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An Analysis of Convergence Factors on Depressive Symptoms Women in the Postmenopausal: Based on the Theory of Unpleasant Symptoms

폐경기 이후 여성의 우울증상에 영향을 미치는 융합적 분석: 불쾌증상이론에 근거하여

  • Received : 2018.01.09
  • Accepted : 2018.02.20
  • Published : 2018.02.28

Abstract

This study was conducted to identify convergence factors affecting depressive symptoms of postmenopausal women through the theory unpleasant symptom. This study was secondary data analysis form Sixth Korea National Health and Nutrition Examination Survey 2015. Study sample of 1,298 menopausal women to evaluate the factors that would influence depressive symptoms, physiological factors, situational factors, and psychological factors. The results showed that significant variables influencing the depressive symptom were income quartile(${\beta}=-.14$, p<.001), health status(${\beta}=.24$, p<.001), and stress(${\beta}=-.20$, p<.001). The explanation power of this regression model was 14. 1% and it was statistically significant. As a result, to improve their depressive symptoms, the nursing interventions are required for postmenopausal women who have the income, health status, and stress.

본 연구의 목적은 불쾌증상이론에 근거하여 폐경기 이후 여성의 우울증상에 영향을 미치는 융합적 요인을 분석하기 위하여 시행되었다. 연구 방법은 제 6기 2015년 국민건강영양조사 자료를 사용하여 분석한 이차 자료 분석 연구이다. 폐경을 경험한 1,298명을 대상으로 우울 증상, 생리적 요인, 상황적 요인 및 심리적 요인을 조사하였다. 연구 결과, 우울 증상에 영향을 미치는 예측요인은 소득수준(${\beta}=-.14$, p<.001), 건강상태(${\beta}=.24$, p<.001), 스트레스(${\beta}=-.20$, p<.001)로 나타났다. 모형의 설명력은 14.1%로 통계적으로 유의하였다. 이와 같은 연구결과는 바탕으로 폐경기 이후 여성의 우울 증상을 개선시키기 위해서는 소득수준, 건강상태, 스트레스를 고려한 간호중재가 필요하다.

Keywords

References

  1. J. Brockie. (2008). Physiology and effects of the meno pause. Nurse Prescribing, 6(5), 202-207. DOI : 10.12968/npre.2008.6.5.29281
  2. Y. K. Shyu, C. H. Pan, W. M. Liu, J. Y. Hsueh, C. S. Hsu & P. S. Tsai. (2012). Health-related quality of life and healthcare resource utilization in Taiwanese women with menopausal symptoms : a nation-wide survey. Journal of Nursing Research, 20(3), 208-218. DOI : 10.1097/jnr.0b013e318265619b
  3. A. A. Deeks & M. P. McCabe. (2004). Well-being and menopause: an investigation of purpose in life, self-acceptance and social role in premenopausal, perimenopausal and post menopausal women. Quality of Life Research, 13(2), 389-398. DOI : 10.1023/ B:QURE. 0000018 506. 33706.05
  4. Statistics Korea. (2014). 2014 Data of Statistics Korea. Daejeon : Statistics Korea.
  5. R. E. Noble. (2005). Depression in women. Metabolism, 54(5), 49-52. DOI : 10.1016/j.metabol.2005.01.014
  6. A. G. Hay, J. Bancroft & E. C. Johnstone. (1994). Affective symptoms in women attending a menopause clinic. The British Journal of Psychiatry, 164(4), 513-516. DOI : 10.1192/bjp.164.4.513
  7. E. W. Freeman, M. D. Sammel, H. Lin & D. B. Nelson. (2006). Associations of hormones and menopausal status with depressed mood in women with no history of depression. Archives of General Psychiatry, 63(4), 375-382. DOI : 10.1001/archpsyc.63.4.375
  8. J. H. Kim, M. S. Lee, J. W. Yang, Y. H. Ko, S. D. Ko & S. H. Joe. (2009). Risk factors affecting severity of menopausal symptoms in early and late postmenopasusal woman. Korean Journal of Psychosomatic Medicine, 17(2), 52-61.
  9. H. S. Kim, S. S. Han & W. K. Yoo. (2015). Analysis of the determining factors of depressive symptom among the menopausal women in Korea. The Korean Journal of Health Service Management, 9(1), 157-168. DOI : 10.12811/kshsm.2015.9.1.157
  10. J. H. Kim & H. S. Moon. (2006). Health Perception, Body Image, Sexual Function and Depression in Menopausal Women according to Menopausal Stages. Journal of Korean Academy of Nursing, 36(3), 449-456. https://doi.org/10.4040/jkan.2006.36.3.449
  11. M. Y. Cha, Y. K. Na & H. S. Hong. (2012). An Effect of Optimism, Self-esteem and Depression on Laughter Therapy of Menopausal Women. Korean Journal Women Health Nursing, 18(4), 248-256. DOI : 10.4069/kjwhn.2012.18.4.248
  12. M. S. Lee, J. W. Yang, Y. H. Ko & S. H. Joe.(2008). The Effectiveness of Short-Term Sequential Combined Hormonal Replacement Therapy Augmentation of Selective Serotonin Reuptake Inhibitor in Postmenopausal Women with Depression : Pilot Study. Korean Journal Psychophamacology, 19(4), 217-225.
  13. E. B. Gold, G. Block, S. Crawford, L. Lachance, G. FitzGerald, H. Miracle & S. S. Sherman, (2004). Lifestyle and demographic factors in relation to vasomotor symptoms : baseline results from the Study of Women's Health Across the Nation. American Journal of Epidemiology, 159(12), 1189-1199. DOI : 10.1093/aje/kwh168
  14. N. H. Jo & E. Y. Na. (2017). Analysis of Domestic Research on Depression and Stress : Focused on the Treatment and Subjects. Journal of Convergence for Information Technology, 7(6), 53-59. https://doi.org/10.22156/CS4SMB.2017.7.6.053
  15. A. Graziottin & A. Serafini. (2009). Depression and the menopause : why antidepressants are not enough. Menopause international, 15(2), 76-81. DOI : 10.1258/mi.2009.009021
  16. S. M. Kim. (2001). Obesity and Metabolic Complications in Postmenopausal Women. The Korean Journal of Women's Health, 2(2), 189-195.
  17. M. S. Lee, J. H. Kim, M. S. Park, J. Yang. Y. H. Ko, S. D. Ko, S. H. Joe. (2010). Factors influencing the severity of menopause symptoms in Korean post-menopausal women. Journal of Korean Medical Science, 25(5), 758-765. DOI : 10.3346/jkms.2010.25.5.758.
  18. H. S. Shin. (2002). Subjectivity on Stressful Life Events of Middle-aged Women : AQ Methodology Approach. Journal of Korean Academy of Nursing, 32(3), 406-415. DOI : 10.4040/jkan.2002.32.3.406
  19. E. R. Lenz, L. C. Pugh, R. A. Milligan, A. Gift & F. Suppe. (1997). The middle-range theory of unpleasant symptoms : An update. Advances in Nursing Science, 19(3), 14-27. DOI : 10.1097/00012272-199703000-00003
  20. H. J. Kim, S. H. Kim, H. K. Lee & S. E. Oh. (2014). Factors Affecting Symptom Experiences of Breast Cancer Patients : Based on the Theory of Unpleasant Symptoms. Asian Oncology Nursing, 14(1), 7-14. DOI : 10.5388/aon.2014.14.1.7
  21. J. H. Jeon & S. K. Hwang. (2014). A Structural Equation Modeling on Premenstrual Syndrome in Adolescent Girls. Journal of Korean Academy of Nursing, 44(6), 660-671. DOI : 10.4040/jkan.2014.44.6.660
  22. J. S. Kim & Y. S. Seo. (2015). Factors Influencing on Quality of Life in Patients with Liver Cirrhosis: Convergence on the Theory of Unpleasant Symptoms. Journal of Digital Convergence, 13(4), 271-281. DOI : 10.14400/JDC.2015.13.4.271
  23. Y. H. Kim, E. H. Ha & S. J. Shin. (2003). A study on the menopausal symptoms and quality of life in middle aged women. Journal of Korean Academy of Nursing, 33(5), 601-608. DOI : 10.4040/jkan.2003.33.5.601
  24. H. S. Lee & C. M. Kim. (2010). Menopausal symptoms and depression among midlife women. Journal of Korean Academy of Community Health Nursing, 21(4), 429-438. DOI : 10.12799/jkachn.2010.21.4.429
  25. B. M. Kang. (2007). Menopausal symptoms and complementary and alternative therapy. The Journal of the Korean Society of Menopause, 13(3), 164-172.
  26. R. B. Kim, K. S. Park, J. H. Lee, B. J. Kim & J. H. Chun. (2011). Factors Related to Depression Symptom and the Influence of Depression Symptom on Self-rated Health Status, Outpatient Health Service Utilization and Quality of Life. Korean Journal of Health Education and Promotion, 28(1), 81-92.
  27. R. Nicolas & K. Clemens K. (2006). The hypothalamic-pituitary-adrenal (HPA) axis in habitual smokers. International Journal of Psychophysiology, 59(3), 236-243. DOI : 10.1016/j.ijpsycho.2005.10.012
  28. Y. J. Park, B. S. Koo, H. C. Kang, S. H. Chun & J. W. Yoon. (2001). The menopausal age and climacteric symptoms, and the related factors of korean women. Korean Journal of Women Health Nursing, 7(4), 473-485.
  29. J. Wilbur, A. Miller, A. Montgomery & H. C. Features Submission. (1995). The influence of demographic characteristics, menopausal status, and symptoms on women's attitudes toward menopause. Women & health, 23(3), 19-39. DOI : 10.1300/j013v23n03_02
  30. M. J. Han & J. H. Lee. (2014). Factors influencing self-identity and menopausal symptoms on level of depression in middle aged women. Korean Journal of Women Health Nursing, 19(4), 275-284. DOI : 10.4069/kjwhn.2013.19.4.275
  31. S. J. Kim & S. Y. Kim. (2013). A Study on the Relationship of Marital Intimacy, Depression, and Menopausal Symptoms in Middle-aged Women. Korean Journal of Women Health Nursing, 19(3), 176-187. DOI : 10.4069/kjwhn.2013.19.3.176
  32. J. E. Heo & Y. S. Tae. (2014). Influence of Spiritual Wellbeing and Social Support on Depression in Middle-aged Women. Journal of Adult Nursing, 26(2), 181-190. DOI : 10.7475/kjan.2014.26.2.181
  33. N. H. Jo & C. H. Seong. (2016). Effects of stress and self esteem on depression in middle aged women and middle aged men. Journal of the Korea Convergence Society, 7(6), 89-97. DOI : 10.15207/JKCS.2016.7.6.089