J Korean Acad Community Health Nurs.  2017 Dec;28(4):524-536. 10.12799/jkachn.2017.28.4.524.

The Relationships among Experiences of Traumatic Events, Post-traumatic Stress and the Needs for Health Promotion Programs of 119 Paramedics

Affiliations
  • 1Jeju Fire Safety Headquarters, Seobu Fire Station, Jeju, Korea.
  • 2Department of Nursing, Korea National Open University, Seoul, Korea. young@mail.knou.ac.kr
  • 3Department of Nursing, Chodang University, Muangun, Korea.

Abstract

PURPOSE
This study aims to examine the relationships among experiences of traumatic events, post-traumatic stress (PTS), and the needs for health promotion programs of 119 paramedics.
METHODS
Experiences of traumatic events, PTS, and needs for health promotion programs were measured using a structured questionnaire. The subjects were 193 paramedics in Jeju Island. Data were analyzed using descriptive statistics, t-test and χ2 test.
RESULTS
The most experienced event out of the 16 different traumatic events was "˜retrieve a suicide's body.' A high-risk classification of PTS was observed in 36.2% of the subjects. The rates of experiences were higher than those of the actual needs for all 26 health promotion programs. The programs reported as highly needed by respondents were stress management (75.5%) followed by exercise (74.6%) and PTS management (72.5%). Subjects with longer career periods, a fire sergeant, perceived obesity, numerous experiences of traumatic events, and in the PTS risk group had a higher need for a stress management program.
CONCLUSION
These findings indicate that a significant number of 119 paramedics experienced PTS. They also show that onsite strategic management is strongly required. In addition, implementation of health promotion programs based on the needs of 119 paramedics is highly needed.

Keyword

Health promotion; Needs assessment; Stress disorders

MeSH Terms

Allied Health Personnel*
Classification
Fires
Health Promotion*
Humans
Needs Assessment
Obesity
Surveys and Questionnaires

Reference

References

1. Ministry of the Interior and Safety. Fire service materials and statistics [Internet]. Sejong: Department of Fire Administration;2015. [cited 2016 May 1]. Available from:. http://www.mpss.go.kr/home/policy/statistics/statisticsData/?boardId=bbs_0000000000000042&mode=view&cntId=18&category=&pageIdx=.
2. Ministry of Government Legislation. Enforcement decree of the action 119 rescue and emergency medical services [Internet]. Sejong: National Law Information Center;2014. [cited 2016 March 16]. Available from:. http://125.60.26.84/lsSc.do?menuId=0&query=119%20%EA%B5%AC%EA%B8%89%EB%8C%80%20%EC%9E%90%EA%B2%A9%EC%A1%B0%EA%B1%B4#undefined.
3. Jang HY, Han MA, Park J, Rye SY. Associated factors with the performance of infection control among 119 rescue crews. Journal of the Korean Society of Emergency Medicine. 2015; 26(3):232–239.
4. Kim HJ, Choi ES. The experience of violence and turnover intention of female 119 emergency medical technicians. The Korean Journal of Emergency Medical Services. 2013; 17(2):65–76.
Article
5. Baek ML. Factors affecting posttraumatic stress of emergency medical personnels. The Korean Society of Hazard Mitigation. 2011; 11(1):29–35. https://doi.org/10.9798/KOSHAM.2011.11.1.029.
Article
6. Choi SS, Han MA, Park J, Ryu SY, Choi SW, Kim HR. Impact of job-related characteristics and post-traumatic stress on job satisfaction among 119 rescue crews. Journal of the Korean Society of Emergency Medicine. 2015; 26(4):286–296.
7. Hong SG. The evaluation of musculoskeletal symptom and patient transport work of 119 EMTs by ergonomics tools. Fire Science and Engineering. 2014; 28(4):81–88.
Article
8. Ministry of Government Legistlation. Occupational safety and health act [Internet]. Sejong: National Law Information Center;2014. [cited 2017 March 5]. Available from;. https://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nwYn=1&section=&tabNo=&query=%EC%82%B0%EC%97%85%EC%95%88%EC%A0%84%EB%B3%B4%EA%B1%B4%EB%B2%95#undefined.
9. Yoo SH, JeKarl J, Kim HK. Trends of workplace health promotion models and strategies. Health and Social Science. 2015; 39:25–47.
10. Kim YI, Lee BI. Comparison of occupational health providers' perception on workers' health promotion program by business types: Focusing on need, necessity, performance, barriers, and effectiveness of program. Korean Journal of Occupational Health Nursing. 2016; 25(1):29–40. https://doi.org/10.5807/kjohn.2016.25.1.29.
Article
11. Ministry of Government Legislation. Enforcement decree of the fire official welfare act [Internet]. Sejong: National Law Information Center;2014. [cited 2016 May 1]. Available from:. http://www.lawnb.com/lawinfo/contents_view.asp?cid=C4578D61F5FC4ACAB9B816FAA7A12CE7.
12. Ministry of Public Safety and Security. The 1st fire safety health and welfare basic plan 2016-2020 [Internet]. Sejong: Department of Fire Administration;2016. [cited 2016. May 1]. Available from:. http://www.mpss.go.kr/home/news/eventGallery/?boardId=bbs_0000000000000050&cntId=195&mode=view&category=.
13. Yoon YK. A study on literature therapy for post-traumatic stress disorder of the firefighter [master's thesis]. [Seoul]: Kyung Hee Cyber University;2015. p. 144.
14. Choi HK. Effects of traumatic events on posttraumatic stress disorder, burnout, physical symptoms, and social and occupational functions in Korean fire fighters [dissertation]. [Suwon]: Ajou University;2010. p. 87.
15. Foa EB, Cashman L, Jaycox L, Perry K. The validation of a self- report measure of posttraumatic stress disorder: The posttraumatic diagnostic scale. Psychological Assessment. 1997; 9(4):445–451. https://doi.org/10.1037/1040-3590.9.4.445.
16. Park YS. The effects of violence of husband on psychopathology of wife [master's thesis]. [Busan]: Pusan National University;2002. p. 65.
17. Yoon SH, Choi SJ, Shin DH, Chung IS, Ha JS. Job stressors in subway workers and firemen. Annals of Occupational and Environmental Medicine. 2007; 19(3):179–186.
Article
18. Centers for Disease Control & Prevention. 2014 National Health and Nutrition Survey [Internet]. Cheongju: Division of Health and Nutrition Examination;2015. [cited 2016 May 3]. Available from:. http://cdc.go.kr/CDC/intro/CdcKrIntro0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0011&cid=65846.
19. Wilkinson ML, Brown AL, Poston WS, Haddock CK, Jahnke SA, Day RS. Physician weight recommendations for overweight and obese firefighters, United States, 2011-2012. Preventing Chronic Disease. 2014; 11:E116. https://doi.org/10.5888/pcd11.140091.
Article
20. Shin DY, Jeon MJ, Joon SK. Posttraumatic stress disorder and related factors in male firefighters in a metropolitan city. Korean Journal of Occupational and Environmental Medicine. 2012; 24(4):397–409.
Article
21. Kim TH. Actual analysis of fire official's PTSD: Focus on control effects of personality and self-control and social supports [master's thesis]. [Daegu]: Kyungpook National University;2006. p. 88.
22. Jo SD, Park JB. The relationship between depression and post traumatic stress disorder among firefighters. Journal of Korean Society of Hazard Mitigation. 2013; 13(5):219–224.
Article
23. Kim YI, Jung HS, Lee SY, Kim SL, Kim SY, Lee KJ. A survey of workplace health promotion activities and their health promotion program need. Journal of Korean Academy of Community Health Nursing. 2006; 17(2):195–209.
24. Choi SK, Lee KS, Lee JW, Koo JW, Park CY. Health behavior practices and needs for health promotion program according to shift work pattern in subway workers. Korean Journal of Occupational and Environmental Medicine. 2003; 5(1):37–51.
Article
25. Ministry of Government Legislation. Act on the prevention of sexual assault and protection, etc. of victims thereof [Internet]. Sejong: National Law Information Center;2011. [cited 2017 Jul. 10]. Available from:. https://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nwYn=1&section=&tabNo=&query=%EC%82%B0%EC%97%85%EC%95%88%EC%A0%84%EB%B3%B4%EA%B1%B4%EB%B2%95#liBgcolor0.
26. Jhang WG, Jung KR, Kim CW. A review for the factors affecting the effects of health promotion programs. Korean Journal of Health Policy and Management. 2002; 12(1):102–124.
27. Barger LK, O'Brien CS, Rajaratnam SMW, Qadri S, Sullivan JP, Wang W, et al. Implementing a sleep health education and sleep disorders screening program in fire departments: A comparison of methodology. Journal of Occupational and Environmental Medicine. 2016; 58(6):601–609. https://doi.org/10.1097/JOM.0000000000000709.
28. Moon TY, Kim JH, Gwon HJ, Hwan BS, Kim GY, Smith N, et al. Effects of exercise therapy on muscular strength in firefighters with back pain. Journal of Physical Therapy Science. 2015; 27(3):581–583. https://doi.org/10.1589/jpts.27.581.
Article
29. Poston WS, Haddock CK, Jahnke SA, Jitnarin N, Day RS. An examination of the benefits of health promotion programs for the national fire service. BioMedCentral Public Health. 2013; 13:805. https://doi.org/10.1186/1471-2458-13-805.
Article
Full Text Links
  • JKACHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr