DOI QR코드

DOI QR Code

Factors Affecting Depression in Junior Nursing Students

저학년 간호대학생의 우울 영향 요인

  • Lee, Eliza (Department of Nursing, Seoil University)
  • Received : 2019.10.20
  • Accepted : 2019.12.20
  • Published : 2019.12.28

Abstract

This study was conducted to identify factors affecting depression in junior nursing students(JNS). The number of the participants was 144 at a college in S and G city. The data were collected using questionnaires about somatic symptoms(SS), sleep quality, stress, adaptation to college life(AC), depression. Mean score of depression was 18.89, 58.3% are experiencing depression that requires clinical treatment. The significant predictors of JNS were levels of depression AC(β=-.503, p=.000) and SS(β=.263, p=.000) respectively, explaining 58.9% of variance. In order to control the depressive symptoms of JNS, it is necessary to diagnose basic learning ability from the beginning of admission and provide guidance management plans to help students adapt to academic activities by providing customized programs for each level to improve learning ability. It is necessary to develop and apply various intervention programs to alleviate physical symptoms such as fatigue/low energy experienced by JNS.

본 연구는 저학년 간호대학생의 우울 영향 요인을 탐색하기 위한 서술적 조사연구이다. 본 연구를 위해 S와 G지역의 종합대학 저학년 간호대학생 144명에게 신체증상, 수면의 질, 스트레스, 대학생활 적응, 우울로 구성된 자가보고식 설문지로 자료를 수집하였다. 저학년 간호대학생의 우울은 평균 18.89점이며, 58.3%가 임상치료가 필요한 우울증상을 경험하고 있었다. 우울 영향 요인으로 대학생활 적응(β=-.503, p=.000), 신체증상(β=.263, p=.000)순으로 나타났고, 우울의 설명력은 58.9%로 나타났다. 이에 저학년 간호대학생의 우울을 조절하기 위해서 입학초기부터 기초학습 능력을 진단하고, 학습능력향상을 위한 수준별 맞춤형 프로그램 제공을 통해 학문적 적응을 돕는 지도관리 방안이 마련되어야 할 것이다. 또한 다빈도로 경험하는 피로감/기운없음과 같은 신체증상을 완화하기 위한 다양한 중재프로그램의 개발 및 적용이 필요하다.

Keywords

References

  1. A. Aradilla-Herrero, J. Tomas-Sabado & J. Gomez - Benito. (2014). Associations between emotional intelligence, depression and suicide risk in nursing students. Nurse Education Today, 34(4), 520-525. DOI : 10. 1016/j.nedt.2013.07.001 https://doi.org/10.1016/j.nedt.2013.07.001
  2. C. H. Jung. (2017). The effect of depression and self-esteem on suicidal ideation in nursing college students using Spss program. The Journal of Korea Institute of Information, Electronics, and Communication Technology, 10(6), 496-505. DOI : 10.17661/jkiiect.2017.10.6.496
  3. J. S. Kang & E. H. Hwang. (2014). Relationship between sleep quality and depression in nursing students. The Journal of the Korea Contents Association, 14(11), 810-819. DOI : 10.5392/JKCA.2014.14.11.810
  4. Y. Xu, X. Chi, S. Chen, J. Qi, P. Zhang & Y. Yang. (2014). Prevalence and correlates of depression among college nursing students in China. Nurse Education Today, 34(6), e7-e12. DOI : 10.1016/j.nedt.2013.10.017
  5. M. K. Shin, H. Yi & J. Won. (2013). Influence of life stress and depression on suicidal ideation among college nursing students. Journal of Korean Academy of Fundamentals of Nursing, 20(4), 419-428. DOI : 10.7739/jkafn.2013.20.4.419
  6. S. K. Cha & E. M. Lee. (2014). Comparison of stress, depression and suicidal ideation between nursing students and students of other majors. The Journal of Korean Academic Society of Nursing Education, 20(4), 650-658. DOI : 10.5977/jkasne.2014.20.4.650
  7. H. Y. Jung. (2016). The convergence influence of life stress, depression and ego resiliency on college life adaptation in nursing students. Journal of Digital Convergence, 14(7), 259-268. DOI : 10.14400/JDC.2016.14.7.259
  8. Y. H. Kim. (2011). Effects of depression, self esteem and ego identity on test anxiety in nursing students. Journal of the Korean Data Analysis Society, 13(4), 2003-2013.
  9. K. H. Hwang & O. H. Cho. (2017, May). The influence of nursing students on social isolation, psychological acceptance, and sleep disorder on depression. Korean Society of Adult Nursing Conference. (pp. 175-175). Seoul : Korean Society of Adult Nursing.
  10. Y. J. Son, E. Y. Choi & Y. A. Song. (2010). The relationship between stress and depression in nursing college students. The Korean Journal of Stress Research, 18(4), 345-351.
  11. S. J. Yu, M. R. Song & E. M. Kim. (2014). Factors influencing depression among nursing students. The Journal of Korean Academic Society of Nursing Education, 20(1), 71-80. DOI : 10.5977/jkasne.2014.20.1.71
  12. Y. Luo, R. Meng, J. Li, B. Liu, X. Cao & W. Ge. (2019). Self-compassion may reduce anxiety and depression in nursing students: a pathway through perceived stress. Public Health, 174, 1-10. DOI : 10.1016/j.puhe.2019.05.015
  13. Y. S. Choi & M. A. Kim. (2019). The Effect of mindfulness-based cognitive therapy program on stress, self-esteem and depression of nursing students. The Journal of the Korea Contents Association. 19(2), 210-222. DOI : 10.5392/JKCA.2019.19.02.210
  14. Y. R. Yeom & K. B. Choi. (2013). The Effect of mindfulness meditation programs on nursing college students' perceived stress, depression, and self-efficacy. Journal of East-West Nursing Research, 19(2), 104-113. DOI : 10.14370/jewnr.2013.19.2.104
  15. E. H. Hwang, K. H. Kim & S. Shin. (2016). The effect of life stress, sleep quality, and depression in suicidal ideation among nursing students. Journal of the Korean society for Wellness, 11(3), 239-248. DOI : 10.21097/ksw.2016.08.11.3.239
  16. M. Y. Moon. (2018). Relationship between academic stress, perceived health status, ego resilience and health promoting behavior by grade of nursing college students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities and Sociology, 8(8), 161-170. DOI : 10.21742/AJMAHS.2018.08.90
  17. H. S. Jo. (2006). Relationship between health related lifestyle and health status of student nurses. Journal of Korean Academy of Fundamentals of Nursing, 13(3), 493-500.
  18. H. J. Eom, M. H. Jin & Y. G. Kim. (2018). The effects of depression on somatization among college students; Emotional suppression and physical attribution as mediating factors. Studies on Korean Youth, 29(4), 149-173. DOI : 10.14816/sky.2018.29.4.149
  19. J. H. Park, H. Y. Jung, S. Y. Kim & S. Y. Lee (2008, June). Why do the depressed have more somatic symptoms than the non-depressed? The Korean Psychological Association Conference. (pp. 532-533). Seoul : The Korean Psychological Association.
  20. E. Lee. (2015). Family stress, somatization, social support and depression among middle-aged workers. Korean Journal of Occupational Health Nursing, 24(3), 224-234. DOI : 10.5807/kjohn.2015.24.3.224
  21. G. H. Kim & H. S. Yoon. (2013). Factors influencing sleep quality in nursing students and non nursing students. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 22(4), 320-329. DOI : 10.12934/jkpmhn.2013.22.4.320
  22. M, H. Chin, H. A. Nam & S. H. Kim. (2015). Stress of nursing college students in an area. Journal of the Korean society for Wellness, 10(4), 129-138.
  23. R. W. Baker & B. Siryk. (1989). Student adaptation to college questionnaire(SACQ) manual. Los Angeles : Western Psychological Services.
  24. Y. J. Lee (2000). The non-residential students' adaptation to college life and career plans. Master's thesis. Ewha Womans University, Seoul.
  25. S. H. Kang. (2010). Predictors of academic achievement and dropout thinking among university students. Journal of Educational Evaluation, 23(1), 29-53.
  26. E. A. Kim & K. S. Jang. (2012). Developing a prediction model regarding adjustment of nursing students to college life. The Journal of Korean Academic Society of Nursing Education, 18(2), 312-322. DOI : 10.5977/jkasne.2012.18.2.312
  27. K. Kroenke, R. L. Spitzer & J. B. W. Williams. (2002). The PHQ-15: Validity of a New Measure for Evaluating the Severity of Somatic Symptoms. Psychosomatic Medicine, 64(2), 258-266. https://doi.org/10.1097/00006842-200203000-00008
  28. K. R. Shin, Y. Kang, D. Jung & K. A. Choi. (2007). A Study on the depression, somatic symptom, activities of daily living for the elderly women in an urban area. Journal of Korean Academy of nursing, 37(7), 1131-1138. DOI: 10.4040/jkan.2007.37.7.1131
  29. D. J. Buysse, C. F. Reynolds 3rd., T. H. Monk, S. R. Berman & D. J. Kupfer. (1989). The Pittsburgh Sleep Quality Index: A New Instrument For Psychiatric Practice and Research. Psychiatry Research, 28(2), 193-213. DOI: 10.1016/0165-1781(89)90047-4
  30. J. H. Youn. (2004). A Study on IBS and stress perceived by college women and their dietary habit and sleeping quality. Master's thesis. Ewha Womans University, Seoul.
  31. Y. A. Ham. (2018). The influence of time pressure and stress on college students to adaptation to college life. Master's thesis. Daegu University, Gyeongbuk.
  32. L. S. Radloff. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. DOI : 10.1177/014662167700100306
  33. K. K. Chon, S. C. Choi & B. C. Yang. (2001). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6(1), 59-76.
  34. H. J. Jung & M. J. Chae. (2018). Influence of self-efficacy and academic stress on adjustment to college life among nursing students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(8), 403-417. DOI : 10.21742/AJMAHS.2018.08.15.
  35. H. S. Cha. (2019). Influence on adjustment of university life among nursing students. Journal of the Korea Academia-Industrial cooperation Society, 20(8), 381-391. DOI : 10.5762/KAIS.2019.20.8.381
  36. J. Y. Park, C. H. Woo, J. H. Lee & J. M. Kim. (2018). The impact of self-regulated learning ability on learning persistence intention in freshmen in nursing college: focusing on the mediating effects of learning motivation. The Journal of Korean Academic Society of Nursing Education, 24(2), 127-136. DOI : 10.5977/jkasne.2018.24.2.127
  37. M.F.P. Fernandez, A. M. Araujo, C. T. Vacas, L. S. Almeida & M.S.R. Gonzalez. (2017). Predictors of students' adjustment during transition to university in Spain. Psicothema, 29(1), 67-72. DOI : 10.7334/psicothema2016.40
  38. J. H. Yi, E. Y. Jang & S. M. Lee. (2012). The predictors of adaptation to college among nursing students and gender difference. Journal of The Korea Society of Health Informatics and Statistics, 37(2), 12-24.
  39. E. J. Shim. (2016). The prevalence and correlates of anxiety and depression in university students according to gender. Korean Journal of Youth Studies, 23(12), 663-689. DOI : 10.21509/KJYS.2016.12.23.12.663
  40. J. R. Lim & S. Y. Kim. (2019). Convergence study on the influence of personality and stress on college life adaptation in nursing college students. Journal of the Korea Convergence Society, 10(10), 301-308. DOI: 10.15207/JKCS.2019.10.10.301
  41. Y. H. Kim. (2015). The effects of college life adaptation program on nursing students college life adaptation and nursing professional attitude. Journal of the Korea Academia-Industrial cooperation Society, 16(12), 8948-8956. DOI : 10.5762/KAIS.2015.16.12.8948
  42. H. J. Jang & M. H. Mo. (2017). Effect of foot bath therapy on extremities edema and fatigue in practicum nursing students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(8), 741-750. DOI : 10.14257/ajmahs.2017.08.08.