• 기본간호학회지
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• 제17권2호
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• pp.159-168
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• 2010

Purpose: The purpose of this study was to identify the effects of 12 weeks of Tai Chi exercise on physical function, stress and depression in middle aged women with osteoarthritis. Method: The research design was a nonequivalent control group pretest-posttest design. Forty two participants were assigned to either the experimental group (21) or control group (21). Frequency, percentages, mean, standard deviations, $X^2$-test, Wilcoxon rank sum test and repeated measured ANOVA with SPSS 12.0/PC program were used to analyzed the collected data. Results: For physical function the physical fitness of the experimental group improved significantly more than the control group: Leg strength, balance, flexibility and grip strength. Difficulty of performing activity had a tendency of decrease. Stress showed a tendency of as time passed but the decrease was not significant. Depression decreased and the change was significant. Conclusion: The Tai Chi exercise was effective in improving physical function and reducing the stress and depression of middle aged women with osteoarthritis. Therefore the Tai Chi exercise could be used as a nursing intervention for osteoarthritis in middle aged women.

• 성인간호학회지
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• 제18권3호
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• pp.446-456
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• 2006

Purpose: The purpose of this study is to provide basic data for nursing programs in order to reduce depression among middle aged adults by looking at gender differences. Method: A comparative descriptive design was used. Subjects were 315 adults from February. 15 to March. 2, 2005, using a structured questionnaire. The data was analyzed using $\chi^{2}$-test, Pearson correlation analysis and stepwise multiple regression. Results: $\chi^{2}$-test revealed significant gender differences in socio-demographic variables for career, drinking, smoking, and satisfaction with the spouse. The factors that influenced depression for men were stress, fatigue, job satisfaction and self-efficacy. For women, those factors were stress, family support, coping skills, and well-being. Conclusions: The results show that gender differences existed in terms of depressions, in terms of factors influencing depression. As a result, when middle aged adults are provided nursing programs, gender differences should be considered. To decrease the depression of men, nursing interventions are needed to decrease their stress and fatigue, and to improve their job satisfaction and self- efficacy. To decrease the depression of women, it is also needed to decrease their stress, to elevate their family support and coping skills, and to support them so that their well-being is perceived good.

• 여성건강간호학회지
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• 제6권3호
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• pp.383-397
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• 2000

This study of purpose was to define the relationship between the stress and climacteric symptoms of middle-aged women in order to provide basic data for the development of women's health care program as nursing intervention. The research tools used were a Soon-Young Park's stress questionnaire (4 points scale) and a self diagnostic MENSI scale (3 points scale) developed by a research team of Ill-Yang Pharmacy Co. This research was conducted in Korea in Muan-Gun. Chonnam province, from 22th November to 20th December 1999. The research used a survey design. Seven hundred eleven healthy middle-aged women, aged 40 to 64, and were a convenience sample by stratified ratio using the matching fixed residential and aging blocks. The data were analyzed by GLM. Pearson correlation coefficient and Scheffe test using SAS/ PC+. The results were summarized as follows : 1. The percentage of psychological stress with the following items was: fatigue and enervation, 70.0%; nervous, 61.8%; weakness, 58.5%; The percentage of physical stress with the following items were ; fatigue of eye. 82.3%; backache, 78.0%; headache, 73.8%. 2. The level of psychological stress was 40% of below average level (0-5 points), 31.7 of average level (6-12points), 20.8% of precaution level (13-19 points), and 7.5% of warning level (over 20points). The level of physical stress were 20.1% of below average level (0-5 points), 34.8 of average level (6-12 points), 29.4 of precaution level (13-19 points), and 15.7% of warning level (over 20 points). There were higher physical stress level than psychological stress level of the subjects. 3. The percentage of climacteric symptoms with the following items were : numbness, 75.3%; forgetfulness, 71.0%; pain of joints, 71.0%. The level of climacteric symptoms were 61.8% of mild level 1(10-15 points), 33.0% of moderate level (16-30 points), 5.2% of severe level (over 31 points). 4. There were high positive correlations significantly between the climacteric symptoms and the psychological stress (r=.564. P<0.000), and between the climacteric symptoms and the physical stress of the subjects(r=.678, P<0.000). 5. There were significant differences in the climacteric symptoms of the subjects among below average level, average level, precaution level, and warning level of the psychological stress (F=74.108. P<0.000. Scheffe test). 6. There were significant differences in the climacteric symptoms of the subjects among below average level, average level and precaution level, and warning level of the physical stress ((F=128.181, P<0.000, Scheffe test). In summary, climacteric symptoms complained by middle-aged women are high positive correlated to the level of the stress. Also climacteric symptoms were affected by stress.

• 대한간호학회지
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• 제35권2호
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• pp.239-251
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• 2005

Purpose: This study was designed to construct a structural model for explaining mental health status in middle - aged women. Methods: The data was collected by self - reported questionnaires from 206 middle - aged women in Seoul. Data analysis was done with the SAS pc program for descriptive statistics and a PC - LISREL Program for finding the best fit model which assumes causal relationships among variables. Results: The overall fit of the hypothetical model to the data was good, but paths and variables of the model were modified by considering theoretical implications and statistical significances of parameter estimates. Thus it was modified by excluding 3 paths, The modified model showed was good fit to the data($x^2=177.55$, p=.00), GFI=0.908, AGFI=0.860, RMR=0.013, NFI=0.972, NNFI=0.982). Perceived stress, anger expression method, and self -esteem were found to have direct effects on mental health status in middle - aged women. These predictive variables of mental health status explained $66.6\%$ of the model. Conclusion: Programs to enhance mental health status in middle - aged women should include stress management skill, anger expression skill, and self -esteem enhancement skills to be effective.

• 한국가족관계학회지
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• 제22권1호
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• pp.3-22
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• 2017

Objectives: The purpose of this study was to identify the mediating effects of family resilience and depression in a relation between family stress and psychological well-being among middle-aged. Method: The subjects were 409 of men and women between 40 to 59 living in D and G province. They completed the questionnaire on family stress, family resilience, depression, and psychological well-being. Correlation and structural equation models of SPSS 23.0 and AMOS 22.0 were used to examine the relations between the variables. Results: The results are as follows. First, family stress had no significant effect on psychological well-being of middle age men and women, while it directly influenced on family resilience and depression. Second, family resilience and depression had direct influence on psychological well-being. Third, there were significant mediating effects of family resilience and depression in a relationship between family stress and psychological well-being. Conclusions: Family stress has an indirect effect on psychological well-being among middle age men and women mediated by family resilience and depression. The result suggest that psychological well-being influenced by family stress can be improved by enhancing Family Resilience and reducing Depression.

• 디지털융복합연구
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• 제17권5호
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• pp.267-277
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• 2019

본 연구의 목적은 청소년 자녀를 둔 중년 여성의 양육스트레스와 외상 후 성장에 대해 파악하기 위한 서술적 조사연구이다. 자료수집은 청소년 양육 스트레스를 경험한 중년 여성 197명을 대상으로 2018년 9월 1일부터 2018년 9월 30일까지 실시하였다. 자료는 SPSS/WIN 28.0으로 Independent samples t-test, One-way ANOVA, Pearson correlation coefficient로 분석하였다. 연구결과 청소년 자녀 양육스트레스는 비교적 높은 수준이었으나 외상 후 성장은 낮은 수준이었다. 또한 청소년 자녀 양육스트레스와 외상 후 성장은 유의한 음의 상관관계를 보였다. 이러한 연구결과들은 반복연구를 통해 향후 중년 여성의 양육스트레스 감소와 외상 후 성장을 돕기 위한 중재프로그램의 개발과 적용에 중요한 기초자료가 될 것으로 사료된다.

• 대한간호학회지
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• 제42권5호
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• pp.709-718
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• 2012

Purpose: This study was done to examine the effects of aroma self-foot reflexology massage on stress and immune responses and fatigue in middle-aged women in rural areas. Methods: The study was a nonequivalent control group pre-post test design. The participants were 52 middle-aged women from rural areas of which 26 were assigned to the experimental group and 26 to the control group. Data were collected from July to September, 2011 and analyzed using SPSS Win 17.0 version program. The intervention was conducted 3 times a week for six weeks. Results: There were significant differences in reported perceived stress, systolic blood pressure, diastolic blood pressure and fatigue between the two groups. However, the issue of salivary cortisol and immune response were not significant. Conclusion: Aroma self-foot reflexology massage can be utilized as an effective intervention for perceived stress, systolic blood pressure, diastolic blood pressure and fatigue in middle-aged woman in rural areas.

• 여성건강간호학회지
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• 제7권4호
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• pp.486-498
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• 2001

The purpose of this study was to identify transition conditions, health behavior and indicators of healthy transitions among middle-aged women based on Schumacher & Meleis(1994) transition model for developing intervention program for their health promotion. A convenience sample of 221 women aged 40-60 was obtained in Jung-Gu, Seoul and they were asked to complete the questionnaires, which consisted of modified health-promoting lifestyle profile(HPLP), knowledge of menopause, physical well-being, emotional well-being, modified women's role integration protocol (WRIP), Beck's Depression Inventory(BDI), and indicators of healthy transition with subcategories such as subjective well-being, role mastery and well-being of interrelationship. The results were as follows: 1. Women had a mean age of 47.53 years. More than half(53.39%) of the women had jobs and 88.69 % had their spouses, Of 221 women, 51.13 % were premenopausal, 19.91% were perimenopausal, and 28.96% were postmenopausal. 2. Women scored lower on health responsibility and exercise than on self actualization, nutrition and interpersonal support among subcategories of health behavior measured the modified HPLP. Only 11.98% of respondents had breast-self examination and 42.66% had pap smear for screening cancer. 3. In transition conditions, women had poor knowledge about menopause and median level of physical well-being, emotional well-being and stress. 15.45% of the women had clinical depression. 4. As for the outcome index of the transition model, the mean of indicators of healthy transition was 3.69(possible range 1-5). 5. The levels of education and economic and the menstrual status were significantly related to physical well-being, depression and stress in the categories of transition conditions. The total score of health behavior correlated negatively with depression. The total score of indicators of healthy transition correlated with physical well-being, emotional well-being, stress, and depression in the categories of transition conditions. In conclusion, these findings suggested a profile of fragile middle-aged women and contributed to developing the community-based intervention program for health promotion.

• 한국산학기술학회논문지
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• 제19권8호
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• pp.524-534
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• 2018

본 연구의 목적은 중년기여성들이 겪는 스트레스와 그에 대한 대처방식 간의 상관관계를 파악하고 적극적인 대처방식의 촉진을 위한 개입 변인들을 제시하는 데에 있다. 본 연구의 대상은 S 지역에 거주하고 있는 중년기여성 만 35세~59세 400명 이였으며 결과는 다음과 같다. 첫째, 중년기여성의 스트레스, 자아방어기제, 스트레스 대처방식의 관계는 첫 번째, 역할스트레스는 적응적 방어기제를 제외한 미성숙 방어기제, 자기억제적 방어기제, 갈등회피적 방어기제와 정적 상관관계가 있는 것으로 나타났다. 두 번째, 스트레스 대처방식 중 문제중심 대처는 역할스트레스 및 일상스트레스와 유의한 부적상관이 있는 것으로 확인되었다. 세 번째, 미성숙 방어기제의 경우에는 문제중심대처와는 유의한 부적 상관을 나타낸 반면, 정서중심대처 및 소망추구적 사고와는 유의한 정적 상관을 보이는 것으로 나타났다. 둘째, 자아방어기제 유형 중 중년기여성의 스트레스와 스트레스 대처방식의 관계에서 조절효과는 적응적 방어기제가 문제중심적 대처방식, 정서중심적 대처방식, 소망추구적 사고 대처에서는 조절효과가 있음이 확인 되었으나, 사회지지적 대처방식에는 조절효과가 없음으로 나타났다. 따라서 본연구의 결과는 중년기여성의 스트레스 완화에 자아방어기제의 조절효과를 밝혔다는데 의의가 있다.

• 가정과삶의질연구
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• 제14권2호
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• pp.19-34
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• 1996

This study was designed to investigate the quality of life among middle-aged men and women in Seoul. The primary purposes were to describe perceived life quality of the middle-aged and to examine the relationship among the selected variables. The data for this study were collected utilizing multistage area random sampling method 524 respondents were analyzed using SPSS PC+ statistical package. The major findings are as follows: 1. The level of life quality perceived by middle-aged was 4.7 out of 7 and relatively normally distributed. 2. The quality of life of middle-aged were differed by occupation family income amount of saving home ownership religion and residence. 3. The correlates of life quality were family life satisfaction job satisfaction financial satisfaction health satisfaction leisure satisfaction and stress. 4. Among the variables family life satisfaction was the strongest predictor variable. Thirty six percent of the total variances were explained by family life atisfaction job satisfaction stress health satisfaction and financial satisfaction.