인공신장실 간호원들의 적응과정

• 영문명: On Adaptional Process of the Nurses in Hemodialysis Units
• 발행기관: 대한신경정신의학회
• 저자명: 강원룡 민성길
• 간행물 정보: 『신경정신의학』제23권 제4호, 377~381쪽, 전체 5쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1984.12.30

영문 초록

Sixteen nurses working at the hemodialysis units had been interviewed for psychiatric assessments of their adaptational problems associated with chronic hemodialysis procedure. M MPI and psychiatric rating scales were used to compare with other nurses working at the general wards. Most of them had started their with enthusiasm and empathy. However, gradually confronting monotonous environment of the units, and depressive mood, dependent, and demanding attitude and impulsive behaviors related with repressed instinctual needs of their patients, they began to feel anger, frustration, guilt and finally indifference. Only three nurses reported successful adaptation. Tese poor adaptation had caused obsessiveness, increased sensitivity, hypochondria and somatization reactions in the half of the nurses, especially with personality problems. These findings suggest that mental mechanisms of repression and denial are involved. Personality and religious belief were the variables that were associated with successful adaptation. All the nurses believed that psychatric helps are needed for the chronic hemodialysis patients, and they had combined the supportive psychotherapeutic techniques with their routine medical nursing cares. These findings suggest that, in chronic hemodialysis, multimodal approach including psychiatric intervention is essential for the whole treatment procedures including treatment personnels as well as the patients.

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