DOI QR코드

DOI QR Code

재가노인의 COVID-19에 대한 스트레스와 자기관리 효능감

Stress and Self-Management Efficacy of COVID-19 among Community-Dwelling Elderly

  • Hong, Insook (Department of Nursing, College of Nursing and Health, Kongju National University) ;
  • Cho, Ok-Hee (Department of Nursing, College of Nursing and Health, Kongju National University)
  • 투고 : 2021.01.07
  • 심사 : 2021.04.20
  • 발행 : 2021.04.28

초록

본 연구는 재가노인이 인지하는 COVID-19 스트레스와 자기관리 효능감 간의 관계를 파악하여 노인의 감염병 관리 간호중재 개발을 위한 기초자료 활용을 위해 시도되었다. 133명을 대상으로 일반적 특성, COVID-19 스트레스 및 자기관리 효능감에 대한 구조화된 설문지를 활용하여 자료수집 하였다. 자료분석을 위해 t-test, ANOVA, Pearson's correlation coefficients를 시행하였다. 연구결과, COVID-19 스트레스는 직업, 교육정도, 경제상태, 주관적 건강상태에 따라 차이가 있었으며, 자기관리 효능감은 주관적 건강상태에 따라 차이가 있었다. COVID-19 스트레스는 자기관리 효능감과 정 상관관계가 있었으며, 하부영역 중 예방 및 가정관리 영역에서 정 상관관계가 있었다. 결과를 통해 재가노인들의 적절한 COVID-19 스트레스는 예방 및 가정관리 효능감을 높이는 요인으로 작용할 수 있음을 알 수 있었다. COVID-19 대유행이 지속됨에 따라 시기별 변화와 대상자의 범위를 확대한 반복 연구가 필요하다.

This study attempted to provide basic data to develop a nursing intervention for managing communicable diseases in the elderly by identifying the relationship between COVID-19 stress and self-management efficacy perceived by elderly individuals. Data were collected from 133 participants using a structured questionnaire on general characteristics, COVID-19 stress, and self-management efficacy. Data analysis included a t-test, ANOVA, and Pearson's correlation coefficients. The results revealed that COVID-19 stress differed according to occupation, educational attainment, economic status, and subjective health status, while self-management efficacy differed according to subjective health status. COVID-19 stress correlated positively with self-management efficacy, and there was a positive correlation in the prevention and home-management areas, among the lower areas. Therefore, appropriate COVID-19 stress among elderly individuals can act as a factor to increase the efficacy of prevention and home-management. As the pandemic continues, repeated studies should expand the range of participants and changes by period.

키워드

참고문헌

  1. Korea Disease Control and Prevention Agency.(2020, December 15). The updates on COVID-19 in Korea as of 15 December. Retrieved December. 18, 2020, from https://www.kdca.go.kr/board/board.es?mid=a20501000000&bid=0015
  2. Korea Disease Control and Prevention Agency.(2020, September, 10). Infectious Disease Portal. Retrieved December. 18, 2020, from http://www.kdca.go.kr/npt/biz/npp/portal/nppSumryMain.do?icdCd=NA0013&icdgrpCd=01&icdSubgrpCd=
  3. S. H. Hong, H. J. Park & J. H. Nam. (2020). Lesson Learned from SARS-CoV and MERS-CoV: Preparation for SARS-CoV-2 induced COVID-19. Journal of Bacteriology and Virology, 50(2), 76-96. DOI: https://doi.org/10.4167/jbv.2020.50.2.076
  4. J. Y. Heo. (2020). Clinical and epidemiological characteristics of coronavirus disease 2019 in the early stage of outbreak. The Korean Journal of Medicine, 95(2), 67-73. DOI: https://doi.org/10.3904/kjm.2020.95.2.67
  5. Korean Society of Infectious Diseases and Korea Centers for Disease Control and Prevention(2020). Analysis on 54 mortality cases of coronavirus disease 2019 in the Republic of Korea from January 19 to March 10, 2020. Journal of Korean Medical Science, 35(12), e132. DOI: https://doi.org/10.3346/jkms.2020.35.e132
  6. G. H. Suh. (2020). What Explains COVID-19's Lethality for the Elderly? : Community Care Strategies for the Vulnerable Elderly. Journal of Health Technology Assessment, 8(1), 9-13. DOI: https://doi.org/10.34161/johta.2020.8.1.002
  7. M. Y. Sim. (2020). Psychological effects of the coronavirus disease 2019 pandemic. The Korean Journal of Medicine, 95(6), 360-363. DOI: https://doi.org/10.3904/kjm.2020.95.6.360
  8. S. Taylor, C. A. Landry, M. M. Paluszek, T. A. Fergus, D. McKay & G. J. Asmundson. (2020). COVID stress syndrome: Concept, structure, and correlates. Anxiety and Depression Accociation of America, 37(8), 706-714. DOI: https://doi.org/10.1002/da.23071
  9. D. Hiraoka & A. Tomoda. (2020). The relationship between parenting stress and school closures due to the COVID-19 pandemic. Psychiatry and Clinical Neurosciences, 74(9), 497-498. DOI: https://doi.org/10.1111/pcn.13088
  10. H. J. Lee & H. Y. Lee. (2020). COVID-19 stress: Is the level of COVID-19 stress same for everybody?: segmentation approach based on COVID-19 stress level. Korea Logistics Review, 30(4), 75-87. DOI: https://doi.org/10.17825/klr.2020.30.4.75
  11. P. Klaiber, J. H. Wen, A. DeLongis & N. L. Sin. (2020). The ups and downs of daily life during COVID-19: Age differences in affect, stress, and positive events. The Journals of Gerontology Series B: Psychological Sciences. DOI: https://doi.org/10.1093/geronb/gbaa096
  12. M. Yildirim & F. Solmaz. (2020). COVID-19 burnout, COVID-19 stress and resilience: Initial psychometric properties of COVID-19 burnout scale. Death Studies, 1-9. DOI: https://doi.org/10.1080/07481187.2020.1818885
  13. D. R. Petretto, R. Pili. (2020). Ageing and COVID-19: What is the role for elderly people?. Multidisciplinary Digital Publishing Institute. Geriatrics. DOI: https://doi.org/10.3390/geriatrics5020025
  14. S. Taylor. (2019). The psychology of pandemics Preparing for the next global outbreak of infectious disease. Newcastle upon Tyne : Cambridge Scholars Publishing.
  15. W. Y. Lee. (2020). Isolation and release of infectious disease, and psychological quarantine. Journal of The Korean Society of Hazard Mitigation, 20(2), 15-16. https://doi.org/10.9798/KOSHAM.2020.20.6.15
  16. J. M. Hernandez-Padilla et al. (2020). Design and psychometric analysis of the COVID-19 prevention, recognition and home-management self-efficacy scale. International journal of environmental research and public health, 17(13), 4653. DOI: https://doi.org/10.3390/ijerph17134653
  17. J. H. Oh. (2018). Effects of social support on health promotion behavior through the mediating effect of self-efficacy in older women living alone. The Journal of Korean Gerontological Nursing, 20(3), 177-184. DOI: https://doi.org/10.17079/jkgn.2018.20.3.177
  18. J. T. F. Lau, S. Griffiths, D. W. H. Au & Choi, K. C. (2011). Changes in knowledge, perceptions, preventive behaviours and psychological responses in the pre-community outbreak phase of the H1N1 epidemic. Epidemiology and Infection, 139(1), 80-90. DOI: https://doi.org/10.1017/S0950268810001925
  19. C. S. Tang & C. Y. Wong. (2003). An outbreak of the severe acute respiratory syndrome: predictors of health behaviors and effect of community prevention measures in Hong Kong, China. American Journal of Public Health, 93(11), 1887-1888. DOI: https://doi.org/10.2105/ajph.93.11.1887
  20. L. Williams, S. Rasmussen, A. Kleczkowski, S. Maharaj & N. Cairns. (2015). Protection motivation theory and social distancing behaviour in response to a simulated infectious disease epidemic. Psychology, health and medicine, 20(7), 832-837. DOI: https://doi.org/10.1080/13548506.2015.1028946
  21. J. H. Park, J. H. Kang & I. J. Kim. (2011). Stress and self care guideline adherence in students with influenza a (H1N1). Korean Educational Research Association, 17(2), 277-286. DOI: https://doi.org/10.5977/JKASNE.2011.17.2.277
  22. S. M. Park, J. Y. Lee & J. S. Choi. (2010). Affecting factors on health behavior of university students during pandemic influenza a (H1N1). The Journal of Korean Academic Society of Nursing Education, 16(2), 249-256. DOI: https://doi.org/10.5977/JKASNE.2010.16.2.249
  23. S. H. Shin & O. J. Baek. (2020). A convergence study on the relationship between impact of event, health beliefs and adherence to self-care guideline for COVID-19. Journal of the Korea Convergence Society, 11(10), 337-348. DOI: https://doi.org/10.15207/JKCS.2020.11.10.337
  24. S. Taylor, C. A. Landry, M. M. Paluszek, T. A. Fergus, D. McKay & G. J. Asmundson. (2020). Development and initial validation of the COVID stress scales. Journal of Anxiety Disorders, 72.102232. DOI: https://doi.org/10.1016/j.janxdis.2020.102232
  25. S. D. U. Islam, M. Bodrud-Doza, R. M. Khan, M. A. Haque & M. A. Mamun. (2020). Exploring COVID-19 stress and its factors in Bangladesh: a perception -based study. Journal of Heliyon, 6(7), e04399. DOI: https://doi.org/10.1016/j.heliyon.2020.e04399
  26. Ministry of Culture, Sports and Tourism / Korean Culture and Information Service. (2020, May, 4). Press release. Retrieved December. 23, 2020, from http://www.kocis.go.kr/bodo/view.do?seq=1035060&RN=1
  27. N. Y. Lee & J. H. Kang. (2020). A phenomenological study on the emotional change of the elderly aged 65 and older who experienced COVID-19 social situation. Journal of the Korea Entertainment Industry Association, 14(6), 171-179. DOI: https://doi.org/10.21184/jkeia.2020.8.14.6.171
  28. J. Y. Lee. (2020). Ministry of Justice measures to expel 7 foreigners who violated self-isolation. KBS NEWS. http://news.kbs.co.kr/news/view.do?ncd=4427846
  29. L. Luceno-Moreno, B. Talavera-Velasco, Y. Garcia-Albuerne & J. Martin-Garcia. (2020). Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish health personnel during the COVID-19 pandemic. International journal of environmental research and public health, 17(15), 5514. DOI: https://doi.org/10.3390/ijerph17155514
  30. T. Karatzias et. al. (2020). Posttraumatic stress symptoms and associated comorbidity during the COVID-19 pandemic in Ireland: A population based study. Journal of traumatic stress, 33(4), 365-370. DOI: https://doi.org/10.1002/jts.22565
  31. L. Castelli, M. D. Tella, A. Benfante & A. Romeo. (2020). The spread of COVID-19 in the Italian population anxiety, depression, and post-traumatic stress symptoms. Journal of Canadian Psychiatry, 65(10), 731-732. DOI: https://doi.org/10.1177/0706743720938598
  32. S. H. Park. (2019). Knowledge, attitude, and preventive behaviors related to Middle East Respiratory Syndrome(MERS) in adults. Journal of Korean Public Health Nursing, 33(1), 33-46. DOI: https://doi.org/10.5932/JKPHN.2019.33.1.33
  33. A. R. Jung & E. J. Hong. (2020). A study on anxiety, knowledge, infection possibility, preventive possibility and preventive behavior level of COVID-19 in general public. Journal of Convergence for Information Technology, 10(8), 87-98. DOI: https://doi.org/10.22156/CS4SMB.2020.10.08.087
  34. A. L. Lau, I. Chi, R. A. Cummins, T. M. Lee, K. L. Chou & L. W. Chung. (2008). The SARS(Severe Acute Respiratory Syndrome) pandemic in Hong Kong: Effects on the subjective wellbeing of elderly and younger people. Aging and Mental Health, 12(6), 746-760. DOI: https://doi.org/10.1080/13607860802380607
  35. T. K. Kim & I. Kang. (2018). The effects of elderly people's stress and social support on depression. Asia-pacific Journal of Multimedia Service Convergent with Art, Humanities, and Sociology, 8(2), 763-771. DOI: https://doi.org/10.21742/AJMAHS.2018.02.24
  36. Y. J. Kim. (2009). Comparison of health habits, perceived stress, depression, and suicidal thinking by gender between elders living alone and those living with others. Journal of the Korean Academy of Fundamentals of Nursing, 16(3), 333-344.
  37. M. S. Ko & I. K. Seo. (2011). Influences of the elderly's health status upon their stress and depression and moderating effects of social supports. The Journal of the Korean Public Health Association, 37(1), 1-14.
  38. H. J. Oh & D. H. Kim. (2012). Research on the influential factors in senior citizens' health promotion behaviors. Korean Association of Health and Medical Sociology. 32, 173-197.
  39. S. H. An, W. S. An & C. M. Heo. (2016). Effect of health-related risk perception and self-efficacy on health promotion behavior of elderly physical activity participants. Journal of Sport and Leisure Studies, 63, 585-597. https://doi.org/10.51979/KSSLS.2016.02.63.585
  40. B. L. Braun. (1998). Knowledge and perception of fall-related risk factors and fall-reduction techniques among community dwelling elderly individuals. Journal of Physical Therapy, 78(12), 1262-1276. https://doi.org/10.1093/ptj/78.12.1262
  41. Y. K. Choi & Y. Y. Lee. (2011). The relation between parenting and children's depression: testing the mediating effects of positive stress-coping behavior and self-control. The Journal of Child Education, 20(2), 235-251.