응급실 간호사의 외상 후 스트레스와 수면의 질과의 관계: 소진의 매개효과

The Relationship between Post-Traumatic Stress and Sleep Quality among Emergency Nurses: The Mediating Effect of Burnout

Purpose: This study aimed to examine the effect of post-traumatic stress on sleep quality and identify the mediating role of burnout in this relationship. Methods: The participants were 150 emergency nurses working at general hospitals located in B and C city, Republic of Korea. Data were collected through an online survey conducted from May to July 2024 using structured questionnaires assessing post-traumatic stress, burnout, and sleep quality. Data were analyzed using SPSS/WIN ver. 26.0 to perform descriptive statistics, independent t-tests, ANOVA, Pearson’s correlation coefficients, and PROCESS macro Model 4. Results: Sleep quality had significant positive correlations with post-traumatic stress (r=.43, p<.001) and burnout (r=.57, p<.001), indicating that higher levels of post-traumatic stress and burnout were associated with poorer sleep quality. In addition, burnout had a significant positive correlation with post-traumatic stress (r=.57, p<.001). A partial mediating effect of burnout was identified in the relationship between post-traumatic stress and sleep quality, with an explanatory power of 35.1% (R2=.35). Conclusion: This study found that higher levels of post-traumatic stress not only directly reduced sleep quality but also indirectly worsened it through increasing burnout. These results suggest that post-traumatic stress and burnout are interrelated factors that jointly and negatively affect the sleep of emergency nurses.