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The Effect of Health Promotion Behavior on Fatigue and Depression among Shift Nurses

교대근무 간호사의 건강증진행위가 피로와 우울에 미치는 영향

  • Lee, Eun-Ju (Research Institution of Nursing Science, Kemyung University) ;
  • Shin, Seung-Wha (College of Nursing, Kyungpook National University)
  • 이은주 (계명대학교 간호과학연구소) ;
  • 신승화 (경북대학교 일반대학원 간호학과)
  • Received : 2014.03.03
  • Accepted : 2014.04.10
  • Published : 2014.04.30

Abstract

This study was a descriptive study to identify the effect of health promoting behavior on fatigue and depression and to investigate these levels among nurses. Data were collected from September 19th 2012 to September 25th 2012 by questionnaires from 243 hospital nurses of 3 hospitals in Kyungsang-Bukdo. The data was analyzed using descriptive statistics, t-test, Pearson's correlation coefficients, ANCOVA, and Stepwise multiple regression. The result showed that in health promoting behavior, shift nurses had higher scores than it of non-shift nurses. The health promotion behavior predictors of fatigue were spiritual growth and stress management and the predictors of depression were physical activity and interpersonal relationship. This results suggest that development of professional health promoting program which is strengthened these parts of spiritual growth, stress management, physical activity and interpersonal relationship, is needed.

본 연구는 교대근무 간호사의 건강증진행위, 피로 및 우울을 파악하고, 건강증진행위가 피로와 우울에 미치는 영향을 밝히기 위한 서술적 연구이다. 대상자는 경상북도 A시에 소재한 3개 종합병원에 근무하는 243명의 간호사로, 자료수집기간은 2012년 9월 19일부터 25일까지였다. 자료의 분석은 SPSS 20.0을 사용하여 descriptive statistics, t-test, Pearson's correlation coefficients, ANCOVA, 및 Stepwise multiple regression으로 분석되었다. 그 결과 교대근무 간호사의 건강증진행위 점수는 모든 항목에서 비교대근무 간호사 보다 낮았고 피로와 우울에서는 높게 나타났다. 교대근무 간호사의 피로에 영향을 미치는 건강증진행위로는 영적성장 및 스트레스 관리로 11%의 설명력을 보였고, 우울에 영향을 미치는 건강증진행위로는 신체활동 및 대인관계로 5%의 설명력을 나타내었다. 이상의 결과를 바탕으로 기관차원에서 교대근무 간호사의 근무 형태를 고려한 맞춤형 건강증진행위를 증진시킬 수 있는 방안 마련과, 피로와 우울 중재를 통한 간호 업무성과 향상을 위한 영적성장, 대인관계, 신체활동 및 스트레스관리 항목이 강화된 전문적인 건강관리 프로그램 개발을 제언하는 바이다.

Keywords

References

  1. Hospital Nurese Association. "The arrangement of hospital nurses", pp.15-80, Hospital Nurese Association Publishers, 2013.
  2. B. L. Atencio, J. Cohen & B. Gorenberg. "Nurse retention: is it worth it?", Nursing Economics , Vol. 21, No. 6, pp. 262-268, 2003.
  3. S. S. Kim, J. S. Park & Y. S. Roh. "Terelationships of individual characteristics, perc- eived health status, body image, and heatlh promoting behavior", Journal of Korean Academy of Adult Nursing, Vol. 17, pp. 88-99, 2005.
  4. J. Shen, L. C. Botly, S. A. Chung, et al., "Fatigue and shift work", Journal of Sleep Research, Vol. 15, No. 1, pp. 1-5, 2006. DOI: http://dx.doi.org/10.1111/j.1365-2869.2006.00493.x
  5. P. A. Ratner & R. Sawatzky, "Health status, preventive behavior and risk factors among female nurses", Health Reports, Vol. 20,No. 3, pp. 1-9, 2009.
  6. J. Trendall, "Concept analysis: chronic fatigue", Journal of Advanced Nursing, Vol. 32, No. 5, pp. 1126-1131, 2000. DOI: http://dx.doi.org/10.1046/j.1365-2648.2000.01583.x
  7. Y. N. Park, H. K. Yang, H. L. Kim, et al., "Relationship between shift work, and sleep problems and fatigue symptoms of nurses for general hospitals", The Journal of Korean Academic Society of Occupational Health Nursing, Vol. 16, No. 1, pp. 37-47, 2007.
  8. E. J. Yeun, H. J. Kim, & M, S, Jeon, "Factors influencing health promoting behavior among hospital registered nurses mood states, resourcefulness, and health perception". The Journal of Korean Nursing Administration Academic Society, Vol. 17, No. 2, pp.198-208, 2011. DOI: http://dx.doi.org/10.11111/jkana.2011.17.2.198
  9. T. S. Lee, "Circadian type and fatigue of nurses in general hospital" Master thesis, Yonsei University, Seoul, 2004.
  10. Y. H. Kim & S. H. Cho, "A Study on the fatigue of hospital nurses in Gwangju and Jeonnam region", Journal of Korean Public Health Nursing, Vol. 16, No. 2, pp. 271-284, 2002.
  11. H. J. Ko, M. Y. Kim, Y. S. Kwon, et al., "The fatigue experience of shift work nurses", Journal of Korean Public Health Nursing, Vol. 18, No. 1, pp. 103-118, 2004.
  12. Korea Health Statistics, "2009 : Korea national health and nutrition examinations survey", Ministry of Health Welfare, KNHANESIV-3, 2010.
  13. W. H. Lee & C. J. Kim, "The relationship between depression, perceived stress, fatigue and anger in clinical nurses", Journal of Korean academy of nursing, Vol. 36, No. 6, pp. 925-932. 2006. https://doi.org/10.4040/jkan.2006.36.6.925
  14. J. H. Kim, M. Y. Hyun & S. Y. Kim, "Job stress, depression, social support, and coping strategies of clinical nurses" Korean Journal of Occupational Health Nursing, Vol. 18, No. 2, pp. 219-231, 2009.
  15. S. Damrosch, "General strategies for motivatin people to change their behavior", Nursing Clinics of North America, Vol. 26, No. 4, pp. 833-843, 1991.
  16. G. S. Lee, "Relationship between cognitive- perceptual factors and health promoting lifestyle of middle aged women" Master thesis, Gachon University, Inchun, 2006.
  17. H. Y. Kim & E. J. Yeun, "The relationship among health promoting lifestyle, resourcefulness, and perceived health status in hospital nurses", Journal of Korean Clinical Nursing Research, Vol. 16, No. 1, pp. 17-26. 2010.
  18. M. L. Sim, "A study on health-promoting beheavior and it's affecting factors of hospital nurses" Master thesis, Kyungbuk University, Daegu, 2010.
  19. Y. J. Son & Y. R. Park, "Relationships between sleep quality, fatigue and depression on health promoting behavior by shift-work patterns in university hospital nurses", Journal of Korean Society and Biological Nursing Science, Vol. 13, No. 3, pp. 229-237, 2011.
  20. K. H. Choi, Y. S. Yu, Y. H. Park et al., "The effects of lebed method exercise on nurses' depression, anxiety, and stress", Journal of Korean Clinical Nursing Research, Vol. 15, No. 1, pp. 67-77, 2009.
  21. R. L. S. Jonathan, "Recognition of shift-work disorder in primary care", Journal of Family Practice, Vol. 59, No. 1, pp. S18-S23, 2010.
  22. J. E. Schwartz, L. Jandorf & L. B. Krupp, "The measurement of fatigue: a new instrument" Journal Psychosomatic Research, Vol. 37, No. 7, pp. 735-762, 1993. DOI: http://dx.doi.org/10.1016/0022-3999(93)90104-N
  23. S. J. Chang, S. B. Ko, M. G. Kang, et al., "Correlates of self-rated fatigue in Korean employees", Journal of Preventive Medicine and Public Health, Vol. 38, No. 1, pp. 71-81, 2005.
  24. L. S. Radloff, "The CES-D Scale: A self report depression scale for research in the general population" Applied Psychological Measurement, Vol. 1, pp. 385-401, 1977. DOI: http://dx.doi.org/10.1177/014662167700100306
  25. K. K. Chon & M. K. Rhee, "Preliminary development of Korean version of CES-D", The Korean Journal of Clinical Psychology, Vol. 11, No. 1, pp. 65-76, 1992.
  26. Walker, S. N. "Health promoting life style profileII: scoring instruction", University of Nebraska Medical Center, Nebraska, 1996.
  27. S. N. Yun & J. H. Kim, "Health-promoting behaviors of the women workers at the manufacturing industry -Based on the pender's health promotion model-" Korean Journal of Occupational Health Nurse, Vol. 8, No. 2, pp. 130-140, 1999.
  28. J. Y. Yun, O. K. Ham, I. S. Cho, et al., "Effects of health promoting behaviors and mental health status of shift and non-shift nurses on quality of life", Journal of Korean Public Health Nursing, Vol. 26, No. 2, pp. 268-279, 2012. DOI: http://dx.doi.org/10.5932/JKPHN.2012.26.2.268
  29. E. C. Chung & B. N. Doh, "Job stress, self-efficacy and health promoting behaviors in hospital nurses", The Korean Academy of Psychiatric Mental Health Nursing, Vol. 11, No. 3, pp. 398-405, 2002.
  30. K. S. Han, J. H. Kim, K. M. Lee, et al., "Correlation between quality of life and health promoting behaviors among hospital staff nurses" The Korean Academy of Psychiatric Mental Health Nursing, Vol. 13, No. 4, pp. 430-437, 2004.
  31. Y. S. Cho, J. Park, S. Y. Ryu et al., "Influence of organizational culture and health promotion life style on job satisfaction in general hospitals nurses", Journal of Korean Public Health Nursing, Vol. 26, No. 1, pp. 5-15, 2012. DOI: http://dx.doi.org/10.5932/JKPHN.2012.26.1.005
  32. Y. J. Son & Y. R. Park, "Relationships between sleep quality, fatigue and depression on health promoting behavior by shit-work patterns in university hospital nurses", Journal of Korean Biological Nursing Sience, Vol. 13, No. 3, pp. 229-237, 2011.
  33. K. Neville & D. A. Cole, "The relationships among health promotion behaviors, compassion fatigue, burnout, and compassion satisfaction in nurse spracticing in a community medical center" Journal of Nursing Administration, Vol. 43, No. 6, pp. 348-54, 2013. DOI: http://dx.doi.org/10.1097/NNA.0b013e3182942c23
  34. M. Y. Park, J. Park, S. Y. Ryu, et. al., "The influence of health promotion life style, perception of head nurse's leadership and job satisfaction on the work performance among nurses of some veterans hospitals", Journal of Korean Academy of Nursing Administration, Vol. 15, No. 1, pp. 45-53, 2009.
  35. W. H. Lee & C. J. Kim, "The relationship between depression, perceived stress, fatigue, and anger in clinical nurses", Journal of Korean Academy of Nursing, Vol. 36, pp. 925-932, 2006. https://doi.org/10.4040/jkan.2006.36.6.925
  36. E. J. Yun, H. J. Kim & M. S. Jeon, "Factors influencing health promoting behavior among hospital registered nurses -Mood states, resourcefulness, and health perception-", Journal of Korean Academy of Nursing Administration, Vol. 17, No. 2, pp. 198-208, 2011. DOI: http://dx.doi.org/10.11111/jkana.2011.17.2.198
  37. D. A. Crone, A. Smith, & B. Gough, "I feel totally alive, totally happy and totally at one': A psycho social explanation of the physical activity and mental health relationship from the experiences of participants on exercise referral schemes" Health Education Research, Vol. 20, No. 5, pp. 600-611, 2005. DOI: http://dx.doi.org/10.1093/her/cyh007
  38. D. J. Byers, M. N. Wicks & T. H. Beard, "Depressive symptoms and health promotion behaviors of African-American women who are family caregivers of hemodialysis recipients", Nephrology Nursing Journal, Vol. 38, No. 5, pp. 425-431, 2011.

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