요양병원 간호사의 치매에 대한 태도, 공감, 행동심리증상 부담감이 직무만족도에 미치는 영향

The Influence of Dementia Attitude, Empathy, and Burden Related to Behavioral and Psychological Symptoms in Dementia Patients on Job Satisfaction of Long-Term Care Hospital Nurses

Purpose: The purpose of this study was to identify the influence of dementia attitude, empathy, and burden related to psycho-behavioral symptoms of elderly dementia patients, on job satisfaction of nurses working for the senile hospital. Methods: The subjects for this descriptive correlational study were 128 nurses who worked at 7 senile hospitals in the Incheon and Gyeonggi provinces for more than 6 months. Collected data were dementia attitude, empathy, and burden regarding psycho-behavioral symptoms of elderly dementia patients, and job satisfaction of nurses. Results: Mean scores for dementia attitude, empathy, burden regarding psycho-behavioral symptoms, and job satisfaction were 4.09±0.39, 2.79±0.20, 2.32±0.56, and 3.09±0.40 respectively. Through Pearson correlation analysis, the correlations between dementia attitude and empathy (r=.25, p=.005) and dementia attitude and job satisfaction was positive (r=.21, p=.017). The correlation between dementia attitude and burden on psycho-behavioral symptoms of elderly dementia patients was also statistically significant (r=-.28, p<.001). Significant factors of job satisfaction included dementia attitude (β=.35, p<.001), night duty (β=.21, p=.026), 2-shift duty (β=.21, p=.044), agitative behaviors (β=-.27, p=.039), and neurotic features (β=.33, p=.007). The variables explained 25.0% of nurse job satisfaction variance (F=3.94, p<.001). Conclusion: Specific efforts and approaches are necessary to enhance nurses’ attitudes toward elderly dementia patients to increase job satisfaction among nurses. In addition, introducing two shifts or fixed night shift needs to be considered.