Abstract

본 연구는 외상후스트레스 고위험군이 많이 분포된 구조대원에 대한 사건충격정도를 파악하고, 사건충격정도에 영향을 미치는 관련 요인을 분석하였다. 연구대상은 화재 및 구조출동 빈도가 높은 서울소방재난본부 소속 구조대원 415명을 통계분석 자료로 활용하였으며, 사건충격정도에 대한 신뢰도는 .975로 높게 나타났다. 분석결과 첫째, 사건충격정도의 하위요인으로 침습이 가장 높았고, 회피, 수면장애 및 정서적마비, 해리증상, 과각성 순으로 사건충격정도가 높게 나타났다. 둘째, 기혼자와 연령이 높을수록 사건충격정도가 높았으며, 셋째, 소방공무원으로서 근무연수와 구조대원 직무를 수행한 기간이 길고, 출동횟수와 사고현장 경험빈도가 높을수록 충격정도가 높게 나타났다. 특히 스트레스 해소 방법 중 음주로 해소하는 구조대원의 사건충격정도가 높게 나타나, 고위험군에 대한 체계적인 관리와 사건충격을 경험하였을 때 즉시 대처할 수 있는 예방케어프로그램 도입이 시급한 것으로 나타났다. This study was designed to identify the extent of incident shock who are in high risk of post traumatic shock stress, and analyze the related factors that affect the extent of incident shock. The subjects are 415 rescue workers from Seoul Metropolitan Fire & Disaster Headquarters, who are in high frequency of fire outbreaks and rescue mobilization. With a reliability of Cronbach's <TEX>${\alpha}$</TEX>=.975, the results show invasion, avoidance, sleep disorder and emotional paralysis, dissociative symptom, hyper arousal as foremost causes respectively. Moreover, the results imply that the extent of incident shock was higher in people with more age or being married. Also, from the occupational perspective, the number of years as fire fighters, as rescue workers, mobilization and experiences at work in proportion to incident shocks has risen exponentially. It is notable that the groups who alleviate stress by consuming liquors had higher extent of incident shock. In conclusion, to deal with groups in high risk, management system and prevention care programs for incident shocks need to be introduced immediately and put into effect.

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