder, and isolation of self-compassion were measured using a structured questionnaire among 96 nurses in the emergency departments located in D and G cities in South Korea from June to July of 2017. The collected data were analyzed using IBM SPSS Statistics 20.0 and SPSS PROCESS Macro. The results showed that isolation was significantly and positively correlated with post-traumatic stress disorder. The explanatory power for post-traumatic stress disorder in emergency department nurses increased when the interaction between isolation and physical violence experience was entered. The high-isolation group showed higher increase in post-traumatic stress disorder than the low-isolation group. Isolation was found to be the moderator that increased the negative influence of physical violence experience on post-traumatic stress disorder. The findings suggest that consideration should be given to the fact that the effect of physical violence experience on post-traumatic stress disorder varies depending on the level of isolation of emergency department nurses when developing intervention programs for post-traumatic stress disorder in emergency department nurses.
急诊科护士身体暴力经历与创伤后应激障碍的关系:孤立的调节作用
本研究旨在探讨孤立在急诊科护士身体暴力经历与创伤后应激障碍之间的调节作用。2017年6月至7月,对韩国D、G市急诊科96名护士的身体暴力经历、创伤后应激障碍和自我同情隔离进行了结构化问卷调查。收集的数据采用IBM SPSS Statistics 20.0和SPSS PROCESS Macro进行分析。结果表明,孤独感与创伤后应激障碍呈显著正相关。当进入隔离与身体暴力经历的交互作用时,急诊科护士对创伤后应激障碍的解释力增强。高隔离组创伤后应激障碍发生率高于低隔离组。孤立是增加身体暴力经历对创伤后应激障碍的负面影响的调节因素。研究结果提示,在制定急诊护士创伤后应激障碍干预方案时,应考虑到身体暴力经历对创伤后应激障碍的影响取决于急诊护士的隔离程度。
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