Stress (스트레스연구)

The Korean Society of Stress Medicine (대한스트레스학회)
권호 표지

Factors Influencing Depression in Middle Aged Women Who Participated in Vocational Education Program

직업양성교육과정에 있는 중년여성의 우울관련 요인

  • Kim, Eun-Young (Department of Nursing, College of Medicine, Seonam University) ;
  • Jung, Eun-Young (Department of Nursing, Suncheon First College) ;
  • Choi, In-Ryoung (Department of Nursing, College of Medicine, Seonam University)
  • 김은영 (서남대학교 의과대학 간호학과) ;
  • 정은영 (순천제일대학 간호과) ;
  • 최인령 (서남대학교 의과대학 간호학과)
  • Published : 2012.03.30
⟨ Previous Next ⟩

Abstract

The purpose of this study was to identify climacteric symptoms, fatigue, sleep quality, perceived health status and depression in middle aged women who participated in vocational education program. This study utilized the descriptive correlational design using self-administered questionnaire. The data were analyzed by SPSS 18.0 using descriptive statistics, and stepwise multiple regression analysis. The prevalence of possible depression was 54.4%. The mean score for climacteric symptoms was 40.0, for fatigue 12.8, for sleep quality 53.8, for perceived health status 2.2, and for depression 18.6. There were significant negative correlations between depression and perceived health status. There was a significant positive correlation between depression and between climacteric symptoms, fatigue and sleep quality. Stepwise multiple regression revealed that factors significantly affecting variance included climacteric symptoms, education level, marriage, sleep quality, number of delivery, menopause and perceived health status. These factors explained 53.7% of variance in depression. Based upon the findings above, this study provides useful information that could assist in reducing the depression among middle aged women, and indicates that nursing intervention is needed.

본 연구는 직업양성교육과정에 있는 중년여성을 대상으로 갱년기 증상정도, 피로, 수면의 질, 주관적인 건강상태, 우울정도를 파악하고, 우울정도에 영향을 미치는 요인을 알아보기 위한 서술적 조사연구이다. 본 연구의 대상자는 J 지역의 교육 및 문화센터 기관들 중 연구 참여를 허락한 J 문화센터와 Y 인력개발원에서 직업양성교육과정을 이수하고 있는 대상자 중 본 연구의 목적을 이해하고 참여를 동의한 239명이었으며 자료수집기간은 2011년 5월 23일부터 7월 25일까지이었다. 수집된 자료는 SPSS/WIN 18.0 프로그램을 이용하여 기술통계, t-test 또는 ANOVA 및 Scheffe, Pearson Correlation, Stepwise Multiple Regression으로 분석하였다. 연구 결과, 갱년기 증상정도가 높을수록, 수면의 질이 낮을수록, 자신의 건강을 나쁘다고 인지할수록, 교육수준이 낮은 집단, 미혼이거나 사별인 경우, 폐경인 경우, 분만을 전혀 하지 않은 경우에서 우울정도가 높은 것으로 나타났다. 본 연구를 통해 직업양성교육과정에 있는 중년여성들에게 갱년기 증상정도가 가장 큰 독립인자임이 밝혀졌고, 수면의 질이 우울정도에 미치는 의미 있는 요인임을 보여준다. 따라서 본 연구결과를 바탕으로 직업양성교육과정에 있는 중년여성들의 우울을 예방할 수 있는 다양한 지역사회의 활동 프로그램의 개발과 향상을 도모하는 간호중재 개발 시 개별 맞춤형 프로그램에 참여할 수 있도록 돕고, 지역사회와의 친밀한 관계를 유지하여 지속적인 사회적 지지를 받을 수 있도록 하여 우울을 최소화하고 예방할 수 있는 방안을 포함시킬 수 있겠다.

Keywords

References

  1. Benard LH (1999) Prevalence and predictors of depressive symptoms in older premenopausal women. Archives of General Psychiatry 56:418-424.
  2. Berg JA, Taylor DL (1999) Symptom experience of filipino American mid-life women. Menopause 6:105-114.
  3. Choi KS, Oh HE, Shim CS (2008) A study on the relationship between climacteric symptom, depression and coping among middle-aged women. J. of Agricultural Medicine Community Health 33:335-345.
  4. Choi MS, Han KS (2008) Stress, emotion and quality of life of the middle-aged women with a senior in high school. Korean Journal of Stress Research 16:29-37.
  5. Chun KM, Choi SJ, Yang BC (2001) Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology 6:59-76.
  6. Fuller J, Schaller-Ayers J (2000) Health assessment: a nursing approach. Lippincott, Philadelphia.
  7. Health Insurance Review & Assessment Service (2009) http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/notice/02/1199281_13390.html.
  8. Huurre T, Eerola M, Rahkonen O et al. (2007) Does social support affect the relationship between socioeconomic status and depression?: a longitudinal study from adolescence to adulthood. J. of Affective Disorders 100:55-64.
  9. Jang SY, Merriam SB (2004) Korean culture and the reentry motivation women. Adult Education Quarterly 54:273-291.
  10. Juiden A (1999) The perimenopausal transition of filipino American midlife women: biopsychosociocultural dimensions. Annual New York Academy Science 63:15-43.
  11. Kim RB, Park KS, Lee JH et al. (2011) Factors related to depression symptom and the influence of depression symptom on self-rated health status, outpatient health service utilization and quality of life. Korean Journal of Health Education and Promotion 28:81-92.
  12. Kim YK (2007) Need analysis for the career building and reemployment plans of career interrupted, highly educated women. The Women's Studies 73:85-118.
  13. Kim YS, Kim AJ, Kim SW et al. (2003) Fatigue, depression, sleep in young adults and middle age. J. of Korean Academy of Nursing 33:618-624.
  14. Korea Centers for Disease Control and Prevention (2010) Korea health statistics 2009: Korea national health and nutrition examination survey (KNHANESIV-3). Retrieved June 5, 2011, from http://knhanes.cdc.go.kr/
  15. Lee HS, Kim CM (2010) Menopausal symptoms and depression among midline Women. J. of Korean Academic Community Health Nursing 21:429-443.
  16. Lee JH, Park KS, Kim R et al.(2011) The influence of individual-level social capital on depression. J. of Agricultural Medicine and Community Health 36:73-86.
  17. Lee JR (2007) The Effects of meridian massage on serum estrogen, climacteric symptom, fatigue and depression of middle-aged women. Unpublished doctoral dissertation, Ewha Woman University.
  18. Lee KS, Lee EO (1998) Validity and reliability of translated multidimensional assessment of fatigue scale for the patients with rheumatoid arthritis. J. of Rheumatology Health 5:206-221.
  19. Lee YH, Shin MH, Kweon SS et al. (2008) Prevalence and correlates of depression among the elderly in an urban community. J. of Agricultural Medicine and Community Health 33:303-315.
  20. Lim SW, Kim L (2004) Stress and sleep. Korean Journal of Stress Research 12:1-8.
  21. Margaret CW (1996) The middle years: women sexuality, and the self. Journal of Obstetric Gynocologic and Neonatal Nursing 25:615-621.
  22. Melby MK, Lock M, Kaufert P (2005) Culture and symptom reporting at menopause. Human Reproduction Up-date 11:495-512.
  23. Mercer TR (2004) Becoming a mother versus maternal role attainment. J. of Nursing Scholarship 36:226-233.
  24. Neugarton BL, Kraine RJ (1965) Menopausal symptoms in women of various ages. Psychosomatic Medicine 27:266-273.
  25. Park HS, Kim SK, Cho GY (2003) A study on climacteric symptoms, depression and quality of life in middle-aged women. Korean Society of Women Health Nursing 9:479-488.
  26. Park YR, Wee H, Kim SJ (2010) Lifestyle, depression, and health related quality of life among women in Jeju province. J. of Korean Academic Community Health Nursing 21:148-155.
  27. Radloff LS (1997) The CES-D scale: a self report depression scale for research in the general population. Journal of Applied Psychology Measures 1:385-401.
  28. Shin KR, Kang YH, Kim MJ (2010) Correlates of depression in the community dwelling middle aged women. Korean Academic Society of Womens Health 11:1-22.
  29. Soares CN (2003) Assessment and treatment of hot flushes and menopausal mood disturbance. Psychiatric Clinical Nursing of America 26:563-580.
  30. Tack BB (1991) Dimensions and correlations of fatigues in older adults with rheumatoid arthritis. Unpublished doctoral dissertation, University of California.
  31. Yang KH, Park KS, Lee JR (2008) The effects of meridian massage on menopausal symptoms and Shin-Hur in middle aged menopausal women. J. of Korean Academy of Nursing 38:131-139.
  32. Yi HR, Shin CA (2005) Development of the sleep quality scale. J. of Sleep Research 15:309-316.
  33. Yoo MS (2010) Women religious and married women's attitudes toward menopause and menopausal symptoms. Korean Journal of Women Health Nurings 16:186-193.
  34. Yoon HK (2007) Analysis on vocational exploration experiences of highly educated women with discontinued employment: with a focus on the middle-aged participants in the vocation education program. Unpublished doctoral dissertation, Ewha Woman University.