The Effect of Depression on Quality of Life in Patients with Parkinson's Disease: Mediating Effect of Family Function

Purpose@#The purpose of this study is to explore the roles and function of family in mediating the relationship between depression and quality of life of patients with Parkinson’s disease (PD). Most studies have found that depression is particularly common in patients with PD and further associated with poor quality of life. Family function, as a mediator, is based on a strength orientation perspective that emphasizes not only their responsibilities and risks but also recuperative powers and growth potential. @*Methods@#Overall 157 adults with idiopathic Parkinson’s disease were enrolled in this study via outpatient clinic and completed a set of assessment to measure depression using BDI, family APGAR questionnaire, and patients’ quality of life using PDQ-8. Hierarchical multiple regression analysis was conducted to examine the mediating role of family APGAR score in the relationship between BDI and PDQ-8. @*Results@#Patients' depression, gait disturbance, duration of illness, and family function were statistically significant on quality of life. These factors accounted for 60% of the variance in quality of life. Family function has a partial mediating effect on the relationship between depression and quality of life. @*Conclusion@#Findings from the study suggest that although PD patients' depression impacts their quality of life, by having strong family function, the extent to which depression impacts the quality of life can be favorably mitigated. Additionally, these outcomes have important implications for future model development regarding PD patients.

Mediating effects of academic self-efficacy in the relationship between academic stress and sleep quality among academic high school students / 한국간호교육학회지

Purpose@#This study aimed to confirm mediating effects of academic self-efficacy in the relationship between academic stress and sleep quality among academic high school students. @*Methods@#The participants included 195 academic high school students who were attending a private educational institution in the Gwangju or Pusan metropolitan city. Data were collected from September 1 to September 30, 2019. The data were analyzed using PROCESS macro SPSS/WIN 3.2 and bootstrapping was used to test the mediating effects. @*Results@#There were significant relationships between sleep quality and academic stress (r=-.55, p<.001), sleep quality and academic self-efficacy (r=.35, p<.001), and academic stress and academic self-efficacy (r=-.16, p<.020). Academic self-efficacy showed partial mediating effects in the relationship between academic stress and sleep quality. @*Conclusion@#These findings suggest that the development of a program that improves the academic self-efficacy of academic high school students who are experiencing academic stress is a way to improve the quality of their sleep.

The Mediating Effect of Sleep Quality in the Relationship between Academic Stress and Social Network Service Addiction Tendency among Adolescents

Purpose@#The purpose of this study is to examine the mediating effect of sleep quality in the relationship between academic stress and social network service (SNS) addiction tendency among adolescents. @*Methods@#The participants were composed of 204 high school students who were enrolled at private schools in Incheon metropolitan city.Data were collected from August 16 to September 10, 2019. The collected data were analyzed using a regression analysis, and SPSS Process Macro was used to test the mediating effect. Results: The direct effect of academic stress on SNS addiction tendency and the indirect effect of academic stress mediated with sleep quality about SNS addiction tendency were statistically significant. @*Conclusion@#These findings suggest that positive intervention for academic stress and effective intervention program enhancing sleep quality should be provided for adolescents in order to prevent SNS addiction.

Mediating Effects of Acculturative Stress in the Relationship between Satisfaction with Life, Career Identity and Depression among Vietnamese Students

Purpose@#The purpose of this study is to examine the mediating effect of acculturative stress on the impact of satisfaction with life and career identity on depression among the Vietnamese students enrolled in a language course in Korea. @*Methods@#A questionnaire survey was conducted to get answers of 225 Vietnamese students enrolled in the language course in a college in Busan. Data were collected from November to December 2018. The Data were analyzed with descriptive statistics, Pearson's correlation coefficients and path analysis using SPSS/WIN 20.0 and Amos 18.0 program. @*Results@#Acculturative stress was affected by satisfaction with life (β=−.43, p<.001) and career identity (β=−.45, p<.001). Furthermore, depression was affected by acculturative stress (β=.49, p<.001) and career identity (β=−.25, p<.001), but depression was not affected by the satisfaction with life (β=−.15, p=.029). The mediating effect of acculturative stress between two exogenous variables(satisfaction with life and career identity) and depression was proved. @*Conclusion@#The result of this study suggests that it is necessary to develop an intervention program to reduce the acculturative stress and depression of Vietnamese students enrolled in the language course.

The Mediating Effect of Sleep Quality in the Relationship between Academic Stress and Social Network Service Addiction Tendency among Adolescents

Purpose@#The purpose of this study is to examine the mediating effect of sleep quality in the relationship between academic stress and social network service (SNS) addiction tendency among adolescents. @*Methods@#The participants were composed of 204 high school students who were enrolled at private schools in Incheon metropolitan city.Data were collected from August 16 to September 10, 2019. The collected data were analyzed using a regression analysis, and SPSS Process Macro was used to test the mediating effect. Results: The direct effect of academic stress on SNS addiction tendency and the indirect effect of academic stress mediated with sleep quality about SNS addiction tendency were statistically significant. @*Conclusion@#These findings suggest that positive intervention for academic stress and effective intervention program enhancing sleep quality should be provided for adolescents in order to prevent SNS addiction.

Mediating Effects of Acculturative Stress in the Relationship between Satisfaction with Life, Career Identity and Depression among Vietnamese Students

Purpose@#The purpose of this study is to examine the mediating effect of acculturative stress on the impact of satisfaction with life and career identity on depression among the Vietnamese students enrolled in a language course in Korea. @*Methods@#A questionnaire survey was conducted to get answers of 225 Vietnamese students enrolled in the language course in a college in Busan. Data were collected from November to December 2018. The Data were analyzed with descriptive statistics, Pearson's correlation coefficients and path analysis using SPSS/WIN 20.0 and Amos 18.0 program. @*Results@#Acculturative stress was affected by satisfaction with life (β=−.43, p<.001) and career identity (β=−.45, p<.001). Furthermore, depression was affected by acculturative stress (β=.49, p<.001) and career identity (β=−.25, p<.001), but depression was not affected by the satisfaction with life (β=−.15, p=.029). The mediating effect of acculturative stress between two exogenous variables(satisfaction with life and career identity) and depression was proved. @*Conclusion@#The result of this study suggests that it is necessary to develop an intervention program to reduce the acculturative stress and depression of Vietnamese students enrolled in the language course.

Developing a Computerized Reminder System and Evaluating the Effects on the Improvemtent of Cancer Screening / 간호학회지

PURPOSE: This study was aimed to develop a computerized reminder system and evaluate it's effect in terms of percent age change of screening, and satisfaction. METHOD: It was conducted through 6 phases : Analyzing the job and defining the basic input data, developing the information system, collecting and inputting data, testing the system, working with the system, and evaluating it's effect. Participants were 787 people (female 30-69 years, and males 40-49 years) in 2 dong of Suyoung gu, Busan, who haven't had cancer screening for the stomach, breast, or cervix since Dec. 2000. There were three experimental groups: a letter; calling and calling after the letter reminder, and a non-equivalent control group. To determine whether services were obtained, a telephone survey was done after two months of follow-up. RESULT: A cancer screening information system with five DB modules was develped. Overall compliance with screening was not statistically significantly changedbefore and after applying computerized reminders for all three screening sites. Only 16% were satisfied with the reminder. CONCLUSION: This data didn't show that a reminder effort was effective of screening. However, because the evaluation interval was too short to find a difference in screening rate, we recommend additional longer prospective follow up studies.

Related Factors to Screening or Repeat Screening for Cervical and Breast Cancer among Women / 여성건강간호학회지

The importance of screening or repeat screening for cervical and breast cancer is well known to decrease the chance of death from cancer. Few data is avaliable regarding factors associated with participation in cervical and breast cancer screening and repeat screening examinations. This study was to investigate the associations of demographic factors, health status and cancer risk recognition, attitude to cancer screening, health behaviors, and inhibiting or facilitating factors to cervical and breast cancer screening with participation in the screening tests. Data was collected with self-administrated questionnaires from 342 women, aged 40 to 69 years. The cancer screenings were classified into have had or never groups and repeat or not repeated groups. In the case of cervical and breast cancer screening, the have had group was 90 (26.3%), and 82 (24.0%) and the repeat group was 17 (5.0%), and 13 (3.8%) respectively. According to logistic regression analysis, age ( or =60 : OR=3.25, 95% CI=1.27-8.26), breast cancer screening (Do vs Don't : OR=14.49, 95% CI=7.46-27.78) and other person's cancer (Yes vs No : OR=4.27, 95% CI=1.01-18.05) were statistically significantly associated with participation in screening for cervical cancer. Regular exercise (Do vs Don't : OR=2.76, 95% CI=1.30-5.88) and cervical cancer screening (Do vs Don't : OR=13.70, 95% CI=7.09-26.32) were statistically significantly related to participation in screening for breast cancer.

The Relationship Between Hardiness and Self-Care Agency of Persons with a Colostomy / 재활간호학회지

This study examined the relationship between the level of hardiness and self-care agency of persons with a colostomy. The purpose of the study was to explore the effect of hardiness on self-care agency of persons with a colostomy and to identity factors influencing on. The ultimate goal was to help nurses improve the person's self-care agency and to contribute theoretical base for the planning of supportive nursing interventions to increase the level of self care. The subjects for the study consisted of 43 persons aged above eighteen below seventy had had Miles operationand permanent colostomy. The data were collected from July. 1998 to September 15. 1998. The instruments used for this study were the Health-Related Hardiness (Pollock, 1984) and the Self-carer As Inventory Scale(Genden & Taylor. 1988). The Self-Carer As Inventory translated by So Hyang-sook and was modified by author of this study. The data were analysed by using SAS computerlized program and included number, percentage, t-test, ANOVA and Pearson Correlation Coefficient. The results of the study are summarized as follows. 1. Hardiness was significantly related to Self care agency(r=-0.531. p=00002). That is, the higher the hardiness. the higher the level of Self-care agency. 2. In the relationship between general characteristics and traits of persons with a colostomy and hardiness were significant difference in monthly income (F=2.79. p=0.03). problem in stoma management (F=3.29. p=0.01). 3. In the relationship between general characteristics and traits of persons with a colostomy and Self-care agency were significant difference in monthly income (F=2.93. p=0.03), problem in stoma management(F=2.93, p=0.01). Therefore, in order to increase the level of Self-care agency of ostomate Nurses should be helpful to provide them with hardiness training to strengthen their control, commitment and challenge(subconcepts of hardiness).

The propensity to depression and anxiety in children

BACKGROUND: The goals of this study are to investigate the propensity to depression and anxiety in children, and also, to investigate its relationship to the family structure, their life events, and school achievement. We have attempted to aid the continuous and comprehensive management of children with depression and anxiety in a field of family practice. METHODS: A group of 797 boys and girls in 5th and 6th were selected grades a elementary school in their, In the area of ll-san and In-cheon city in August, 1997. Making use of the Kovacs' Children's Depression Inventory(CDI, 1977) and the Spielberger's State-Trait Anxiety Inventory for Children(STAIC, 1973), we investigated the propensity to depression and anxiety by self-rating. At the same time, the general characteristics(gender, age, resideuce, family structure), life events(death single parent, divorced family, death of a sibling, family discord between husband), and school achievement were investigated and assessed their relationship. RESULTS: The Children's Depression Inventory score was 11.69, the State Anxiety Inventory score was 31.51, and the Trait Anxiety Inventory score was 31.49. The CDI score were significantly higher in females, sixth year students, residents execpt for those living in an apartment or villa, and low school achievement group(P<0.01, P<0.05), There was no significance between CDI score and age, whether or not a dual-income family, death of a sib, hospitalization within 6 months, and family discord between husband and wife. The STAIC score was significantly higher for old age, female, sixth year students, and low school achieve menu group(P<0.01), and there was no significance between the STAIC score and residence, whether or not a dual-income family, death of a sibling, hospitalization within 6 months, and family discord between husband and wife. CONCLUSIONS: According to our results, there was a significant correlation between gender, school years, school achievement and a propensity to depression and anxiety. Therefore, family physician should be more involved in family intervention and anticipatory guidance upon medical examination and treatment, if he or she has a symptoms of anxiety and depression.