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The Relationship of Violence Experience with Psychosocial Stress and Burnout in 119 Emergency Medical Technicians in the ICT Age

ICT 시대에서 119 구급대원의 폭력경험과 사회심리적 스트레스 및 소진의 연관성

  • 박금숙 (국립중앙의료원, 조선대학교 보건대학원 보건학과) ;
  • 최성우 (조선대학교 의과대학 예방의학교실)
  • Received : 2016.10.05
  • Accepted : 2016.11.24
  • Published : 2016.11.30

Abstract

This study aimed to identify correlations among experience of violence, psychosocial stress and exhaustion in emergency medical technicians. In total, 393 emergency medical technicians were participated in the survey using an organized essay-type questionnaire. To determine psychosocial stress and exhaustion factors, a linear regression analysis was performed. In results, psychosocial stress factors were work units, the hope to keeping working in the present department, and verbal violence ($R^2=12.9%$), and the exhaustion factors were hope to keeping working at the present department, work units, and verbal violence ($R^2=14.5%$). In conclusion, it is suggested that strategies to deal with violence against subjects are educational programs to prevent violence and emotional support programs to decrease psychosocial stress, as well measures to improve the emergency rescue environment should be developed.

본 연구는 119구급대원이 지각하는 폭력경험, 사회심리적 스트레스, 소진의 상관관계를 알아보고자 광주 전남지역 소방본부 소속 구급대원 총 795명 중 본 연구에 참여하기를 동의한 119구급대원 393명을 대상으로 구조화 된 자기기입식 설문지를 이용하여 조사하였다. 본 연구결과 119구급대원의 사회심리적 스트레스 정도는 평균 $19.56{\pm}9.29$점(총 54점)이었고, 사회심리적 스트레스의 대상자 분포는 '잠재적 스트레스군'(9~26점)이 63.1%, '고위험군'(27점 이상) 26.5%, '건강군'(8점 이하) 10.4% 순이었고, 소진정도는 평균 2.40점(총 5점)이었고, 소진의 하부영역별로는 '개인적 성취감'(2.52점), '정서적 탈진'(2.40점), '대인관계' (2.37점), '비인격화'(2.23점) 순이었다. 119구급대원의 일반적 특성에 따른 사회심리적 스트레스는 근무지역, 현재근무부서, 현부서 근무지속 희망여부에서 유의한 차이가 있었으며, 소진 정도는 근무지역, 가구 1년 총소득, 현재부서, 현부서 근무지속 희망여부에서 유의한 차이가 있었다. 회귀분석 결과, 사회심리적 스트레스는 근무지역, 현부서 근무지속 희망여부, 언어적 폭력이 영향을 주었고($R^2=12.9%$), 소진은 현부서 근무지속 희망여부, 근무지역, 언어적 폭력이 영향요인이었다($R^2=14.5%$).

Keywords

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