심리사회적 중재가 간호대학생의 스트레스 지각, 대처방법, 스트레스 반응에 미치는 효과*

Abstract

Purpose: The purpose was to examine the effectiveness of a psychosocial stress management program on stress and coping in student nurses. Method: A nonequivalent control group pre-posttest design was used. A convenience sample of 24 students from the Department of Nursing Wonju College of Medicine Yonsei University were assigned to experimental (n=12) and control groups (n=12). Stress was measured using the Visual Analog Scale (10 points) and blood cortisol. Coping was measured using a scale modified by So (1995) based on the Ways of Coping Checklist developed by Folkman and Lazarus (1985). Depression was measured using the CES-D by Radloff (1977) and state anxiety using the State Anxiety Inventory by Spielberger (1976). The psychosocial stress management program included education relaxation (Korean Dan Jeon-typed Breathing and music) and social support. Result: Results showed for the two groups 1) a significant difference in stress scores (U= 19.50 p=0.002) 2) no difference in cortisol levels (8am 4pm) 3) a significant difference in problem-focused coping (U=25.50 p=0.007) 4) no difference in emotion-focused coping and 5) no difference in state anxiety and depression. Conclusion: By utilizing the program students were able to learn how to control their stress and improve their coping. Therefore with a partial modification psychosocial stress management can be useful for continual management of stress in student nurses.