• Journal of Korean Biological Nursing Science
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• 제26권1호
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• pp.41-48
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• 2024

Purpose: This study investigated hand-washing practice among community-dwelling older adults during the coronavirus disease 2019 (COVID-19) pandemic and aimed to identify the impact of COVID-19-related concerns and depression on hand-washing practice. Methods: This was a secondary analysis of data extracted from the 2020 Community Health Survey. The primary data were collected through self-reporting from August 10 to September 8, 2020 in a cross-sectional study. The subjects comprised of 1,350 adults aged 65 or older living in Jeju Province who participated in the 2020 Community Health Survey. Results: The factors affecting hand-washing practice among older adults were male older adults (β = -.18, p < .001), age (β = -.07, p = .001), no education (β = -.20, p < .001) and elementary, middle, and high school graduation (β = -.15, p < .001) compared to a college or higher education, poor health perception (β = -.13, p < .001), COVID-19-related concerns (β = .08, p = .005), and depression (β = -.07, p = .001). To summarize, the factors negatively affecting hand-washing practice included male gender, lower education level, poor health perception, and depression. In contrast, factors positively associated with hand-washing practice included COVID-19-related concerns. Conclusion: These findings show the importance of considering these multifaceted determinants when designing targeted interventions and educational programs to promote hand-washing among older adults. Additionally, based on the relationship between hand-washing practice and COVID-19-related concerns and depression, interventions that can alleviate mental problems along with providing proper education are required.

• 여성건강간호학회지
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• 제24권2호
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• pp.116-125
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• 2018

Purpose: To identify factors affecting parenting stress of unmarried mothers. Methods: The subjects were 108 unmarried women who were parenting their children under the age of six. The data was collected from December 15, 2016 to March 5, 2017. The instruments consisted of self-reported questionnaires that included93 items: 21 on depression, 16 on social support, 20 on health perception, and 36 on parenting stress. The collected data were analyzed by t-test, ANOVA, Pearson correlations, and hierarchical multiple regression. Results: The factors influencing parenting stress were health perception (${\beta}=-.55$, p<.001), evaluative support (${\beta}=-.42$, p=.005), informative support (${\beta}=-.35$, p=.040), emotional support (${\beta}=-.24$, p=.045), partner support (${\beta}=-.20$, p=.048), and depression (${\beta}=.14$, p=.033), and the explanatory power was 57%. Conclusion: In order to alleviate the parenting stress of unmarried mothers, it is necessary to develop programs considering the physical, psychological, and social factors of unmarried mothers. Their subjective assessment of their health can increase or decrease their parenting stress, so it is necessary to develop parenting-stress intervention focusing on health perception.

• 보건교육건강증진학회지
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• 제28권2호
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• pp.1-13
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• 2011

Objectives: This study investigated beliefs of Koreans on the usefulness of various resources they use to alleviate depressive symptoms and to identify factors affecting the beliefs on different approaches to depressive symptoms. Methods: A household survey was conducted on a stratified sample of adults of age 18~74 (N=1,607) in 2009. The participants were asked to read a case vignette of depression and to provide their opinion about usefulness of 39 types of resources as ways of addressing the symptoms. Factors affecting opinions on usefulness of various resources were examined with logistic regression. Results: The three approaches identified via factor analysis were believed to be useful in the order of 'psychological/relational/activity-oriented', 'lifestyle/cultural', and 'physical/medical' approaches. The logistic regression analyses revealed that correct recognition of symptoms increased the likelihood of positive opinion about psychological and physical approaches, and so did having current symptoms about physical and popular approaches. Past help-seeking experience increased the likelihood of negative opinion about physical approach, however. Conclusions: Strategies to adopt various types of resources need to be developed, including rigorous use of psychosocial methods, mechanisms to control service quality, and the integration of diverse resources into the current community mental health services.

• 한국콘텐츠학회논문지
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• 제14권11호
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• pp.285-297
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• 2014

본 연구는 초기 청소년기의 주의력 결핍 및 과잉행동이 어떠한 경로를 통하여 우울에 영향을 미치는지, 그리고 그러한 경로에서 성별에 따른 차이가 존재하는지 검증하고자 하는 것이다. 이를 위하여 본 연구에서는 한국아동 청소년패널조사(KCYPS) 초등학교 4학년 3차년도 자료에 대하여 구조방정식 다집단분석을 이용하여 실증적 검증을 실시하였다. 분석 결과, 주의력 결핍 및 과잉행동은 사회적 위축과 교우관계를 통하여 직, 간접적으로 우울에 유의한 영향을 미치는 것으로 나타났으며, 이러한 경로 가운데 주의력 결핍 및 과잉행동과 우울 간의 관계에서 성별에 따른 차이가 존재하는 것으로 확인되었다. 이렇게 도출된 연구결과에 근거하여 주의력 결핍 및 과잉행동의 증상을 경험하고 있는 청소년의 우울에 대한 예방 및 개입과 관련된 함의가 제시되었다.

• 인간식물환경학회지
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• 제23권1호
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• pp.35-46
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• 2020

The purpose of this study was to investigate the effects of the horticultural therapy program on patients with mild cognitive impairment and mild dementia depending on the frequency and duration of the interventions. We developed the same 15-session program to improve cognitive functions and life satisfaction and alleviate depression of the elderly women with mild cognitive impairment or mild dementia. Subjects in Longer Treatment group participated in the program once a week for 15 weeks and subjects in Shorter Tratmet group participated twice a week for 7½ weeks. This study conducted pretest-posttest verification of both groups using quasi-experimental design involving 21 subjects. Elderly life satisfaction, Geriatric Depression Scale (short form), and the Korean Version of Consortium to Establish a Registry of Alzheimer's Disease (CERAD-K) were used in the evaluation. As a result, both groups showed an increase in life satisfaction, and a decrease in depression. However, there was a significant difference in the changes of the CERAD-K scores between the two groups (p < .05). In Longer Treatment group, life satisfaction increased significantly (p < .001), and depression decreased at a marginally significant level (p = .068), but no statistically significant change was observed in neurocognitive function. In Shorter Treatment group, life satisfaction increased at a marginally significant level (p = .059), and depression and CERAD-K scores decreased significantly (p < .05). However, in the case of Mini-Mental State Examination (MMSE-K), there was no significant change in both groups. According to these results, when planning a horticultural therapy program for persons with mild cognitive impairment or mild dementia, it is effective to organize and execute the program by determining the duration of intervention as 3 to 4 months or longer, even if this reduces the number of interventions per week.

• 한국산학기술학회논문지
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• 제18권12호
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• pp.276-285
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• 2017

이 연구는 서비스업 종사자인 카지노 딜러를 대상으로 감정노동이 소진과 우울에 미치는 영향을 분석하였다. 서비스업 종사자의 소진은 전문성과 그들이 제공하는 서비스의 효과성과 효율성을 저하시키는 심각한 문제이고, 또한 우울은 개인의 정신건강에 중대한 영향을 미치는 핵심 요소이다. 이를 위해 H리조트 카지노 딜러 606명을 대상으로 구조화된 설문조사를 실시한 후에 자료를 분석하였다. 소진은 CBI를 통해 업무관련 소진과 고객관련 소진을 측정하였고, 우울은 BDI를 사용하였다. 연구 결과 첫째, 카지노 딜러의 감정노동(3.50)과 업무관련 소진(3.86), 고객관련 소진(3.91)은 비교적 높은 수준으로 나타났고 둘째, 감정노동은 우울과 소진 모두에서 정(+)의 상관관계가 있는 것으로 나타났으며 셋째, 남성에 비해 여성의 감정노동이 높았으며, 소진은 딜러가 관리직보다 높게 그리고 20대가 가장 높게 나타났다. 넷째, 감정노동은 소진과 우울 모두에 영향을 미치는 것으로 나타났다. 이러한 결과를 바탕으로 감정노동에 종사하는 카지노 딜러의 소진을 예방하고 우울을 줄이기 위한 법률의 제정 및 근로자지원 프로그램(EAP) 등의 조직 및 개인차원의 전략과 함의를 도출하였다.

• 한국응용과학기술학회지
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• 제40권3호
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• pp.462-475
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• 2023

본 연구는 여대생을 대상으로 코로나19 스트레스가 월경전증후군에 미치는 영향과 우울과 월경전증후군 대처의 매개효과를 파악하기 위한 서술적 조사연구이다. 연구대상자는 S시에 소재한 C대학에 재학 중인 여대생을 대상으로 2021년 11월 11일에서 11월 30일까지 20일간 온라인 설문조사를 통해 자료를 수집하였다. 총 161부에 대한 자료를 분석한 연구결과 코로나19 스트레스는 월경전증후군(r=.383, p<.001), 우울(r=.436, p<.001)과 양의 상관관계가 있었으며, 월경전증후군 대처는 월경전증후군에서만 상관관계가 있는 것으로 확인되었다(r=.190, p=.016). 코로나19 스트레스와 월경전증후군 사이의 우울 및 월경전증후군 대처의 매개효과를 확인한 결과 코로나19 스트레스는 월경전증후군(β=4.907, p=.002), 우울(β=6.780, p<.001)에 대한 직접효과가 유의하였으며, 우울은 월경전증후군에(β=.383, p=<.001), 월경전증후군 대처는 월경전증후군(β=4.292, p=.030)에 각각 직접효과가 있는 것으로 나타났다. 코로나19 스트레스와 월경전증후군의 관계에서 매개작용을 검증하기 위한 간접효과에서는 우울을 경유하는 경로에서만 통계적으로 유의한 효과가 있는 것으로 확인되었다(95% CI, 1.282-4.140). 따라서 코로나19 등의 신종 전염병 유행 및 팬데믹 상황을 대비하여 코로나19 스트레스와 같은 관련 스트레스를 관리하여 우울을 감소시키고 월경전증후군 증상을 완화하기 위한 중재전략 개발이 필요하다.

• Child Health Nursing Research
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• 제26권2호
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• pp.238-253
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• 2020

Purpose: The purpose of this study was to explore the structure of variables in studies related to unmarried mothers (UMs) based on Neuman's systems model, and the stressors and stress responses of UMs. Methods: Whittemore and Knafl's methodology for integrative reviews was applied. The literature was searched using five electronic databases (KISS, KMbase, KoreaMed, NDSL, and RISS) and a total of 99 variables were collected from 15 studies published between 2009 and 2019. Results: The main stressors for UMs were a sense of loss and burden caused by childbirth and childrearing. The main stress responses were parenting stress and depression, respectively. Within the basic structure of variables related to UMs, self-esteem played a crucial role by helping UMs adapt to their situation. Meanwhile, social support of UMs was significantly correlated with parenting stress, depression, and self-esteem. Conclusion: In order to understand UMs' stress, is necessary to explore their sense of loss, burden, and self-esteem. Furthermore, it is important to assess the level of parenting stress and depression of UMs and to provide effective interventions to alleviate these stressors. The results of this study provide useful knowledge that can be applied to nursing assessment and interventions for stress management in UMs.

• 여성건강간호학회지
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• 제29권1호
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• pp.32-43
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• 2023

Purpose: This study investigated the dietary behavior of experienced shiftwork nurses and aimed to identify factors related to dietary behavior. Methods: This study was a secondary analysis based on the Shift Work Nurses' Health and Turnover study (2018-2021) among Korean nurses. In total, 247 experienced (>12 months) shiftwork nurses were included in this study. The participants' dietary behavior, depression, level of occupational stress, fatigue, physical activity, and general characteristics were measured. Descriptive statistics, Pearson correlation coefficients, independent t-test, one-way analysis of variance, the Kruskal-Wallis test, and multiple regression analysis were conducted. Results: The dietary behavior score of the participants using the Mini-Dietary Assessment Index was 29.35±5.67. Thirty percent of the participants were depressed, the participants experienced moderate occupational stress, and 74.1% of the participants engaged in an inadequate amount of physical activity. The factors influencing shiftwork nurses' dietary behavior were having child(ren) (β=.16, p=.027), depression (β=-.13, p=.032), level of occupational stress related to occupational climate (β=-.13, p=.035), and an inadequate amount of physical activity (β=-.17, p=.006). These factors explained 10.4% of the variance in experienced shiftwork nurses' dietary behavior scores. Conclusion: Experienced nurses with child(ren) tended to have healthier diets. However, a higher level of occupational stress related to occupational climate, depression, and engaging in an inadequate amount of physical activity were associated with a higher risk of having an unhealthy diet. Therefore, strategies are needed to encourage physical activity and alleviate adverse occupational climate and depression among experienced nurses.

• 문화기술의 융합
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• 제9권1호
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• pp.551-556
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• 2023

본 연구는 메타분석의 방법으로 경도인지장애 노인을 대상으로 한 컬러테라피 중재 연구에서 인지기능과 우울에 효과가 있었는가를 확인하고자 시도되었다. 본 연구에서는 2000년부터 2022년 10월까지 국내 데이터베이스를 통해 실험연구 최종 8편의 연구에 대한 인지기능과 우울의 효과 크기를 산출하였다. 그 결과 전체 연구의 통계적으로 유의한 평균 효과크기를 확인하였다. 집단 간 효과크기 차이 검정에서도 인지기능과 우울 모두 유의한 효과크기를 확인할 수 있었다. 본 연구를 통해 컬러테라피가 경도인지장애 노인의 인지기능을 향상시키고 우울을 완화시킬 수 있는 효과적인 중재임을 확인하였다. 이 연구결과를 근거로 칼러테라피를 활용한 경도인지장애 노인 대상 중재프로그램의개발이 필요하다고 본다.