| Analysis of stress and coping responses in residency. |
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Duk Won Bae, Yoo Seok Kim, Jong Seung Kim, Woong Chul Shin, Ga Young Lee, Tae Jin Park, Byung Sung Kim |
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| 전공의 스트레스와 대응반응에 관한 연구 |
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배덕원, 김유석, 김종승, 신웅철, 이가영, 박태진, 김병성 |
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울산의대 가정의학교실 |
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| Abstract |
Background
: The residency is chronic stressful condition. This study was attempted to know related factors to stress and coping responess of residency.
Methods : We selected 526 subjects who were under residency in university hospital in Pusan. We sent stress-related guestionaires by the mail. Among 161 responses, we excluded 4 responses which were inadequate report. The stress was measured by Lee's scale and Brief Encounter Psychoso-cial Instrum, ent(BEPSI). The coping rresponse was examined by 19 ciping options for stressful experie-nce by billings and Moos. Also we examined freguency of stress-related symptoms.
Results : The esx distribution was 123(79%) in male, 33(21%) in female. Lee's scale and BEPSI were not related siggnificantly with age. sex, marital status and resident grade. The feguency of stress-reated symptoms was 5.9(P=0.14) in female, in contrast to 4.1 in male, But other factors were not related with frequency of stress-related svmptoms. Among coping responses, number of avoidance-coping in male was 2.7, and it was signficantly highter than 2.0 in female. Among in male, the number of avoidance-coping was ssignificantly increased (P=0.005). and the numbers of avoidance-coping responses of drinking group and smoking group were significantly higher than those of non-drinking group and non-smoking group (P<0.001, P=0.001, respectively). In variables associated stress and coping response, age shown significant positive correlation with avoidance-coping and emotion-focused coping. BEPSI and Lee's scale were shown significant positive correlation with frequency of stress-related wymptons was correlated with avoida-nce-coping and emotion-focused coping.
Conclusion : Positive correlation was present bwtween stress and aboidance-coping in residency. So, we need social support and change in education program of residency for active copin. |
| 초록 |
연구배경 : 전공의는 만성적인 스트레스를 경험하는 집단이다. 전공의의 스트레스와 대응반응에 영향을 미치는 요인을 알아보고자 본 연구를 시행하였다.
방법 : 1995년 8월에 부산 소재 4개 대학 병원에 근무하는 전공의 1, 2, 3년차 526명을 대상으로 우편으로 설문을 조사하였다. 응답한 161명중 불성실 응답자 4명을 제외한 157명(회수율:29.8%)을 본 연구의 대상으로 하였다. 스트레스량은 이평숙의 척도와 Brief Encou-nter Psychosocial Instrument(BEPSI)로 측정하였다. Billings와 Moos의 스트레스 경험에 대한 19개 대응방안(coping options)을 사용하여 대응반응을 조사하였고, 스트레스시 보이느 중상의 빈도도 조사하였다.
결과 : 전공의의 성별 분포는 남자 124명(79.0%), 여자 33명(21.0%)이었다. 이평숙의 척도 점수 및 BEPSI는 성, 연령, 결혼유무, 전공의 연차에 따라 유의한 상관관계가 없었다. 스트레스 |
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