한국응급구조학회지 (The Korean Journal of Emergency Medical Services)

  • 제27권1호
  • /
  • Pages.79-90
  • /
  • 2023
  • /
  • 1738-1606(pISSN)
  • /
  • 2384-2091(eISSN)
한국응급구조학회 (The Korea Society of Emergency Medical Services)
권호 표지
DOI QR코드

DOI QR Code

COVID-19를 경험한 대학생의 우울, 불안, 스트레스가 건강증진 행위에 미치는 영향

Effect of depression, anxiety, and stress on health promotion behavior in university students during COVID-19

  • Yujin Jang (Department of Paramedicine, Konyang University) ;
  • Junghee Park (Department of Paramedicine, Konyang University) ;
  • Hyeeun Cho (Department of Paramedicine, Konyang University) ;
  • Jinyoung Kim (Department of Paramedicine, Konyang University)
  • 투고 : 2023.02.28
  • 심사 : 2023.04.27
  • 발행 : 2023.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The study attempted to improve the health promotion behavior of university students by identifying the factors that affect health promotion behavior and by checking depression, anxiety, and stress levels of university students after the COVID-19 pandemic. Methods: We collected data using a structured questionnaire targeting 170 university students in C-province between December 1 and December 31, 2022. Results: Health promotion behavior had a significantly negative correlation with Depression (r=-.361, p<.001), Anxiety (r=-.191, p=.012), and Stress (r=-.301, p<.001), respectively. The influencing factors of health promotion behavior are gender (r=0.184, p<.001) and depression (r=-0.303, p<.001); the explanatory power is accounted for 15%. Conclusion: A practical method with counseling programs and mental health support services for early detection of risk groups by periodically monitoring the depression state of university students requires practicing health promotion behavior. Therefore, active support and attention should be provided to manage the mental health of university students.

키워드

참고문헌

  1. Lee JS. The Influence of Adaptation to Campus Life on happiness in University Students: Double-mediated effects of self-efficacy and social support. Korea Association of Community Welfare 2022;83:175-203. https://doi.org/10.15300/jcw.2022.83.4.175 
  2. Han KS, Kim GM. Comparison to self esteem, family adaptation, health promoting behaviors, and symptoms of stress between nursing and other major university women student. Journal Korean Academy of Psychiatric and Mental Health Nursing 2007;16(1):78-84.  https://doi.org/10.12934/jkpmhn.2007.16.1.78
  3. Lee ER. Changes in the Quality of Life of University Students in Daegu and Gyeongbuk in the epidemic of COVID-19 : The Relationship with COVID-19 stress, neuroticism, anxiety control. Unpublished Master's Thesis, Daegu University 2021, Daegu, Korea. 
  4. Kim JY. The effect of COVID-19 related stress on health promotion behavior in upper-grade elementary school students: The mediating effect of self efficacy. Korean Association for learner Centered Curriculum and Instruction 2022;22(18):205-13. https://doi.org/10.22251/jlcci.2022.22.18.205 
  5. Kim GS, Park YJ. A Qualitative Study on the Stress of Undergraduate due to COVID-19 The Journal of the Korea Contents Association 2021;21(9):644-51. https://doi.org/10.5392/JKCA.2021.21.09.644 
  6. Kang JH, Bak AR, Han ST. A Phenomenological study of the lifestyle change experiences of undergraduate due to COVID-19. Journal of the Korea Entertainment Industry Association 2020;14(5):289-97. http://doi.org/10.21184/jkeia.2020.7.14.5.289 
  7. Kim JH, Chung YS, Jung HO, Kye SH. Changes in the Health Behaviors and Eating Habits of University Students Due to the COVID-19 Pandemic. J Korean Soc Food Cult 2022;37(3):265-77. 
  8. Mihashi M, Otsubo Y, Yinjuan X, Nagatomi K, Hoshiko M, Ishitake T. Predictive factors of psychological disorder development during recovery following SARS outbreak. Health Psychology 2009;28(1):91-100. https://psycnet.apa.org/doi/10.1037/a0013674 
  9. Choi AR. The effect of COVID-19 stress on depression in university students: The mediating effect of self-regulation. Korean Journal of Youth Studies 2021;28(12):89-107. https://doi.org/10.6115/fer.2021.039 
  10. Hong SH. An Exploratory Study of Daily Life and Coping Bahaviors Since the Onset of COVID-19: Data from University Students. Journal of Families and Better Life 2021;39(2):47-61. http://doi.org/10.7466/JFBL.2021.39.2.47 
  11. Pender NJ. Health promotion in nursing practice. New York: Appleton Century Crofts 1982. 
  12. Han YI, Kim JM. The effect of health promotion behaviors and university life adaptation to employment strategies of nursing students. The Korea Academia-Industrial cooperation Society 2018;19(3):399-409. https://doi.org/10.5762/KAIS.2018.19.3.399 
  13. Kim JY. Health Promotion Behavior and Adaptation to College of Nursing Students in the COVID era. Journal of the Korean Applied Science and Technology 2022;39(5):683-91.  https://doi.org/10.12925/JKOCS.2022.39.5.683
  14. Cho IJ, Do HS, Goo HS. "The Effects of Stress, Self-Esteem, and Physical Activity on Mental Health in College Students", Social Science Research Review 2015;31(1):85-105. https://doi.org/10.18859/ssrr.2015.02.31.1.85 
  15. Hong SH. The relationship between perceived health status and health promoting behaviors among nursing students. J Korean Acad Soc Nurs Edu 2013;19(1):78-86. https://doi.org/10.5977/jkasne.2013.19.1.78 
  16. Henry JD, Crawford JR. The 21-item version of the Depression Anxiety Stress Scales (DASS-21): Normative data and psychometric evaluation in a large non-clinical sample, British Journal of Clinical Psychology 2005;44(2):227-39. https://doi.org/10.1348/014466505x29657 
  17. Walker SN, Sechrist KR, Pender NJ. Health promotion model-instruments to measure health promoting lifestyle: Health-promoting lifestyle profile [HPLP II] (Adult version) 1995. https://hdl.handle.net/2027.42/85349 
  18. Seo HM, Hah YS. A Study of Factors Influencing on Health Promoting Lifestyle in the Elderly - Application of Pender's Health Promotion Model. The Journal of Korea Academy of Nursing 2004;34(7):1288-97. https://doi.org/10.4040/jkan.2004.34.7.1288 
  19. Kim NY, Shim MS. A Study on Health promoting Lifestyle and its Affecting Factors of General Hospital Worker. The Journal of the Korea Academia-Ind ustrial cooperation Society 2009;10(4):728-35. https://doi.org/10.5762/KAIS.2009.10.4.728 
  20. Park JY, Yoon SA. Relationship between stress anxiety depression level and saliva cortisol in women. The Journal of Humanities and Social science (HSS21) 2021;12(1):3317-30. https://doi.org/10.22143/HSS21.12.1.235 
  21. Kim DH. Post-recovery Stress, Anxiety, Depression in early and late COVID-19 Pandemic. Korean Academy on Communication in Healthcare 2022;17(2):47-50. https://doi.org/10.15715/kjhcom.2022.17.2.47 
  22. Park HY, Jo H, Jung NH. A survey of Korean college students' anxiety and depression in COVID-19. Journal of Research Methodology 2021;6(3):255-78.  https://doi.org/10.21487/jrm.2021.11.6.3.255
  23. Park YS. Gender Differences of Perceived Stress Type, Stress Response and Personality Characteristics of Lim's Character Style Inventory and Vulnerability of Personality in College Students. J Korean Acad Soci Nurs Educ 2014;20(1):118-28. https://doi.org/10.5977/jkasne.2014.20.1.118 
  24. Kim KH. Depression, self-efficacy and health promotion behaviors of health university college students. Journal of Health Informatics and Statistics 2021;46(4):435-41. https://doi.org/10.21032/jhis.2021.46.4.435 
  25. Kim JH. The mediating effects of self-control and health promoting lifestyle in the relationship between life stress and adjustment to college life among college students. Unpublished Master's Thesis, Ewha Womans University 2012, Seoul, Korea. 
  26. Kim MJ. Effect of University Student's Part-time Work Experience on Adaptation to University Life. Unpublished Master's Thesis, Jeju National University 2014, Jeju, Korea. 
  27. Chung YH, Seo NS, Moon SH. Related factors in health promotion behavior by gender among college students. The Journal of Korean Society for School Health Education 2011;12(2):29-42. 
  28. Waldron I. Gender and health-related behavior. In D. S. Gochman (Ed.), Health behavior: Emerging research perspectives 1998;193-208. https://doi.org/10.1007/978-1-4899-0833-9_11 
  29. Lee SM. Factors Affecting the Health Promoting Behaviors of Health-related and Health-unrelated Department University Students. Journal of the Korea Academia-Industrial cooperation Society 2015;16(9):6120-9. https://doi.org/10.5762/KAIS.2015.16.9.6120 
  30. Lee SM. Relationship between Stress Symptoms and Health Promoting Behaviors for University Students by the Type of Residence. Journal of the Korea Academia-Industrial cooperation Society 2016;17(9):447-57. https://doi.org/10.5762/KAIS.2016.17.9.447 
  31. Park HY, Son SO. Latent patterns of depressive and somatic symptoms and their relationships to mental health problems among male and female adolescents. Korean Journal of Health Education and Promotion 2020;37(1):57-68. https://doi.org/10.14367/kjhep.2020.37.1.57 
  32. Jung HY, Park JH, Lee SI. The cognitive characteristics of somatizer according to depressive symptoms and sex. The Korean Neuropsychiatric Association 2003;43(2):165-71. 
  33. Park HY. Latent subtypes of depressive symptoms in Korean older adults. Mental Health and Social Work 2018;46(3):64-91. https://doi.org/10.24301/MHSW.2018.09.46.3.64 
  34. Lewinsohn PM, Joiner TE Jr, Rohde P. Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents. Journal of Abnormal Psychology 2001;110(2):203-15. https://doi.org/10.1037/0021-843X.110.2.2