한국컴퓨터정보학회논문지 (Journal of the Korea Society of Computer and Information)

  • 제25권10호
  • /
  • Pages.169-177
  • /
  • 2020
  • /
  • 1598-849X(pISSN)
  • /
  • 2383-9945(eISSN)
한국컴퓨터정보학회 (Korean Society of Computer Information)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Stress and Sleep Quality on Depression among Nursing Students during Clinical Practice

  • 투고 : 2020.10.12
  • 심사 : 2020.10.26
  • 발행 : 2020.10.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 간호대학생의 임상실습 중 스트레스와 수면의 질이 우울에 미치는 영향을 파악하기 위해 시도되었다. 연구대상은 일 지역 C 대학교 간호학과 재학생 중 임상실습을 한 학기 이상 경험한 3, 4학년이었으며, 총 107명의 설문자료를 분석하였다. 간호대학생 대부분이 임상실습 중 중정도 이상의 스트레스, 경도우울 이상의 우울을 경험하였으며, 수면의 질이 낮은 것으로 나타났다. 임상실습 중 간호대학생의 스트레스는 수면의 질(r=.393, p<.001)과 약한 상관관계를 보였고, 우울은 스트레스(r=.588, p<.001), 수면의 질(r=.591, p<.001)과 강한 순 상관관계를 보였다. 임상실습 중 우울에 영향을 미치는 요인은 스트레스와 수면의 질이었으며, 이 변인들에 의한 설명력은 49.9%였다. 따라서 임상실습 중 간호대학생의 스트레스를 완화시키고 수면의 질을 높일 수 있는 효율적인 관리방법 및 우울을 예방할 수 있는 적극적인 간호전략이 모색되어야 할 것이다.

The purpose of this study is to identify the effects of stress and sleep quality on depression during clinical practice of nursing students. The subjects of the study were third and fourth graders who experienced clinical practice for more than a semester among nursing students at C University in one region. A total of 107 people were analyzed. Most of the nursing students experienced more than moderate stress and depression during clinical practice, and the quality of sleep was low. During clinical practice, the stress of nursing students showed a weak correlation with the quality of sleep(r=.393, p<.001), and depression showed a strong net correlation with stress(r=.588, p<.001), the quality of sleep(r=.591, p<.001). Factors affecting depression during clinical practice were stress and the quality of sleep. Therefore, effective management methods that can relieve the stress of nursing college students during clinical practice and improve the quality of sleep and active nursing strategies that can prevent depression should be sought.

키워드

참고문헌

  1. A. Tiwari, S. Chan, E. Wong, D. Wong, C. Chui, A. Wong, and N. Patil, "The Effect of Problem-based Learning on Students' Approaches to Learning in the Context of Clinical Nursing Education," Nurse Education Today, Vol. 26, No. 5, pp. 430-438, July 2006. DOI: 10.1016/j.nedt.2005.12.001
  2. S. V. Dunn, L. Ehrich, A. Mylonas, and B. C. Hansford, "Students' Perceptions of Field Experience Professional Development: A Comparative Study," Journal of Nursing Education, Vol. 39, No. 9, pp. 393-400, Jan. 2000. DOI: 10.3928/0148-4834-20001201-05
  3. E. Howkins, and A. Ewens, "How Students Experience Professional Socialisation. International Journal of Nursing Studies," Vol. 36, No. 1, pp. 41-49, Feb. 1999. DOI: 10.1016/S0020-7489(98)00055-8
  4. D. Chan, "Development of the Clinical Learning Environment Inventory: Using the Theoretical Framework of Learning Environment Studies to Assess Nursing Students' Perceptions of the Hospital as a Learning Environment," Journal of Nursing Education, Vol. 41, No. 2, pp. 69-75, Feb. 2002. DOI: 10.3928/0148-4834-20020201-06
  5. H. J. Park, and I. S. Jang, “Stress, Depression, Coping Styles and Satisfaction of Clinical Practice in Nursing Students,” The Journal of Korean Academic Society of Nursing Education, Vol. 16, No. 1, pp. 14-23, June 2010. DOI: 10.5977/JKASNE.2010.16.1.014
  6. Y. H. Kim, “Effects of Depression, Self Esteem and Ego Identity on Test Anxiety in Nursing Students,” Journal of the Korean Data Analysis Society, Vol. 13, No. 4, pp. 2003-2013, Aug. 2011.
  7. A. Christensson, M. Vaez, P. W. Dickman, and B. Runeson, "Self-reported Depression in First-year Nursing Students in Relation to Socio-demographic and Educational Factors: a Nationwide Cross-sectional Study in Sweden," Social Psychiatry and Psychiatric Epidemiology, Vol. 46, No. 4, pp. 299-310, Apr. 2011. DOI : 10.1007/s00127-010-0198-y
  8. W. M. Chernomas, and C. Shapiro, “Stress, Depression, and Anxiety among Undergraduate Nursing Students,” International Journal of Nursing Education Scholarship, Vol. 10, No. 1, pp. 255-266, Jan. 2013. DOI: 10.1515/ijnes-2012-0032
  9. A. Aradilla-Herrero, J. Tomas-Sabado, and J. Gomez-Benito, "Associations between Emotional Intelligence, Depression and Suicide Risk in Nursing Students," Nurse Education Today, Vol. 34, No. 4, pp. 520-525, Apr. 2014. DOI: 10.1016/j.nedt.2013.07.001
  10. A. Tomoda, K. Mori , M. Kimura , T. Takahashi, and T. Kitamura, "One-year Prevalence and Incidence of Depression among First-year University Students in Japan: a Preliminary Study," Psychiatry Clinical Neurosciences, Vol. 54, No. 5, pp. 583-588, Dec. 2000. DOI: 10.1046/j.1440-1819.2000.00757.x
  11. R. T. Mikolajczyk, A. E. Maxwell, W. E. I. Ansari, V. Naydenova, C. Stock, S. Ilieva, U. Dudziak, and I. Nagyova, "Prevalence of Depressive Symptoms in University Students from Germany, Denmark, Poland and Bulgaria," Social Psychiatry and Psychiatric Epidemiology, Vol. 43, No. 2, pp. 105-112, Feb. 2008. DOI: 10.1007/s00127-007-0282-0
  12. P. Verger, J. B. Combes, V. Kovess-Masfety, M. Choquet, V. Guagliardo, F. Rouillon, and P. Peretti-Wattel, "Psychological Distress in First Year University Students: Socioeconomic and Academic Stressors, Mastery and Social Support in Young Men and Women," Social Psychiatry and Psychiatric Epidemiology, Vol. 44, No. 8, pp. 643-650, Aug. 2009. DOI: 10.1007/s00127-008-0486-y
  13. E. J. Shim, “The Prevalence and Correlates of Anxiety and Depression in University Students According to Gender,” Korean Journal of Youth Studies, Vol. 23, No. 12, pp. 663-689, Dec. 2016. DOI: 10.21509/KJYS.2016.12.23.12.663
  14. D. O. Kim, H. J. Lee, and A. Y. Lee, “A Study on Relationship among Positive Psychological Capital, Physical Health Status, Depression, Interpersonal Relationship and Learning Flow in Nursing Students,” Journal of the Korea Convergence Society, Vol. 11, No. 1, pp. 349-357, Jan. 2020. DOI: 10.15207/JKCS.2020.11.1.349
  15. J. Por, L. Barriball, J. Fitzpatrick, and J. Roberts, “Emotional Intelligence: Its Relationship to Stress, Coping, Well-being and Professional Performance in Nursing Students,” Nurse Education Today, Vol. 31, No. 8, pp. 855-860, Nov. 2011. DOI: 10.1016/j.nedt.2010.12.023
  16. D. P. Moreira, and A. R. F. Furegato, "Stress and Depression among Students of the Last Semester in Two Nursing Courses," Latin American Journal of Nursing, Vol. 21, pp. 155-162, Jan.-Feb. 2013. .DOI: 10.1590/S0104-11692013000700020
  17. S. Y. Kim, S. Y. Lim, and H. M. Choi, “The Relationship among Stress in Clinical Practice, Depression and Self-Esteem in Nursing College Students,” Journal of the convergence on culture technology, Vol. 1, No. 4, pp. 59-64, Nov. 2015. DOI: 10.17703/JCCT.2015.1.4.59
  18. E. J. Jo, J. M. Kang, and K. M. Lim, “Influence of Clinical practice stress and Stress coping type on Self-leadership of Nursing students,” Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 3, pp. 94-104, Mar. 2017. DOI: 10.5762/KAIS.2017.18.3.94
  19. M. J. Shin, and Y. E. Chun, "Convergence among Resilience, Clinical Performance ability, Stress in Clinical Practice of Nursing Students. Journal of the Korea Convergence Society," Vol. 9, No. 2, pp. 19-32, Feb. 2018. DOI: 10.15207/JKCS.2018.9.2.019
  20. M. K. Cho, and H. Jeong, “A Convergence Study of the Effects of Empathy and Communication Skill on Clinical Stress in Nursing Students,” Journal of the Korea Convergence Society, Vol. 9, No. 11, pp. 539-547, Nov. 2018. DOI: 10.15207/JKCS.2018.9.11.539
  21. C. Jimenez, P. M. Navia-Osorio, and C. V. Diaz, "Stress and Health in Novice and Experienced Nursing Students," Journal of Advanced Nursing, Vol. 66, No. 2, pp. 442-455, Feb. 2010. DOI : 10.1111/j.1365-2648.2009.05183.x
  22. H. J. Park, and I. S. Jang, “Stress, Depression, Coping Styles and Satisfaction of Clinical Practice in Nursing Students,” The Journal of Korean Academic Society of Nursing Education, Vol. 16, No. 1, pp. 14-23, June 2010. DOI: 10.5977/JKASNE.2010.16.1.014
  23. W. A. Khater, L. M. Akhu-Zaheya, and I. A. Shaban, “Sources of Stress and Coping Behaviours in Clinical Practice among Baccalaureate Nursing Students,” International Journal of Humanities and Social Science, Vol. 4, No. 6, pp. 194-202, Apr. 2014.
  24. J. E. Song, and H. J. Chae, “Differences on Stress and Stress Coping Strategies according to Emotional Intelligence in Nursing Students,” The Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 4, pp. 502-512, July 2014. DOI: 10.5977/jkasne.2014.20.4.502
  25. G. Kaur, W. M. Chernomas, and J. M. Scanlan, "Nursing Students' Perceptions of and Experiences Coping with Stress in Clinical Practice," International Journal of Nursing Education Scholarship, Aug. 2020. DOI: 10.1515/ijnes-2020-0005
  26. G. H. Kim, and H. S. Yoon, “Factors Influencing Sleep Quality in Nursing Students and Non Nursing Students,” Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 22, No. 4, pp. 320-329, Dec. 2013. DOI: 10.12934/jkpmhn.2013.22.4.320
  27. K. H. Kim, and E. H. Hwang, “Correlation among Insomnia, Sleep Quality, Depression, and Circadian Rhythm in Nursing Baccalaureate Students,” Journal of Korean Public Health Nursing, Vol. 32, No. 2, pp. 263-274, Aug. 2018. DOI: 10.5932/JKPHN.2018.32.2.263
  28. Y. J. Kang, S. H. Oh, and H. C. Hong, “The Relationship between Sleep Quality and Stress among Nursing Students in Korea,” Journal of Korean biological nursing science, Vol. 20, No. 1, pp. 30-37, Feb. 2018. DOI : 10.7586/jkbns.2018.20.1.30
  29. S. Coren, “Sleep Health and its Assessment and Management in Physical Therapy Practice: the Evidence,” Physiotherepy Theory and Practice, Vol. 25, No. 5-6, pp. 442-452, July 2009. DOI: 10.1080/09593980902835351
  30. Y. S. Kim, “Factors Influenceing Quality of Sleep in Nursing Students,” Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 7, No. 6, pp. 473-483, June 2017. DOI: 10.14257/ajmahs.2017.06.40
  31. S. Banks, and D. F. Dinges, "Behavioral and Physiological Consequences of Sleep Restriction," Journal of Clinical Sleep Medicine, Vol. 3, No. 5, pp. 519-528, Aug. 2007. DOI: 10.5664/jcsm.26918
  32. S. B. T. Benavente, R. M. da Silva, A. B. Higashi, L. de Azevedo Guido and 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 U S P, Vol. 48, No. 3, pp. 514-520, June 2014. DOI: 10.1590/S0080-623420140000 300018
  33. D. J. Taylor, A. D. Bramoweth, E. A. Grieser, J. I. Tatum, and 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, Sep. 2013. DOI: 10.1016/j.beth.2012.12.001
  34. G. S. Jeong, and E. J. Park, “Correlations between Life Stress, Sleep Quality, and Mental Health in Nursing College Students,” Journal of The Korean Society of Integrative Medicine, Vol. 5, No. 4, pp. 67-76, Nov. 2017. DOI: 10.15268/ksim.2017.5.4.067
  35. S. Cohen, T. Kamarck, and R. Mermelstein, “A Global Measure of Perceived Stress,” Journal of Health and Social Behavior, Vol. 24, No. 4, pp. 385-396, Dec. 1983. DOI: 10.2307/2136404
  36. J. H. Park, and Y. S. Seo, “Validation of the Perceived Stress Scale (PSS) on Samples of Korean University Students,” Korean Journal of Psychology: General, Vol. 29, No. 3, pp. 611-629, Sep. 2010.
  37. D. J. Buysse, C. F. Reynolds, T. H. Monk, S. R. Berman, and D. J. Kupfer, “The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research,” Psychiatry Research, Vol. 28, No. 2, pp. 193-213, May 1989. DOI: 10.1016/0165-1781(89)90047-4
  38. J. H. Youn, "A Study on IBS and Stress Perceived by College Women and Their Dietary Habit and Sleeping Quality," Unpublished Master's dissertation, Ewha Womans University, Seoul, Jan. 2005.
  39. L. S. Radloff, "The CES-D Scale: A Self-Report Depression Scale for Research in the General Population," Applied Psychological Measurement, Vol. 1, No. 3, pp. 385-401, June 1977. DOI: 10.1177/014662167700100306
  40. M. J. Cho, and G. H. Kim, "Diagnostic Validity of the CES-D(Korean Version) in the Assessment of DSM-III-R Major Depression," Journal of the Korean Neuropsychiatric Association, Vol. 32, No. 3, pp. 381-399, May 1993.
  41. M. H. Park, and E. H. Hwang, “Comparison of Sleep Quality, Fatigue and Depression among Nursing Students between School Lessons and Clinical Practicum Term,” The Journal of Korean Society for School & Community Health Education, Vol. 17, No. 3, pp. 103-116, Dec. 2016.
  42. S. H. Jeong, and S. H. Park, "Relationship among Stress, Depression, and Satisfaction to Clinical Practice among Nursing Students," The Korean Journal of Rehabilitation Nursing, Vol. 16, No. 1, pp. 47-54, June 2013. DOI: 10.7587/kjrehn.2013.47