The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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The Influence of Health Status and Type of Health Management on Depression in Middle-Aged Women

중년여성의 건강상태와 건강관리형태가 우울에 미치는 영향

  • 정명실 (성신여자대학교 간호대학) ;
  • 김연하 (한국교통대학교 간호학과) ;
  • 임경춘 (성신여자대학교 간호대학)
  • Received : 2018.05.09
  • Accepted : 2018.08.10
  • Published : 2018.08.31
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Abstract

Purpose: This study aimed to investigate the influence of health status and types of health management on depression in middle-aged women. Methods: A convenience sample of 188 participants was recruited from health centers in S city. Using a structured questionnaire, data was collected and analyzed by t-test, ANOVA, Pearson's correlation, and linear regression using SPSS/WIN 23 program. Results: Results of the regression analysis showed that perceived current health status (${\beta}=-0.55$, p<.001), no caregiver (${\beta}=0.47$, p<.001), chronic diseases lasting more than three months (${\beta}=0.36$, p<.001), perceived health status compared to peer group (${\beta}=0.32$, p<.001), walking for health (${\beta}=-0.20$, p=.002), caregiver except family (${\beta}=0.18$, p=.001), and gastrointestinal disease (${\beta}=0.10$, p=.022) influenced depression in middle-aged women. Overall, approximately 69.7% of total variance explained this model (adjusted $R^2=0.678$, F=57.21, p<.001). Conclusion: This study suggests that it is more important to understand the level of perceived health status in middle-aged women. Furthermore, it is necessary to develop programs that include various health management methods and strengthen the health care with the help of families and neighbors in order to manage depression in middle-aged women.

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References

  1. Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of the Beck Depression Inventories- I A and II in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588-797. https://doi.org/10.1207/s15327752jpa6703_13
  2. Chang, H. K., & Cha, B. K. (2003). Influencing factors of climacteric women's depression. Journal of Korean Academy Nursing, 33(7), 972-980. https://doi.org/10.4040/jkan.2003.33.7.972
  3. Choe, M. A., Hah, Y. S., Kim, K. S., Yi, M. S., & Choi, J. A. (2008). A study on exercise behavior, exercise environment and social support of middle-aged women. Journal of Korean Academy Nursing, 38(1), 101-110. https://doi.org/10.4040/jkan.2008.38.1.101
  4. Chung, M. S., & Lim, K. C. (2015). Health status and complementary and alternative therapies in the community dwelling pre-elderly and elderly. The Korean Journal of Rehabilitation Nursing, 18(1), 46-56. http://www.dbpia.co.kr/Article/NODE06384019 https://doi.org/10.7587/kjrehn.2015.46
  5. Deeks, A. A., & McCabe, M. P. (2004). Well-being and menopause: An investigation of purpose in life, self-acceptance and social role in premenopausal, perimenopausal and postmenopausal women. Quality of Life Research, 13(2), 389-398. https://doi.org/10.1023/B:QURE.0000018506.33706.05
  6. Doo, H. J. (2013). Subjectivity on experience of middle-aged women who attend self-help group to overcome midlife crisis: Q methodology approach. Journal of East-West Nursing Research, 19(2), 78-87. http://dx.doi.org/10.14370/jewnr.2013.19.2.78
  7. Enstrom, J. E., & Breslow, L. (2008). Lifestyle and reduced mortality among active California Mormons, 1980-2004. Preventive Medicine, 46(2), 133-136. https://doi.org/10.1016/j.ypmed.2007.07.030
  8. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analysis. Behavior Research Methods, 41, 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  9. Han, M. J., & Lee, J. H. (2013). 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. http://dx.doi.org/10.4069/kjwhn.2013.19.4.275
  10. Harlow, S. D., Gass, M., Hall, J. E., Lobo, R., Maki, P., Rebar, R. W., et al. (2012). Executive summary of the stages of reproductive aging workshop +10: Addressing the unfinished agenda of staging reproductive aging. Fertility and sterility, 97(4), 843-851. https://doi.org/10.1016/j.fertnstert.2012.01.128
  11. Jun, S. J., Kim, H. K., Lee, S. M., & Kim, S. A. (2004). Factors influencing middle-aged women's depression. The Journal of Korean Community Nursing, 15(2), 266-276.
  12. Kang, Y. H. (2009). Correlates of depression and perceived health status in patients with atrial fibrillation. Korean Journal of Adult Nursing, 21(1), 86-94.
  13. Kim, S. J., & Kim, S. Y. (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. http://dx.doi.org/10.4069/kjwhn.2013.19.3.176
  14. Koji, W., Toshihiko, S., Katsutoshi, T., Masashi, T., & Yoshiharu, A. (2007). Associations of depressive symptoms with regular leisure activity and family social support among Japanease workers. Indistrial Health, 45(1), 181-185. https://doi.org/10.2486/indhealth.45.181
  15. Korea Centers for Disease Control and Prevention. (2017). Prostective obsevational study on the risk factors for chronic disease in menopause trasition women. Public Health Weekly Report, 10(31), 814-820. Retrieved July 17, 2018, http://www.cdc.go.kr/phwr/biz/phwr/phwrMain.do
  16. Korea Health Insurance Review & Assessment Service. (2014). Depression in midlife and elderly. Retrieved July 10, 2018, from http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/inform/02/1330938_27116.html&subject.
  17. Korea National Statistical Office. (2017). Population projections for Korea. Retrieved July 10, 2018, from http://meta.narastat.kr/metasvc/svc/SvcMetaDcDtaPopup.do?orgId=101&confmNo=101033&kosisYn=Y
  18. Korean Women's Development Institute. (2017). Gender statistics in Korea. Retrieved July 10, 2018, from http://www.ndsl.kr/ndsl/commons/util/ndslOriginalView.do?dbt=TRKO&cn=TRKO201800022397&rn= &url=&pageCode=PG18
  19. Kwon, E., Nah, E. H., Kim, H., Joe, S. H., & Cho, H. I. (2016). Association between metabolic syndrome and psychological characteristics in Korean postmenopausal women. Korean Journal of Health Promotion, 16(2), 119-126. http://dx.doi.org/10.15384/kjhp.2016.16.2.119
  20. Kwon, H. Y., & Yoon, M. S. (2015). Relationship of depression, stress, and self-esteem with oral health-related quality of life of middle-aged women. Journal of Dental Hygeine Science, 15(6), 825-835. http://dx.doi.org/10.15384/kjhp.2016.16.2.119
  21. Lee, S. H., Jang, H. S., & Yang, Y. H. (2016). The influence of subjective health status, post-traumatic growth, and social support on successful aging in middle-aged women. Journal of Korean Academy of Nursing, 46(5), 744-752. https://doi.org/10.4040/jkan.2016.46.5.744
  22. Nam, S. N., Jeong, J. H., Shin, H. K., Kim, J. H., Choi, J. S., & Jeong, Y. R. (2008). The effect of elastic band and swiss ball training on body composition and the blood lipids of middle-aged women. The Korea Journal of Sports Science, 17(3), 1081-1090.
  23. Noguchi1, Y., Ueda, K., Fukumoto, K., Harada, K., Ueda, A., & Wei, C. N. (2015). Relationship between perceived health status and health practices in the general adult population in Japan. Open Journal of Preventive Medicine, 5(6), 280-290. https://doi.org/10.4236/ojpm.2015.56031
  24. Seo, J. Y., Choi, B. Y., Kim, S., Lee, H. Y., & Oh, D. H. (2017). The relationship between multiple chronic disease and depressive symptoms among middle-aged and elderly populations: Results of a 2009 Korean community health survey of 156,747 participants. BMC Public Health, 17, 844. http://dx.doi.org/10.1186/s12889-017-4798-2
  25. Sohn, J. N. (2018). Factors influencing depression in Middle aged women: Focused on quality of life on menopause. Journal of Health Informatics and Statistics, 43(2), 148-157. https://doi.org/10.21032/jhis.2018.43.2.148
  26. Sung, H. M., Kim, J. B., Park, Y. N., Bai, D. S., Lee, S. H., & Ahn, H. N. (2008). A study on the reliability and the validity of korean version of the Beck Depression Inventory-II(BDI -II). Journal of the Korean Society of Biological Therapies in Psychiatry, 14(2), 201-212.
  27. Tanaka, H., Sasazawa, Y., Suzuki, S., Nakazawa, M., & Kotoma, H. (2011). Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: A seven-year follow-up of the Komo-Ise cohort study. BMC Psychiatry, 11, 20. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-11-20.
  28. Yang, Y. J., & Shin, S. H. (2014). The effects of self-esteem and family stress on depression of middle-aged couples: Analysis of actor-partner interdependence model. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 23(2), 60-69. http://dx.doi.org/10.12934/jkpmhn.2014.23.2.60

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