Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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The Impacts of Social Isolation, Psychological Acceptance, and Sleep Disorder of Nursing College Students on Depression

간호대학생의 사회적 고립감, 심리적 수용, 수면장애가 우울에 미치는 영향

  • Received : 2017.09.20
  • Accepted : 2017.11.20
  • Published : 2017.11.28
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Abstract

The purpose of study was to investigate the impacts of social isolation, psychological acceptance, and sleep disorder on depression among nursing students. Subjects were 383 nursing students in Gyeonggi-do, and survey was conducted from June to July 2015. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis. The results showed that depression was different in grade, academic stress, major satisfaction of nursing. Depression was correlated with social isolation (r=.47, p<.001), sleep disorder (r=.43, p<.001), and psychological acceptance (r=-.41, p<.001). Academic stress, major satisfaction of nursing, sleep disorder, social isolation, and psychological acceptance were identified as factors affecting depression. It is necessary to be considered social isolation, psychological acceptance, sleep disorder and other variables in developing convergence program to reduce depression in nursing students.

본 연구의 목적은 간호대학생의 사회적 고립감, 심리적 수용, 수면장애가 우울에 미치는 영향을 파악하기 위함이다. 연구대상은 경기도 소재의 일개 간호대학생 383명으로 구조화된 설문지를 이용하여 2015년 6월부터 7월까지 자료수집하였다. 수집된 자료는 t-test, ANOVA, Pearson's correlation coefficients, 다중회귀분석을 통해 분석하였다. 연구결과, 학년, 학업스트레스, 간호학 전공만족도에 따라 우울 정도에 차이가 있었다. 우울 정도는 사회적 고립감(r=.47, p<.001), 수면장애(r=.43, p<.001)와 정상관관계가 있었고, 심리적 수용(r=-.41, p<.001)과는 역상관관계가 있었다. 우울에 영향을 미치는 요인으로 학업스트레스, 전공만족도, 수면장애. 사회적 고립감, 심리적 수용이 확인되었다. 본 연구결과를 바탕으로 간호대학생의 우울을 감소시키는 스트레스 증재 프로그램을 계획할 때는 학업스트레스, 전공만족도, 사회적 고립감, 심리적 수용과 수면장애의 변수를 고려한 복합적 중재 프로그램 개발과 적용이 필요하다고 생각된다.

Keywords

References

  1. Korean Accreditation Board of Nursing Education, "2017 Accreditation assessment standards for education of Korea (the course of the nursing bachelor's degree)", Seoul: Korean Nurses Association, 2017.
  2. J. K. Kim, "A Review study on Nursing Students' Stress for Improvement of Nursing Education", The Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 1, pp. 47-59, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.1.47
  3. Y. J. Son, E. Y. Choi, Y. A. Song, "The relationship between stress and depression in nursing college students", The Korean Journal of Stress Research, Vol. 18, No. 4, pp. 345-351, 2010.
  4. J. Kisch, E. V. Leino, M. M. Silverman, "Aspects of suicidal behavior, depression, and treatment in college students: results from the spring 2000 national college health assessment survey", Suicide and Life-Threatening Behavior, Vol. 35, No. 1, pp. 3-13, 2005. https://doi.org/10.1521/suli.35.1.3.59263
  5. S. Y. Lee, Y. Y. Kim, J. S. Lee, "The convergent effect of self-esteem, depression, social support on suicidal ideation in university students", Journal of Digital Convergence, Vol. 15, No. 8, pp. 323-331, 2017. https://doi.org/10.14400/JDC.2017.15.8.323
  6. K. Park, "The relationship between acceptance, posttraumatic growth, depression, and suicidal ideation", The Korean Journal of Stress Research, Vol. 19, No. 4, pp. 281-292, 2011.
  7. Y. K. Kwag, "Comparison of Stress, Copying and Social Support according to Depression Severity among Nursing Students", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 4, No. 2, pp. 125-134, 2014. DOI: http://dx.doi.org/10.14257/AJMAHS.2014.12.31
  8. A. Aradilla-Herrero, J. Tomas-Sabado, J. Gomez-Benito, "Associations between emotional intelligence, depression and suicide risk in nursing students", Nurse Education Today, Vol. 34, pp. 520-525, 2014. https://doi.org/10.1016/j.nedt.2013.07.001
  9. D. L. Biordi, N. R. Nicholson, "Chapter 5. social isolation. 85-115. In: I. M. Lubkin, P. D. Larsen, Chronic Illness: Impact and Intervention (8th Eds)", Burlington, MA: Jones & Bartlett Learning Publishing, LLC, 2013.
  10. J. T. Caccioppo, L. C. Hawkley, "Social isolation and health, with emphasis on underlying mechanisms. Perspectives in Biology and Medicine, Vol. 46, No. 3, Supplement, pp. S39-S52, 2003. https://doi.org/10.1353/pbm.2003.0049
  11. J. E. Yi, H. W. Kwak, "Rellation of interpersonal relationship harmony, stress coping and adjustment to college life among nursing students", Journal of Digital Convergence, Vol. 14, No. 11, pp. 527-537, 2016. https://doi.org/10.14400/JDC.2016.14.11.527
  12. J. K. Kang, S. N. Jeon, H. S, "The influence of self perfection, depression and hopelessness on suicidal idwation in university students", Journal of Digital Convergence, Vol. 11, No. 10, pp. 527-536, 2013. https://doi.org/10.14400/JDPM.2013.11.10.527
  13. H. J. Song, M. J. Park, " The convergent influence of social awareness and health status on social support in Korean echo generation", Journal of Digital Convergence, Vol. 15, No. 8, pp. 247-256, 2017. https://doi.org/10.14400/JDC.2017.15.8.247
  14. S. C. Hayes, K. D. Strosahl, K. G. Wilson, "Acceptance and commitment therapy", New York: Guildford Press, 1999.
  15. K. H. Kim, J. H. Kwon, "Testing models of relation to academic & career stress, acceptance behavior, and the psychological well-being of college students", The Korean Journal of Human Development, Vol. 21, No. 4, pp.43-60, 2014. https://doi.org/10.15284/kjhd.2014.21.4.43
  16. J. Y. Oh, S. M. Kwon, "Influence of psychological acceptance on fear of physical symptoms due to social anxiety", Korean Journal of Clinical Psychology, Vol. 30, No. 4, pp. 1003-1026, 2011. https://doi.org/10.15842/kjcp.2011.30.4.010
  17. H. G. Yu, C. N. Son, "Effects of ACT on smartphone addiction level, self-control, and anxiety of college students with smartphone addiction", Journal of Digital Convergence, Vol. 14, No, 2, pp. 415-426, 2017. https://doi.org/10.14400/JDC.2016.14.2.415
  18. H. J. Lee, "The relationships among acceptance, psychological symptoms, self-esteem, and satisfaction with life", Cognitive Behavior Therapy in Korea, Vol. 9, No. 1, pp. 1-23, 2009.
  19. K. T. Aung, M. S. Nurumal, S. N. Zainal, "Sleep Quality and Academic Performance of Nursing Students", Journal of Nursing and Health Science, Vol. 5, No. 6, pp. 145-149, 2016. DOI: http://dx.doi.org/10.9790/1959-050601145149
  20. G. H. Kim, H. S. Yoon, "Factors Influencing Sleep Quality in Nursing Students and non Nursing Students", Journal of Korean Academy of Psychiatric Mental Health Nursing, Vol. 22 No. 4, pp. 320-329, 2013. DOI: http://dx.doi.org/10.12934/jkpmhn.2013.22.4.320
  21. S. B. T. Benavente, R. M. da Silva, A. B. Higashi, L. de Azevedo Guido, A. L. S. Costa, "Influence of Stress factors and Socio-demographic Characteristics on the Sleep Quality of Nursing Students", Revista da Escola de Engermagem da USP, Vol. 48, No. 3, pp. 14-20, 2014. http://dx.doi.org/10.1590/S0080-623420140000 300018
  22. H. S. Kim, M. R. Eom, E. K. Kim, "Sleep Patterns and Circadian Types of Nursing Students during Shift Schedules", Journal of Korean Academy of Nursing, Vol. 40, No. 1, pp. 43-45, 2010. DOI: http://dx.doi.org/10.4.4./jkan.2010.10.1.43
  23. A. M. Angelone, A. Mattei, M. Sbarbati, F. Di Orio, "Prevalence and correlates for self-reported sleep problems among nursing students", Journal of Preventive Medicine and Hygiene, Vol. 52, No.4, pp. 201-208, 2011.
  24. D. J. Taylor, A. D. Bramoweth, E. A. Grieser, J. I. Tatum, B. M. Roane, "Epidemiology of insomnia in college students: relationship with mental health, quality of life, and substance use difficulties", Behavior Therapy, Vol. 44, No. 3, pp. 339-348, 2013. https://doi.org/10.1016/j.beth.2012.12.001
  25. O. H. Cho, K. H. Hwang, J. M. Lim, "The Effects of Fear of evaluation, Test anxiety, and Social anxiety among Nursing Students", The Journal of Korea Contents Association, Vol. 17, No. 7, pp. 56-66, 2017. DOI: http://dx.doi.org/10.5392/JKCA.2017.17.07.056
  26. F. W. Bond, S. C. Hayes, R. A. Baker, K. M. Carpenter, H. K. Orcutt, T. Walt, R. D. Zettles, "Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and acceptance", in press, Psychological Assessment.
  27. J. H. Heo, M. S. Choi, H. G. Jin, "Study on the reliability and validity of Korean translated Acceptance-Action Questionnaire-2", The Korean Journal of Counseling and Psychotherapy, Vol. 21, No. 4, pp. 861-878, 2009.
  28. C. M. Morin, "Insomnia: psychological assessment and management." New York, NY: The Guilford Press, 1993.
  29. Korean Sleep Research Society, Insomnia Self Diagnosis, http://www.sleepnet.or.kr/info/question2.php, February 01, 2015.
  30. C. M. Morin, G. Belleville, L. Belanger, H. Ivers, "The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response", Sleep. Vol. 34, No. 5, pp. 601-608, 2011. https://doi.org/10.1093/sleep/34.5.601
  31. Y. H. Lee, J. Y. Song, "A study of the reliability and the validity of the BDI , SDS , and MMPI-D Scales", Korean Journal of Clinical Psychology, Vol. 10, No. 1, pp. 98-113, 1991.
  32. M. Chung, O. H. Cho, "Psycho-socials Well-being of College Students depending on a level of Internet Addiction", Journal of The Korea Contents Association, Vol. 13, No. 5, pp. 366-376, 2013. DOI: http://dx.doi.org/10.5392/JKCA.2013.13.05.366
  33. Statics Korea, "National main index." [Internet]. Seoul: Statics Korea; 2017. Available from http://www.index.go.kr/potal
  34. E. J. Marshall, R. N. Brockman, "The Relationships between Psychological flexibility, Self-compassion, and Emotional well-being", Journal of Cognitive Psychotherapy: An International Quarterly, Vol. 30, No. 1, pp. 60-72, 2016. DOI: http://dx.doi.org/10.1891/0889-8391.30.1.60
  35. S. J. Lee, "Influence of emotional clarity on the depression among college students the mediated moderating effect of psychological acceptance through negative emotion". Ph.D. dissertation, p. 31-37, Konkuk University, 2015.
  36. Y. R. Kim, Y. H. Kim, "The effects of depression and social skills on stressful life events", Korean Journal of Clinical Psychology, Vol. 28, No. 1, pp. 153-170, 2009. https://doi.org/10.15842/kjcp.2009.28.1.009
  37. T. Cheung, S. Y. Wong, K. Y. Wong, L. Y. Law, K. Ng, M. T. Tong, K. Y. Wong, M. Y. Ng, P. S. E. Yip, "Depression, Anxiety and Symptoms of stress among baccalaureate nursing students in Hong Kong: a cross-sectional study", International Journal of Environmental Research and Public Health, Vol. 13, No. 779, pp. 1-25, 2016. DOI: http: //dx.doi.org/10.3390/ijerph13080779
  38. S. J. Yu, M. R. Song, E. M. Kim, "Factors influencing Depression among Nursing Students", The Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 1, pp. 71-78, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.1.71
  39. R. G. Sawatzky, P. A Ratner, C. G. Richardson, C. Washburn, W. Sudmant, P. Mirwaldt, "Stress and Depression in Students: the Mediating role of Stress Management Self-efficacy", Nursing Research, Vol. 61, No. 1, pp. 13-21, 2012. DOI: http://dx.doi.org/10.1097/NNR.0b013e31823b1440.
  40. S. K. Cha, E. M. Lee, "Comparison of Stress, Depression and Suicidal Ideation between Nursing Students and Students of Other Majors", The Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 4, pp. 650-658, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.4.650
  41. S. H. Shin, "The effect of Academic Stress and the Moderating Effects of Academic Resilience on Nursing Students' Depression", The Journal of Korean Academic Society of Nursing Education, Vol. 22, No. 1, pp. 14-24, 2016. DOI: http://dx.doi.org/10.5977/jkasne.2016.22.1.14
  42. S. H. Jeong, S. H. Park, "Relationship among Stress, Depression, and Satisfaction to Clinical Practice among Nursing Students", Korean Journal of Rehabilitation Nursing, Vol. 16, No. 1, pp. 47-54, 2013. DOI: http://dx.doi.org/10.7587/kjrehn.2013.47
  43. H. K. Cho, S. K. Chung, "Relationship among college life stress, alienation and college adjustment: focused on transferred and non-transferred nursing students", Journal of the Korean Data Analysis Society, Vol. 17, No. 5, pp. 2779-2793, 2015.
  44. A. Parviz, H. Alireza, D. Tahereh, "Comparison of depression, social isolation and self-esteem among internet users and non-internet users of Ahvaz girl high school", International Journal of Psychology and Behavioral Research. Vol. 3, No. 6, pp. 594-601, 2014.
  45. L. A. Gellis, A. Park, M. T. Stotsky, D. J. Taylor, "Associations between sleep hygiene and insomnia severity in college students: cross-sectional and prospective analyses", Behavior Therapy, Vol. 45, pp. 806-816, 2014. https://doi.org/10.1016/j.beth.2014.05.002
  46. K. H. Suh, "The relations of circadian rhythm and sleep deprivation to college life stress and depression : focused on gender differences", The Korean Journal of Stress Research, Vol. 17, No. 3, pp. 247-254, 2009.
  47. L. M. Kurina, K. L. Knutson, L. C. Hawkley, J. T. Cacioppo, D. S. Lauderdale, C. Ober, "Loneliness is Associated with Sleep Fragmentation in a Communal Society", Sleep, Vol. 14, No. 11, pp. 1519-1526, 2011. DOI: http://dx.doi.org/10.5665/sleep.1390
  48. J. W. Lee, I. O. Moon, S. K. Park, "The relationship between social support, college adjustment and academic adjustment among nursing students", The Journal of Korean Society for School Health Education, Vol. 14, No. 2, pp. 15-27, 2013.
  49. H. Y. Jung, "The convergence influence of life stress, depression and ego resiliency on college life adaptation in nursing students", Journal of Digital Convergence, Vol. 14, No. 7, pp. 259-268, 2016. https://doi.org/10.14400/JDC.2016.14.7.259
  50. J. W. Choi, J, S, Park, G. Y. Jung, J. S. Park, S. G. Kang, "Phytoncide aroma inhalation and exercise combination thearapy mood state, college life stress and sleep of college students", Journal of Digital Convergence, Vol. 14, No. 12, pp. 633-644, 2016. https://doi.org/10.14400/JDC.2016.14.12.633