DOI QR코드

DOI QR Code

코로나-19 유행으로 인한 사건충격, 건강신념 및 자가치료지침 수행 간의 관계에 관한 융합연구

A Convergence Study on the Relationship between Impact of Event, Health Beliefs and Adherence to Self-Care Guideline for COVID-19

  • 신선화 (삼육대학교 간호대학) ;
  • 백온전 (삼육대학교 대학원 간호학과)
  • 투고 : 2020.08.07
  • 심사 : 2020.10.20
  • 발행 : 2020.10.28

초록

본 연구의 목적은 대구/경북지역의 일반 성인을 대상으로 사건충격과 건강신념이 자가치료지침 수행에 영향을 미치는지 확인하고, 사건충격과 자가치료지침 수행 간의 관계에서 건강신념의 매개효과를 살펴보고자 수행하였다. 연구 참여자는 대구/경북지역에 거주하는 331명의 성인이며, 온라인 설문조사를 통해 자료를 수집하였다. 수집한 자료는 위계적 회귀분석과 Process Procedure (Model 4)를 이용하여 매개효과를 분석하였다. 연구결과, 사건충격은 건강신념에 유의한 직접효과가 있었고, 건강신념은 자가치료지침 수행에 유의한 직접효과가 있었다. 또한, 건강신념은 사건충격과 자가치료지침 수행 간의 관계에서 매개효과가 유의하게 나타났다. 일반 성인을 대상으로 하는 건강교육을 적용함에 있어서 코로나-19와 같은 신종전염병에 관한 건강신념을 확립할 수 있는 교육내용이 필요하며, 자가치료지침 수행을 향상시킬 수 있는 프로그램을 주기적으로 수행할 필요가 있음을 논의하였다.

The purpose of this study is to determine whether impact of event and health beliefs affect adherence to self-care guidelines in the general public. The participants were 331 adults living in the Daegu/Gyeongbuk region. Data were collected using an online survey. The collected data were analyzed using hierarchical regression analysis and Process Procedure (Model 4). The results reported impact of event had a significant direct effect on health beliefs, and health beliefs had a significant direct effect on adherence to self-care guidelines. Also, the mediating effect of health beliefs on the relationship between impact of event and adherence to self-care guidelines was significant. To facilitate health education among the general public, it is necessary to include educational content to establish health beliefs regarding novel diseases such as COVID-19.

키워드

참고문헌

  1. F. M. Cheung. (2004). Commentary: reintegrating psychology into an expanded biopsychosocial model of severe acute respiratory syndrome. Asia Journal of Social Psychology, 7(1), 83-88. DOI : 10.1111/j.1467-839X.2004.00136.x
  2. K. Shimizu. (2020) 2019-nCoV, fake news, and racism. The Lancet, 395(10225), 685-686. DOI : 10.1016/s0140-6736(20)30357-3
  3. T. G. L. A. van der Meer & Y. Jin. (2020). Seeking formula for misinformation treatment in public health crises: The effects of corrective information type and source. Health Communication, 35(5), 560-575. https://doi.org/10.1080/10410236.2019.1573295
  4. J. A. Jeon & J. H. Lee. (2020. March). COVID-19 Mental Health Care Status and Tasks. Health and Welfare ISSUE & FOCUS, 375, 1-8.
  5. D. H. Lee, J. Y. Kim & H. S. Kang. (2016). The emotional distress and fear of contagion related to middle east respiratory syndrome (MERS) on general public in Korea. The Korean Psychological Association, 35(2), 355-383. DOI : 10.22257/kjp.2016.06.35.2.355
  6. H. I. Son, G. W. Kim, J. B. Heo & C. H. Park. (2020). Busan city's policy response to overcoming COVID-19. BDI Policy Focus, 372, 1-12. http://www.dbpia.co.kr.libproxy.syu.ac.kr:8080/pdf/pdfView.do?nodeId=NODE09316602&mark=0&bookmarkCnt=7&ipRange=N&language=ko_KR
  7. J. H. Park, J. H. Kang & I. J. Kim. (2011). Stress and self care guideline adherence in students with influenza A (H1N1). Journal of Korean Academy Society Nursing Education, 17(2), 277-286. https://doi.org/10.5977/JKASNE.2011.17.2.277
  8. Korea Centers for Disease Control & Prevention. (2009). Influenza A (H1A1) Prevention and Patient Care Guidelines (revision 6th). Seoul : Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. http://flu.cdc.go.kr/
  9. Korea Centers for Disease Control & Prevention (2020). COVID 19 response-distance in life. Information on the work of the quarantine manager. Cheongju : Korea Centers for Disease Control and Prevention. http://ncov.mohw.go.kr/upload/viewer/skin/doc.html?fn=1591232925735_20200604100845.pdf&rs=/upload/viewer/result/202006/
  10. B. J. Cowling et al. (2009). Facemasks and hand hygiene to prevent influenza transmission in households: a cluster randomized trial. Annals Internal Medicine, 151(7), 437-446. DOI : 10.7326/0003-4819-151-7-200910060-00142
  11. D. F. Jang et al. (2015). Relationship between hand washing practices and infectious diseases in Korean students. Journal of Agricultural Medicine Community Health, 40(4), 206-220. DOI : 10.5393/JAMCH.2015.40.4.206
  12. A. E. Aiello, E. L. Larson & R. Sedlak. (2008). Personal health bringing good hygiene home. American Journal of Infection Control, 36(10 Suppl), 152-165. DOI : 10.1016/j.ajic.2008.09.009.
  13. K. Glanz, B. K. Rimer & K. Viswanath. (2002). Health behavior and health education: Theory, research and practice. 3rd ed. San Francisco: Jossey-Bass.
  14. B. K. Lee, Y. K. Sohn, S. L. Lee, M. Y. Yoon, M. H. Kim & C. R. Kim. (2014). An efficacy of social cognitive theory to predict health behavior: a meta-analysis on the Health Belief Model studies in Korea. Journal of Public Relations, 18(2), 163-206. DOI : 10.15814/jpr.2014.18.2.163
  15. S. H. Shin. (2019). Relationships between health promoting lifestyle, health belief about emerging infectious disease and hygiene behavior of college students. Journal of the Korea Convergence Society, 10(4), 285-293. DOI : 10.15207/JKCS.2019.10.4.285
  16. O. Erkin & S. Ozsoy. (2012). Validity and reliability of health belief model applied to influenza. Academic Research International, 2(3), 31-40.
  17. G. Guvanc, A. Akyuz & C. H. Acikel. (2011). Health belief model scale for cervical cancer and pap smear test: Psychometric testing. Journal of Advanced Nursing, 67(2), 428-437. DOI : 10.1111/j.1365-2648.2010.05450.x
  18. S. Y. Kim. (2020). A convergence study of stress caused by the epidemic of COVID-19, quality of life and positive psychological capital. Journal of the Korea Convergence Society, 11(6), 423-431. DOI : 10.15207/JKCS.2020.11.6.423
  19. S. M. Park, J. Y. Lee & J. S. Choi. (2010). Affecting factors on health behavior of university students during pandemic influenza A (H1N1). Journal of Korean Academic Society Nursing Education, 16(2), 249-256. DOI : 10.5977/JKASNE.2010.16.2.249
  20. A. Main, Q. Zhou, Y. Ma, L. J. Leucken & X. Liu. (2011). Relations of SARS-related stressors and coping to Chines college students' psychological adjustment during the 2003 Beijing SARS epidemic. Journal of Counseling Psychology, 58(3), 410-423. DOI : 10.1037/a0023632.
  21. N. S. Kim. (2020. March). COVID-19 current status and tasks. Health and Welfare ISSUE & FOCUS, 373, 1-14.
  22. E. W. Lee. (2020). Corona 19 generation, How are mental health! Issue&Analysis, 414, 1-25.
  23. H. J. Eun, T. W. Kwon, S. M. Lee, T. H. Kim, M. R. Choi & S. J. Cho. (2005). A Study on reliability and validity of the Korean version of impact of event scale-revised. Journal of Korean Neuropsychiatric Association, 44(3), 303-310.
  24. Korea Centers for Disease Control & Prevention (2020. 7. 7.). Coronavirus Infectious Disease-19 Outbreak in Korea. Cheongju: Korea Centers for Disease Control and Prevention. https://www.cdc.go.kr/board/board.es?mid=a20501000000&bid=0015
  25. J. F. Hair, W. C. Black, B. J. Babin & R. E. Anderson. (2010). Multivariate data analysis: a global perspective. 7th ed. Upper Saddle River, N.J. London: Pearson Education.
  26. D. S. Weiss & C. R. Marmar. (1997). The Impact of Event Scale-Revised. In: Wilson JP, Keane TM, editors. Assessing psychological trauma and PTSD. New York: The Guilford Press.
  27. A. F. Hayes. (2018). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. 2nd ed. New York : The Guilford Press.
  28. G. Y. Cho & M. N. Ha. (2019). Mediating effects of health belief on the correlations among disease-related knowledge, eHealth literacy, and self-care behaviors in outpatients with Hypertension. Korean Journal of Adult Nursing, 31(6), 638-649. DOI : 10.7475/kjan.2019.31.6.638
  29. J. H. Kim & Y. M. Yoon. (2010). The effects of communication experiences as negative cues to action on attitude toward drug abuse: modifying health belief model. Korean Journal of Journalism & Communication Studies, 54(5), 5-31.
  30. Y. Bao, Y. Sun, S. Meng, J. Shi & L. Lu. (2020). 2019-nCoV epidemic: address mental health care to empower society. The Lancet, 395(10224), e37-e38. DOI : 10.1016/S0140-6736(20)30309-3
  31. M. Househ. (2015). Communicating Ebola through social media and electronic news media outlets: a cross-sectional study. Health Informatics Journal, 22(3), 470-478. DOI : 10.1177/1460458214568037
  32. L. Tang, B. Bie, S. E. Park & D. Zhi. (2018). Social media and outbreaks of emerging infectious diseases: a systematic review of literature. American Journal of Infection Control, 46(9), 962-972. DOI : 10.1016/j.ajic.2018.02.010
  33. P. Geldsetzer. (2020). Knowledge and perceptions of coronavirus disease 2019 among the general public in the United States and the United Kingdom: A cross-sectional online survey. medRxiv 2020 [Online]. www.medrxiv.org DOI : 10.1101/2020.03.13.20035568
  34. S. Tasnim, M. M. Hossain & H. Mazumder. (2020). Impact of rumors and misinformation on COVID-19 in social media. Journal of Preventive Medicine & Public Health, 53(3), 171-174. DOI : 10.3961/jpmph.20.094