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The Relationship between Stress and Suicidal ideation among Nursing Students Mediating Effects of Social Support

간호대학생의 스트레스와 자살사고의 관계에서 사회적 지지의 매개효과

  • Received : 2022.12.30
  • Accepted : 2023.03.07
  • Published : 2023.03.31

Abstract

The study was a study that identified the mediating effect of social support in the effect of stress on suicidal ideation of nursing students. The subjects of the study were in the 3rd and 4th graders of nursing department at a university in G city, understanding the purpose of the study and agreeing to participate, and the final subjects were 132. Data collection was conducted from November 10 to November 25, 2021. The analysis used descriptive statistics, t-test, One way ANOVA, Pearson's correlation coefficient, multiple regression with SPSS 25.0 program. As a result of the study, it was found that stress, suicidal ideation, and social support of nursing students had a significant correlation, and social support had a mediating effect in the relationship between stress and suicidal ideation. Based on the results of this study, it is necessary to develop and apply a mental health promotion program that attempts repetitive research and strengthens social support.

본 연구는 간호대학생의 스트레스가 자살사고에 미치는 영향에서 사회적 지지의 매개 효과를 확인한 연구이다. 연구대상자는 G시 소재 일개 대학의 간호학과 3, 4학년 재학생들로, 연구 목적을 이해하고 참여에 동의한 자로 구성하였으며 최종 연구대상자는 132명이었다. 자료수집 기간은 2021년 11월 10일부터 11월 25일까지였다. 자료 분석은 SPSS 25.0 프로그램을 이용하여 기술통계, t-test, One way ANOVA, 상관관계 및 다중회귀분석을 실시하였다. 연구결과 간호대학생의 스트레스, 자살사고, 사회적 지지는 유의한 상관관계가 있었으며, 스트레스와 자살사고의 관계에서 사회적 지지는 매개 효과가 있는 것으로 나타났다. 추후 본 연구결과를 토대로 반복연구를 시도하고 사회적 지지를 강화한 정신건강 증진프로그램의 개발과 적용이 이루어져야 할 것이다.

Keywords

References

  1. J.H. Kim, H.J. Kwon, E.T. Park, H.Y. Choi, S.M. Lee, "Nursing Workforce Supply & Demand: Review and Prospect in South Korea", The Korean Journal of Health Economics and Policy, Vol. 27, No. 4, pp. 27-49, November 2021.
  2. OECD, Suicide rates, 2020, https://data.oecd.org/healthstat/suicide-rates.htm
  3. Ministry of Health and Welfare, Korea Foundation for Suicide Prevention, "2022 White Paper on Suicide Prevention", pp. 1-247, June 2022.http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=371768
  4. S.A. Park, S.M. Lee, "Factors Affecting Academic Achievement of Nursing Students in Non-Faceto-Face Distance Learning", The Journal of the Convergence on Culture Technology, Vol. 8, No. 5, pp. 111-119, September 2022. DOI:10.17703/JCCT.2022.8.5.111
  5. R. Tyssen, P. Vaglum, N.T. Gronvold, O. Ekeberg, "Suicidal ideation among medical students and young physicians: A nationwide and prospective study of prevalence and predictors", Journal of Affective Disorders, Vol. 64, pp. 69-79, April 2001. DOI:10.1016/S0165-0327(00)00205-6
  6. M.K. Kim, "Relationship between Negative Emotions, Family Resilience, Self-Esteem and Suicide Ideation in University Students", Korean Journal of Family Welfare, Vol. 17, No. 1, pp. 61-83, February 2012.
  7. D.T. Kim, S.K. Kong, S.H. Lee, K.S. Lee, S.H. Jang, S.M. Oh, "Characteristics of Korea's COVID-19 Response System from a Democratic Governance Perspective", Korea International Cooperation Agency, Vol. 10, pp. 1-168, October 2020.
  8. H. Aslan, H. Pekince, "Nursing Students' Views on the COVID-19 Pandemic and their Percieved Stress Levels", Perspectives in Psychiatric Care, Vol. 57, No. 2, pp. 695-701, August 2020. DOI:10.1111/ppc.12597
  9. K.M. Yang, S.Y. Bang, S.Y. Kim, "Factors Influencing Suicidal Ideation in University Students", The Korean Journal of Stress Research, Vol. 20, No. 1, pp. 41-50, March 2012.
  10. N.Y. Lee, "The Effects of Empathy and Life Stress on Stress Coping Strategy of Nursing Students", Master's thesis, Kongju National University, Gong Ju, December 2015.
  11. J.S. Yoo, S.J. Chang, E.K. Choi, J.W. Park, "Development of a Stress Scale for Korean Nursing Students", Journal of Korean academy of nursing, Vol. 38, No. 3, pp. 410-419, June 2009. https://doi.org/10.4040/jkan.2008.38.3.410
  12. Y.S. Choi, E.J. Lee, "Suicidal Ideation in Relation to Life Stress, Coping Strategies and Depression among Nursing Students at One University", Keimyung Journal of Nursing Science, Vol. 19, No. 1, pp. 43-53, June 2015.
  13. E.H. Lee, S.J. Park, "Validity and Application of the Life Stress Scale for University Students", The Journal of Educational Research, Vol. 10, No. 2, pp. 69-93, June 2012.
  14. S.M. Ja, J.J. Oh, "The Mediating Effect of Social Support on Academic Stress of Nursing Students and Adjustment to College Life", The Journal of the Korea Contents Association, Vol. 21, No. 4, pp. 815-824, April 2021. DOI:10.5392/jkca.2021.21.04.815
  15. S. Cohen, H. Hoberman, "Positive Event and Social Support as Buffers of Life Change Stress", Journal of Applied Social Psychology, Vol. 13, No. 2, pp. 99-125, April 1983. https://doi.org/10.1111/j.1559-1816.1983.tb02325.x
  16. S.H. Park, H.D. Min, H. Go, "On the Mediation Effects of Resilience and Social Support on the Relationship between Study and Job-Seeking Stress and Adaptation to College Among University Students", The Journal of Learner-Centered Curriculum and Instruction, Vol. 20, No. 8, pp. 719-744, April 2020. https://doi.org/10.22251/jlcci.2020.20.8.719
  17. E.M. Kleiman, R.T. Liu, "Social Support as a Protective Factor in Suicide: Findings from two Nationally Representative Samples", Journal of Affective Disorders, Vol. 150, No. 2, pp. 540-545, September 2013. DOI:10.1016/j.jad.2013.01.033
  18. S.Y. Kim, K.M. Chae, "The Effects of University Student's Life Stress on Suicidal Ideation: The Moderating Effects of Perceived Social Support and the Meaning of Life", Journal of Human Understanding and Counseling, Vol. 34, No. 1, pp. 1-13, June 2013.
  19. S. Cobb, "Social Support as a Moderator of Life Stress. Psychosomatic Medicine", Journal of Biobehavioral Medicine, Vol. 38, No. 5, pp. 300-314, September 1976. https://doi.org/10.1097/00006842-197609000-00003
  20. Y.M. Lee, S.Y. Park, M.J. Kim, "Stress, Depression, Suicidal Ideation, Resilience, and Social Support in College Students", Journal of Korean Academy of Psychiatric Mental Health Nursing, Vol. 26, No. 2, pp. 151-162, June 2017. DOI:10.12934/jkpmhn.2017.26.2.151
  21. E. Stice, J. Ragan, P. Randall, "Prospective Relations between Social Support and Depression: Differential Direction of Effects for Parent and Peer Support?", Journal of Abnormal Psychology. Vol. 113, No. 1, pp. 155-159, February 2004. DOI:10.1037/0021-843X.113.1.155
  22. S.J. Park, E.Y. Park, S.I. Lee, A.H. Jang, S.W. Cho, "Effects of Social Support, Ego-resilience, and Subjective Wellbeing on Suicidal Ideation in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol. 23, No. 3, pp. 310-319, August 2016. DOI:10.7739/jkafn.2016.23.3.310
  23. Y.K. Yang, K.S. Han, M.H. Bae, S.H. Yang, "Social Support, Academic Stress, Clinical Practice Stress in College Student of Nursing", The Korean journal of stress research, Vol. 22, No. 1, pp. 23-33, March 2014. https://doi.org/10.17547/kjsr.2014.22.1.23
  24. G.S. Noh, M.S. Kim, Y.G. Kim, M.G. Noh, S.J. Jwa, N.G. Hong, M.H. Choi, "Factors Affecting Suicidal Ideation in Nursing Students", Journal of Kyungpook Nursing Science, Vol. 25, No. 1, pp. 67-76, February 2021. DOI:10.38083/JKNS.25.1.202102.067
  25. S.W. Moon, J.C. Han, "The Effects of Cognitive Appraisal and Perceived Social Support on Adolescents' Coping Behavior", Journal of the Korean Academy of Child and Adolescent Psychiatry, Vol. 7, No. 2, pp. 233-246. December 1996.
  26. M.S. Kim, "A Study on the Buffering Effect of Social Support on the Anxiety caused by Stresss", Mister's Sookmyung Women's University, Seoul, June 1994.
  27. W.M. Reynolds, "Suicidal Ideation Questionnaire (SIQ): Professional Manual". Odessa, FL: Psychological Assessment Resources, 1987.
  28. S.O. Choi, S.N. Kim, "Suicidal Ideation and Spirituality of College Students", The Journal of Korean Academic Society of Nursing Education, Vol. 17, No. 2, pp. 190-199, August 2011. https://doi.org/10.5977/JKASNE.2011.17.2.190
  29. R.M. Baron, D.A. Kenny, "The Moderator-Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic and Statistical Consideration", Journal of Personality and Social Psychology, Vol. 51, No. 6, pp. 1173-1182, July 1986. DOI:10.1037/0022-3514.51.6. 1173
  30. S.Y. Jang, "Influence of Stress and Resilience on Student Adjustment to College Life in Senior Nursing Students", The Journal of Fisheries and Marine Sciences Education, Vol. 30, No. 3, p . 1075-1088, May 2018. DOI:10.13000/JFMSE.2018.06.30.3.1075
  31. H.Y. Jung, K.S. Lee, "A Study on the Stress, Self-Esteem, Mental-Health and Suicidal-Ideation in Nursing Students", The Journal of Korean clinical health science, Vol. 3, No. 2, pp. 328-339, June 2015. DOI:10.15205/kschs.2015.3.2.328
  32. G.W. Lee, I.O. Moon, S.K. Park, "The Relationship between Social Support, College Adjustment and Academic Adjustment among Nursing Students", The Journal of Korean Society for School Health Education, Vol. 14, No. 2, pp. 15-27, August 2013.
  33. S.R. Kim, "The Relationship among Parental Attachment, Perceived Social Support and Students Adjustment to College Life". Master's thesis, Sookmyung Women's University, Seoul, December 2003.
  34. K.H. Park, "Development of a Structural Equation Model to estimate University Students' Depression", Journal of Korean academy of nursing, Vol. 38, No. 6, pp. 779-778, December 2008.
  35. E.H. Hwang, K.H. Kim, S.J. Shin, "The Effect of Life Stress, Sleep Quality, and Depression on Suicidal Ideation among Nursing Students", Korean society for Wellness, Vol. 11, No. 3, pp. 239-248, August 2016.DOI:10.21097/ksw.2016.08.11.3.239
  36. L.C. Konick, P.M. Gutierrez, "Testing a Model of Suicide Ideation in College Students", Suicide & Life-Threatening Behavior, Vol. 35, No. 2, pp. 181-192, January 2005. DOI:10.1521/suli.35.2.181.62875
  37. V.K. Mathur, D.G. Freeman, "A theoretical model of adolescent suicide and some evidence from US data", Health Economics, Vol. 11, No. 8, pp. 695-708, April 2002. DOI:10.1002/hec.704
  38. K. Glanz, B.K. Rimer, K. Viswanath, "Health behavior and health education: Theory, research, and practice", 4th ed. Sanfrancisco, CA, Jossey-Bass, pp. 189-210, February 2008.
  39. M.Y.Han, M.J. Kim, Y.S. Kim, "Relationship between Stress, Social Support, Resilience, Happiness Index in Nursing College Students", Journal of Wholistic Nursing Science, Vol. 8, pp. 175-188, October 2015.