요양병원 간호사의 치매 행동심리증상 부담감 관련 요인

Abstract

The purpose of this study was to identify the person-centered care, communication behaviors, nursing work environment, Experience Frequency and Burden of BPSD among Long-Term Care Hospital Nurses and factors associated with BPSD. This study is a descriptive research study, and data collection was conducted from November 24 to December 24, 2020 on 226 nurses working in 11 Long-Term Care hospitals with more than 100 beds and less than 200 beds located in provinces G and J. Data were collected using a structured questionnaire. The collected data were analyzed by frequency, percentage, mean and standard deviation, t-test, one-way ANOVA, Scheffé's test, Pearson's correlation coefficient, and multiple liner regression analysis using SPSS WIN 23.0 program.

The results of this study are as follows.

1. In the analysis of the main variables of research, the subjects scored mean 3.20±0.47 points on person-centered care, mean 3.20±0.47 points on communication behavior, mean 3.65±0.40 points on nursing working environment, mean 2.19±0.49 points on Experience Frequency of BPSD, and mean 1.40±0.42 points on Burden of BPSD.

2. The variables that showed a significant difference in the Burden of BPSD according to the sociodemographic characteristics of the study subjects were gender (t=2.174, p=.031), length of work as a nurse (F=4.001, p=.004) and average monthly salary (F=4.129, p=.017). In the Scheffe's test, the group with less than 15 to 20 years of length of work as a nurse had a higher Burden of BPSD than those with less than 5 years of length of work as a nurse. For the average monthly salary, the group with more than 3 million won had a higher Burden of BPSD than the group with 2.5 to 3 million won.

3. The correlation between Experience Frequency of BPSD and Burden of BPSD, person-centered care, communication behavior, and nursing work environment of the study subjects showed that Burden of BPSD is Experience Frequency of BPSD(r=.377, p=< .001), and organization and environment support of personcentered care(r=-.281, p=<.001), and nursing work environment(r=-. 246, p=<.001) and it was found to have a statistically significant negative correlation.

4. Factors influencing Burden of BPSD were the Experience Frequency of BPSD(β=.35, p=<.001), and organization and environment support for person-centered care (β=-.19, p=. 007), and the explanatory power of the variables was 27.1%.

In conclusion, in this study, the factors affecting the Burden of BPSD of LongTerm Care hospital nurses were identified as Experience Frequency of BPSD and organization and environment support of person-centered care. Therefore, effective measures such as reducing Experience Frequency and Burden of BPSD and creating a healing environment for dementia patients should be sought.