救命救急センターに勤務する看護師の心理的ストレス反応に関連する要因

Abstract

This questionnaire survey was performed in order to reveal the characteristics of work-related stressors on nurses working in emergency and critical care centers (emergency nurses) and factors related to their stress responses. There were 347 subjects who replied to the survey: 199 emergency nurses and 148 nurses working in internal medicine departments (control group) in 11 hospitals in the Kinki and Tokai areas of Japan. The work-related stressor scores among the emergency nurses were significantly higher than those in the control group for 6 out of 8 factors: work difficulties, patient life-support duties, relationships with patients and their families, dealing with patient death, relationships with doctors and technical innovation. The work-related stressor score was significantly lower among the emergency nurses for one factor: lack of communication. Multiple logistic regression analysis was used to evaluate the relationship between the stress response and the other factors such as work-related stressors, individual and situational factors, non-work factors and social support. Risk factors related to the stress response of the emergency nurses were: perceived stress due to work difficulties, negative lifestyles and desiring a career change. Important aspects of mental health support for emergency nurses are: strengthening technical support, such as holding study sessions to reduce work difficulties, as well as adjusting the working environment to improve individual lifestyles.