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The Effects of Life Stress and Stress Coping among Nursing College Students on Health Promotion Behavior

간호대학생의 생활 스트레스, 스트레스 대처가 건강증진행위에 미치는 영향

  • Choi, Yooun-Sook (Department of Nursing, Kyungnam College of Information & Technology) ;
  • Kim, Mi-Young (Department of Nursing, Kyungnam College of Information & Technology)
  • 최윤숙 (경남정보대학교 간호학과) ;
  • 김미영 (경남정보대학교 간호학과)
  • Received : 2020.03.26
  • Accepted : 2020.07.03
  • Published : 2020.07.31
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Abstract

The purpose of this study was to provide basic data for improving health promotion behavior by identifying the effects of life stress and coping with stress among nursing college students on health promotion behavior. The data was collected from 352 nursing students in 6 colleges in B and K city, and the data was analyzed with SPSS/Win 23.0. Factors influencing health promotion behavior were school life satisfaction (F=9.18, p<.001), happiness score (F=20.64, p<.001), health status (F=12.40, p<.001), eating breakfast (t=-3.31, p=.001), unbalanced diet (t=-4.20, p<.001), time spent sleeping (F=2.64, p=.049), and exercise (t=5.20, p<.001). In the correlations, health promotion behavior was negatively correlated with life stress (r=-.289, p<.001), but it was positively correlated with coping with stress (r=.539, p<.001). The factors influencing health promotion behavior were stress coping (β=.439, p<.001), happiness score (β=.251, p<.001), exercise (β=.172, p<.001), unbalanced diet (β=.125, p=.002), life stress (β=-.121, p=.005), and eating breakfast (β=.083, p=.046). The above variables explained 46.0% for the health promotion behavior. Thus, in order to improve the health promotion behavior of nursing college students, integrated nursing interventions need to be developed through improving coping with stress, creating a sense of happiness, reducing life stress, and maintaining exercise and good eating habits.

본 연구는 간호대학생의 생활 스트레스, 스트레스 대처가 건강증진행위에 미치는 영향을 규명하여 건강증진행위 향상을 위한 기초자료를 제공하기 위해 시도되었다. 자료 수집은 B시와 K시에 소재한 6개 대학교 간호대학생을 대상으로 하여 최종 352부를 SPSS/Win 23.0 프로그램을 이용하여 분석하였다. 건강증진행위는 학교생활 만족도(F=9.18, p<.001), 행복 점수(F=20.64, p<.001), 건강 상태(F=12.40, p<.001), 아침식사 유무(t=3.31, p=.001), 편식 유무(t=-4.20, p<.001), 수면 시간(F=2.64, p=.049), 운동 유무(t=5.20, p<.001)에서 유의한 차이를 나타내었다. 간호대학생의 건강증진행위는 생활 스트레스(r=-.289, p<.001)와는 부적 상관관계를, 스트레스 대처(r=.539, p<.001)와는 정적 상관관계를 보였다. 대상자의 건강증진행위에 가장 영향을 미치는 요인은 스트레스 대처(β=.439, p<.001)이었으며, 다음으로 행복 점수(β=.251, p<.001), 운동 여부(β=.172, p<.001), 편식 여부(β=.125, p=.002), 생활 스트레스(β=-.121, p=.005), 아침식사 여부(β=.083, p=.046) 순으로 나타났고, 설명력은 46.0%이었다. 본 연구 결과를 통하여 간호대학생의 건강증진행위를 향상하기 위하여 스트레스 대처 정도를 증진시키고, 간호대학생의 행복감을 높이며, 생활 스트레스는 줄이고, 운동과 좋은 식습관을 유지할 수 있는 통합적 간호중재 프로그램 개발이 필요하다.

Keywords

References

  1. J. N. Sohn, "Discriminating power of suicidal ideation by life stress, coping strategy, and depression in college students", Journal of Korean Academy Psychology Mental Health Nursing, Vol. 16, No. 3, pp. 267-275, 2007.
  2. H. Cho, S. J. Lee, R. S. Chi, "Comparison of health promotion lifestyles and self-esteem of Korean and Chinese nursing students", Journal Korean Academy of Psychiatric and Mental Health Nursing, Vol. 19, No. 1, pp. 22-33, 2010. https://doi.org/10.12934/jkpmhn.2010.19.1.22
  3. M. Y. Chon, M. H. Kim, C. M. Cho, "Predictors of health promoting lifestyles in Korean undergradureate stduents", Journal of Korean Society for Health Education and Promotion, Vol. 19, No. 2, pp. 1-13, 2002.
  4. M. O. Kim, M. Yu, S. J. Ju, K. S. Kim, J. H. Choi, H. J. Kim Cui, "Depression Cognition and Health Promoting Behaviors of Smoking and Non-smoking College Students", Journal of Korean Society for Health Education and Promotion, Vol. 30, No. 3, pp. 35-46, 2013. DOI : http://dx.doi.org/10.14367/kjhep.2013.30.3.035
  5. S. J. Lee, J. H. Yu, "The mediation effect of self-efficacy between academic and career stress and adjustment to college", Journal of Korean Educational Psychology Association, Vol. 22, No. 3, pp. 589-607, 2008.
  6. J. W. Beak, H. E. Nam, J. S. Ryu, "The effects of the college students' will for the improvement of health playing on self-efficacy, happiness, life satisfaction and leisure satisfaction", Journal of Korea Society of Health Service Management, Vol. 6, No. 1, pp. 173-183, 2012. https://doi.org/10.12811/kshsm.2012.6.1.173
  7. H. I Lee, "Correlation between spiritual well-being and mental health of nursing students", Journal of Korean Academy Nursing, Vol. 32, No. 1, pp. 7-15, 2002. DOI : http://dx.doi.org/10.4040/jkan.2002.32.1.7
  8. M. H. Sung, "Spiritual Well-Being and Life Stress of Nursing Students", Journal of Korean Society for Health Education and Promotion, Vol. 9, No. 3, pp. 222-229, 2009.
  9. H. Y. Kang, E. Y. Choi, "Stress, stress coping methods, and college adjustment according to behavioral style in freshman nursing students", Journal of Korean academic Society Nursing Education, Vol. 21, No. 3, pp. 289-297, 2015. DOI : http://dx.doi.org/10.5977/jkasne.2015.21.3.289
  10. K. S. Han, G. M. Kim, "Comparison to Self Esteem, Family Adaptation, Health Promoting Behaviors, and Symptoms of Stress between Nursing and Other Major University Women Student", Journal of Korea Society of Health Service Management, Vol. 16, No. 1, pp. 78-82, 2007.
  11. M. K. Kim, "Influence of stress coping ability, resilience on nursing performance" Master's thesis, Seoul University, Seoul, Korea, pp. 5-6, 2017.
  12. H. J. Yang, "The Influence of the Health Promotion Behavior for the Healthy Lifestyle Knowledge of the Elderly", Doctoral dissertation, Wonkwang University, Iksan, Korea, pp. 9-10, 2012.
  13. S. Y. Min, K. S. Paek, "The Effects of a Education Program on Health Promoting Behavior and Self-efficacy in University Students", Journal of Korean Academy of Community Health Nursing, Vol. 18, No. 4, pp. 562-571, 2007.
  14. H. Kim, "Comparison of Health Behavior, Stress and Stress Coping Type between Undergraduate Nursing Students and Female Students in Other Majors", Journal of East-West Nursing Research, Vol. 21, No. 1, pp. 28-35, 2015. DOI : http://dx.doi.org/10.14370/jewnr.2015.21.1.28
  15. H. J. Park, I. S. Jang, "Nursing Students' Experience in Community health Center Practice", Journal of Korean Academy of Community Health Nursing, Vol. 21, No. 21, pp. 188-199, 2010. DOI : http://dx.doi.org/10.5977/JKASNE.2010.16.1.014
  16. J. K. Goh, "The Differences of Stressors at Grade and Ways of Coping in Nursing Students", Korean Journal of Health Community, Vol. 5, No. 2, pp. 79-86, 2010.
  17. S. J. Lee, h. J. Baek, "Health Promoting Behavior and Perceived Health Status of Nursing College Students: A Longitudinal Study", Journal of the Korean Society of School Health, Vol. 28, No. 3, pp. 220-228, 2015. DOI : http://dx.doi.org/10.15434/kssh.2015.28.3.220
  18. J. Y. Lee, Y. S. Song, "The Relationship between Mindfulness and Health Promotion Behavior among Nursing Students: The Mediating Effect of Self-Efficacy", Journal of the Korean Data Analysis Society, Vol. 19, No. 6(B), pp. 3391-3402, 2017. https://doi.org/10.37727/jkdas.2017.19.6.3391
  19. S. J. Lee, "Drinking Behavior and Health Promoting Lifestyle between Korean and Japanese Female Nursing Students", Journal of the Korea Contents Society, Vol. 12 No. 11, pp. 236-245, 2012. https://doi.org/10.5392/JKCA.2012.12.11.236
  20. J. H. Park, E. H. Kim, "Relationship of Academic Stress, Ego-resilience and Health Promoting Behaviors in Nursing Students", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18 No. 9, pp. 193-202, 2017. DOI : http://dx.doi.org/10.5762/KAIS.2017.18.9.193
  21. D. Y. Park, M. J. Kim, "The Effects of Family Function, Health Perception, and Self-efficacy on Health Promoting Behaviors of Nursing College Students", Journal of the Korea Contents Society, Vol. 17 No. 6, pp. 561-570, 2017.
  22. M. S. Kim, S. Y. Yoon, "Effects of Eating Habits and Self-efficacy on Nursing Students' Health Promotion Behaviors: in convergence era", Journal of Convergence for Information Technology, Vol. 7, No. 2, pp. 111-117, 2017. DOI : http://dx.doi.org/10.22156/CS4SMB.2017.7.2.111
  23. Y. K. Kim, H. Ju, "The Effects of Stress and Health Status on Adaptation to College Life among College Students', Journal of Sport and Leisure Studies, Vol. 56, No. 1, pp. 749-757, 2014. https://doi.org/10.51979/KSSLS.2014.05.56.749
  24. N. H. Cha, "The Relationships between Stress and Health Locus of Control in Nursing College Students", Journal of East-West Nursing Research, Vol. 19, No. 2, pp. 177-185, 2013. DOI : http://dx.doi.org/10.14370/jewnr.2013.19.2.177
  25. K. G. Jeon, K. H. Kim, J. S. Lee, "Development of the Revised Life Stress Scale for College Students", Korean Journal of Health Psychology, Vol. 5, No. 2, pp. 316-335, 2000.
  26. J. Y. Lee, "A Study on the Psychosocial Factor Influencing the Suicide Ideation of University Student", Master's thesis, Kong Ju National University, Chungnam, Korea, pp. 19, 2007.
  27. S. Folkman, R. S. Lazarus, "If it changes it must be a process:Study of emotion and coping during three stages of a college examination", Journal of Personality and Social Psychology, Vol. 45, pp. 150-170, 1985. DOI : http://doi.org/10.1037/0022-3514.48.1.150
  28. Y. K. Hwang, "Relationship among Self-efficacy, Campus life satisfaction, Stress perception and Stress coping style of rural college students", Master's thesis, Inje University, Kimhae, Korea, pp.5-6, 2013.
  29. S. N. Walker, K. R. Sechrist, N. J. Pender, "The health-promoting lifestyle profile: development and psychometric characteristics", Nursing Research, 1987.
  30. Y. O. Suh, "Health Promoting Lifestyle, Hardiness and Gender Role Characteristics in Middle-Aged Women", Korean Journal of Women Health Nursing, Vol. 2, No. 1, pp. 119-134, 1996.
  31. H. G. Son, S. H. Kwon, H. J. Park, "The Influence of Life Stress, Ego-Resilience, and Spiritual Well-Being on Adaptation to University Life in Nursing Students", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 5, pp. 636-646, 2017. DOI : http://dx.doi.org/10.5762/KAIS.2017.18.5.636
  32. E. J. Bong, Y. K. Kim, "Relationship between Life Stress, Depression and Smartphone addiction in Nursing Students - Mediating Effects of Experiential Avoidance -" Korea Academy Industrial Cooperation Society, Vol. 18, No. 7, pp. 121-129, 2017.
  33. M. S. Park, "The differences of dietary and health-related habits, depression, eating disorder and nutrient intake according to the life stress in nursing college students", Korea Academy Industrial Cooperation Society, Vol. 15, No. 1, pp. 344-355, 2014. DOI : http://dx.doi.org/10.5762/KAIS.2014.15.1.344
  34. H. H. Sim, M. S. Kim, K. S. Jeong, J. U. Heo, E. J. Choi, "Factors Influencing Health Promotion Behaviors of College Students", Korean Journal of Health Education, Vol. 31, No. 3, pp. 97-108, 2014. DOI : http://dx.doi.org/10.14367/kjhep.2014.31.3.97
  35. J. A. Kim, "The Effect of Clinical Practice Stress Coping and Empathy on Clinical Competency among Nursing Students", Master's thesis, Keimyung University, DaeGu, Korea, pp. 24-25, 2016.
  36. Y. M. Han, S. H. Kim, "Effect of Myers-Briggs Type Indicator(MBTI) Personality Type, Emotional Intelligence, Sress Coping Strategies on Nursing student's Adjustment to College Life", Korea Academy Industrial Cooperation Society, Vol. 18, No. 8, pp. 124-134, 2017. DOI : http://dx.doi.org/10.5762/KAIS.2017.18.8.124
  37. J. A. Park, M. J. Chung, "Relationships Between Strategies for Coping with stress and Behavior Problems in School-age Children", Korean Journal of Child Studies, Vol. 22, No. 3, pp. 107-122, 2001.
  38. Y. S. Kim, K. S. Lee, "Influencing Factors on Health Promotion Behavior of Nursing Students", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 7, No. 5, pp. 509-522, 2017.
  39. D. Y. Park, M. J. Kim, "The Effects of Family Function, Health Perception, and Self-efficacy on Health Promoting Behaviors of Nursing College Students", The Journal of the Korea Contents Association, Vol.17 No.6, pp. 561-570, 2017. DOI : http://dx.doi.org/10.5392/JKCA.2017.17.06.561
  40. J. H. Park, E. H. Kim, "Relationship of Academic Stress, Ego-resilience and Health Promoting Behaviors in Nursing Students", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 9 pp. 193-202, 2017. https://doi.org/10.5762/KAIS.2017.18.9.193
  41. Y. I. Han, J. M. Kim, "The Effect of Health Promotion Behaviors and University Life Adaptation to Employment Strategies of Nursing Students", Journal of the Korea Academia - Industrial cooperation Society, Vol. 19, No. 3, pp. 399-409, 2018. DOI : http://dx.doi.org/10.5762/KAIS.2018.19.3.399
  42. S. J. Lee, H. J. Baek, "Health Promoting Behavior and Perceived Health Status of Nursing College Students: A Longitudinal Study", The Journal of the Korean society of school health, Vol. 28, No. 3, pp. 220-228, 2015. DOI : http://dx.doi.org/10.15434/kssh.2015.28.3.220
  43. S. M. Lee, "Factors Affecting the Health Promoting Behaviors of Health-related and Health-unrelated Department University Student", Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 9, pp. 6120-6129, 2015. DOI : http://dx.doi.org/10.5762/KAIS.2015.16.9.6120
  44. M. K. Choi, B. H. Kim. "Health Behaviors and Stress Coping Behaviors in Middle Aged Adults", Journal of Korean Academic Society of Adult Nursing, Vol. 16, No. 4 pp. 668-676, 2004.
  45. E. S. Lee, "Impact of Life Stress on Depression, Subjective Well-being and Psychological Well-being in Nursing Students: Mediation Effects of Coping", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 1, pp. 55-65, 2017. DOI : http://dx.doi.org/10.5762/KAIS.2017.18.1.5
  46. N. Y. Lee, "The Effects of Empathy and Life Stress on Stress Coping Strategy of Nursing Student", Master's thesis, Kongju national University, pp. 17-18, 2016.