Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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The Effects of the Stress on Depression of Elderly Inpatients in Geriatric Hospital : Mediating Effects of Self-Esteem

요양병원 노인 입원환자의 스트레스가 우울에 미치는 영향: 자아존중감의 매개효과 분석

  • Kwon, Jin (Dept. of Public Health Administration, Kimpo University) ;
  • Ko, Min-Seok (Dept. of Public Health Administration, Vision University of Jeonju)
  • 권진 (김포대학교 보건행정과) ;
  • 고민석 (전주비전대학교 보건행정학과)
  • Received : 2017.11.01
  • Accepted : 2017.12.20
  • Published : 2017.12.28
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Abstract

The purpose of this study was to examine the effects of the stress on depression of elderly inpatients in geriatric hospitals and verify the mediating effects of self-esteem on the relationships between stress and depression. Data collected from 218 elderly inpatients of geriatric hospitals in Seoul and Gyeonggi region from Sept. 4th to 22nd, 2017 were analyzed with SPSS 23.0. As a results, there was a statistically significant difference in the level of stress, depression, self-esteem of elderly inpatients in geriatric hospitals depending on their Socio-demographic and Hospital-utilization characteristics. Stress of elderly inpatients had a positive influence on their depression(${\beta}=.297$, p=.000), the self-esteem had a partial mediating effect on the relationships between stress and depression(Sobel Z=2.034). These results suggest that the development and provision of self-esteem improvement programs as well as stress management of elderly inpatients are necessary to prevent depression of elderly inpatients in geriatric hospital.

본 연구는 요양병원 노인 입원환자의 스트레스, 우울, 자아존중감과의 관련요인을 파악하고, 스트레스가 우울에 미치는 영향과 자아존중감의 매개효과를 분석하는데 목적이 있다. 이를 위해 서울 경기지역의 요양병원 노인 입원환자 218명을 대상으로 2017년 9월 4일부터 22일까지 설문조사를 실시하고, SPSS 23.0을 이용하여 분석하였다. 연구결과, 요양병원 노인 입원환자의 스트레스, 우울, 자아존중감은 다양한 인구사회학적 특성과 병원이용특성에 따라 통계적으로 유의한 차이를 보였다. 또한 스트레스는 우울에 유의한 정(+)의 영향을 미쳤으며(${\beta}=.297$, p=.000), 스트레스와 우울 간의 관계에서 자아존중감은 통계적으로 유의한 부분 매개효과가 있음을 확인하였다(Sobel Z=2.034). 따라서 요양병원 노인 입원환자의 우울을 예방하기 위해서는 노인 입원환자의 스트레스 관리와 더불어 자아존중감 향상 프로그램 등의 개발과 제공이 필요하다.

Keywords

References

  1. Statistics Korea, "2013 Statistics on the Aged", 2013.
  2. Statistics Korea, "2017 Statistics on the Aged", 2017.
  3. M.S. Lee, Y.K. Choi, K.I. Jung, D.I. Kwar, "Epidemiological Study of Geriatric Depression in a Korea Urban Area", Journal of Korean Geriatric Psychiarty, Vol. 4, No. 2, pp. 154-163, 2000.
  4. J.P. Zhang, B. Kahana, E. Kahana, B. Hu, L. Pozuelo, "Joint modeling of longitudinal changes in depressive symptoms and mortality in a sample of community-dwelling elderly people", Psychosomatic Med, Vol. 71, No. 7, pp. 704-714, 2009. http://dx.doi.org/10.1097/PSY.0b013e3181ac9bce
  5. M.H. Jang, J.A. Lee, A.S. Kim, "Gender Specific Role of Anger Expression in Association with Depression and Health Behavior in Community-Dwelling Elders", J Korean Acad Psychiatr Ment Health Nurs, Vol. 23, No. 1, pp. 38-48, 2014. http://dx.doi.org/10.12934/jkpmhn.2014.23.1.38
  6. J.S. Hur, S.H. You, "Determinants of Depression among Elderly Persons", Mental Health & Social Work, Vol. 13, No. 1, pp. 7-35, 2002.
  7. H.S. Kim, B.S. Kim, "The Effects of Self-Esteem on the Relationship between the Elderly Stress and Depression", Journal of the Korean Gerontological Society, Vol. 27, No. 1, pp. 23-37, 2007.
  8. T.H. Holmes, R.H. Rahe, "The Social Readjustment Rating Scale", Journal of Psychosomatic Research, Vol. 11, No. 2, pp. 213-218, 1967. https://doi.org/10.1016/0022-3999(67)90010-4
  9. H.M. Seo, S.J. Yu, Y.S. Hah, "A Study on the Verification of the Profile of Seo's Elderly Stress Scale (SESS)", Journal of Korean Academy of Nursing, Vol. 31, No. 1, pp. 94-106, 2001. https://doi.org/10.4040/jkan.2001.31.1.94
  10. N. Krause, "Life Stress, Social Support, ad Self-esteem in and Elderly Population", Psychology and Aging, Vol. 2, pp. 349-356, 1987. http://dx.doi.org/10.1037/0882-7974.2.4.349
  11. M.S. Ko, D.J. Kim, "The Effects of the Economic Activity Status of the Female Disabled on Their Daily Life Satisfaction Level: Focusing on the Mediating Effects of Self-Esteem", Disability & Employment, Vol. 24, No. 2, pp. 137-164, 2014. https://doi.org/10.15707/disem.2014.24.2.005
  12. M.A. Longmore, A. Demaris, "Perceived inequity and depression in intimate relationships: The moderating effect of self-esteem", Social Psychology Quarterly, Vol. 60, No. 2, pp. 172-184, 1997. http://dx.doi.org/10.2307/2787103
  13. J.Y. Kim, J.M. Lee, "The Relationship of Life-stress and Depression Between the Poor elderly Women and Ordinary elderly Women -Focus on Control Effect of Self-Esteem and Social support-", Journal of Welfare for the Aged, Vol. 39, pp. 399-420, 2008.
  14. M.W. Roosa, I.N. Sandler, J. Beals, J.I. Short, "Risk status of adolescent children of problem-drinking parents", American Journal of Community Psychology, Vol. 16, No. 1, pp. 225-239, 1988. https://doi.org/10.1007/BF00912524
  15. T.Y. Kwon, "The Effects of Stress factors and Self-Esteem on Depressive Symptoms among the young-old, the old-old, the oldest-old groups: The Mediating Role of Two Dimension Self-Esteem", Korean Journal of Society Welfare Studies, Vol. 40, No. 1, pp. 163-196, 2009. https://doi.org/10.16999/kasws.2009.40.1.163
  16. J. Kwon, "Effects of Selection Factors of Hospitals for the Elderly upon Satisfaction of Patients and their Intent of Revisit and Information by Word of Mouth", The Journal of the Korea Contents Association, Vol. 11, No. 10, pp. 301-311, 2011. http://dx.doi.org/10.5392/JKCA.2011.11.10..301
  17. M.S. Ko, "Assessment of Medical Service Quality Perceived by In-patients of Geriatric Hospitals -Using Revised IPA Applying the Kano's Model-", The Korean journal of health service management, Vol. 7, No. 1, pp. 133-144, 2013. http://dx.doi.org/10.12811/kshsm.2013.7.1.133
  18. Y.H. Sa, S.J. Cho, "The Effects of Satisfaction in Elderly Care Facilities and Daily Stress of the Elderly on Depression and Self-esteem", Journal of the Korea Academia-Industrial cooperation Society, Vol. 15, No. 2, pp. 706-716, 2014. http://dx.doi.org/10.5762/KAIS.2014.15.2.706
  19. S. Cohen, T. Kamarck, R. Mermelstein, "A global measure of perceived stress", Journal of Health and Social Behavior, Vol. 24, pp. 385-396, 1983. https://doi.org/10.2307/2136404
  20. S. Cohen, G. Williamson, "Stress and infectious disease in human", Psychological Bulletin, Vol. 109, pp. 5-24, 1991. https://doi.org/10.1037/0033-2909.109.1.5
  21. J.E. Lee, "The Effects of Self-Complexity and Self-Efficacy on Depression and Perceived Stress", Master Dissertation, Ajou University, 2005.
  22. Y.J. Jo, C.N. Son, "Effects of Acceptance and Commitment Therapy(ACT) on Problem Drinking Behavior, Alcohol Expectancy, and Perceived Stress of the College Students with Problem Drinking", The Korean Journal of Health Psychology, Vol. 18, No. 3, pp. 445-464, 2013. http://doi.org/10.17315/kjhp.2013.18.3.002
  23. J.A. Yesavage, J.I. Sheikh, "Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist", The Journal of Aging and Mental Health, Vol. 5 No.1-2, pp. 165-173, 1986. http://dx.doi.org/10.1300/J018v05n01_09
  24. B.S. Kee, "A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version", Journal of the Korean Neuropsychiatric Association, Vol. 35, No. 2, pp. 298-307, 1996.
  25. M. Rosenberg, "Society and the adolescent Self-image", NJ: Princeton University Press, 1965.
  26. B.J. Jon, "Self-esteem: A test of its measurability", Collections of Yonsei Journals, Vol. 11, No. 1, pp. 107-130. 1974.
  27. R.M. Baron, D.A. Kenny, "The Moderator- Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations", Journal of Personality and Social Psychology, Vol. 51, No. 6, pp. 1173-1182, 1986. https://doi.org/10.1037/0022-3514.51.6.1173
  28. D.M. Shin, C.H. Nam, S.B. Choi, G.Y. Kim, H.W. Lee, S.S. Kim, "The Analysis of Primary Factors Affecting Health Knowledge and Health Behavior of the Elderly", Korean journal of health education and promotion, Vol. 23, No. 4, pp. 67-87, 2006.
  29. H.M. Seo, S.J. Yu, Y.S. Hah, "A Study on the Verification of the Profile of Seo's Elderly Stress Scale (SESS)", Journal of Korean Academy of Nursing, Vol. 31, No. 1, pp. 94-106, 2001. https://doi.org/10.4040/jkan.2001.31.1.94
  30. J.S. Park, Y.K. Park, S.H. Jeong, C.S. Lee, H. Kim, "Influence of Resilience and Depression on Suicidal Ideation in Elderly", Journal of Korea Gerontological Society, Vol. 34, No. 2, pp. 247-258, 2014.
  31. E.H. Kim, Y.K. Kim, "Factors related to the Health related Quality of Life among Institutionalized Elders", Korean Journal of Adult Nursing, Vol. 22, No. 3, pp. 281-290, 2010.
  32. K.I. Lee, Y. Eun, "Effect of Laugher Therapy on Pain, Depression and Sleep with Elderly Patients in Long Term Care Facility", Journal of muscle and joint health, Vol. 18, No. 1, pp. 28-38, 2011. http://dx.doi.org/10.5953/JMJH.2011.18.1.028
  33. Y.H. Choi, S.H. Kim, "Suicide Ideation and Related Factors According to Depression in Older Adults", Journal of the Korean Gerontological Society, Vol. 28, No. 2, pp. 345-355, 2008.
  34. T. Mills, J.C. Henretta, "Racial, Ethnic, and Sociodemographic Differences in the Level of Psychosocial Distress among Older Americans", Research on Aging, Vol. 23, No. 2, pp. 131-152. https://doi.org/10.1177/0164027501232001
  35. S.K. Kang, K.C. Boo, "Predictors of Elderly Depression Using the Andersen Model", Journal of Welfare for the Aged, Vol. 49, pp. 7-30, 2010. http://dx.doi.org/10.21194/kjgsw.49.201009.7
  36. D.J. Devier, N. Villemarette-Pittman, P. Brown, G. Pelton, Y. Stern, M. Sano, D.P. Devanand, "Predictive utility of type and duration of symptoms at initial presentation in patients with mild cognitive impairment", Dement Geriatr Cogn Disord, Vol. 30, No. 3, pp. 238-244, 2010. http://dx.doi.org/10.1159/000320137
  37. Y.S. Lee, Y.S. Lee, G.R. Hong, "Validation of Korean version of The Cornell Scale for Depression in Dementia among Older Adults in Long-Term Care Facilities", Journal of Korean gerontological nursing, Vol. 17, No. 3, pp. 142-151, 2015. http://doi.org/10.17079/jkgn.2015.17.3.142
  38. V. Lorant, D. Delige, W. Eaton, A. Robert, P. Robert, M. Ansseau, "Socioeconomic Inequalities in Depression", American Journal of Epidemiology, Vol. 157, pp. 98-112, 1984.
  39. Y.R. Park, H.J. Kwon, K.H. Kim, M.H. Choi, S.E. Han, "A Study on Relatoins Between Self-Esteem, Self Efficacy and Quality of Life of the Elderlt", Jornal of Welfare for the Aged, Vol. 29, pp. 237-258, 2005.
  40. Y.A. Choi, "A Survey on the Perceived Health Status and Health Behavior of the Aged in an Area", Journal of the Korean Gerontological Society, Vol. 23, No. 3, pp. 129-142, 2003.
  41. B. Baarsen, "Theories on coping with loss: the impact of social support and self-esteemon adjustment to emotional and social loneliness following a partner's death in later life", J Gerontol B Psychol Sci Soc Sci, Vol. 57, No. 1, pp. 33-42, 2002. https://doi.org/10.1093/geronb/57.1.S33
  42. Y.H. Kim, K.S. Pyo, "A Study on the Relationship between Self-Esteem and Quality of Life of the Elderly", Korean Journal of Gerontological Social Welfare, Vol. 17, pp. 157-189, 2002.
  43. N. Bolger, A. DeLongis, R.C. Kessler, E.A. Schilling, "Effects of daily stress on negative mood", Journal of Personality and Social Psychology, Vol. 57, No. 5, pp. 808-817, 1989. http://dx.doi.org/10.1037/0022-3514.57.5.808
  44. D.B. Kim, E.S. Sohn, "A Meta-analysis of the Variables Related to Depression in Elderly", Journal of the Korean Gerontological Society, Vol. 25, No. 4, pp. 167-187, 2005.
  45. K.R. Shin, J.S. Kim, "A Study on the Relationship between Stress and Depression in Elderly Women", Journal of Korean Gerontological Nursing, Vol. 5, No. 1, pp. 29-37, 2003.