Purpose This study aimed to compare the lifestyle, self-rated health, and mental health of breast cancer survivors with those of the healthy people through a propensity-matched comparison, and identify factors affecting the mental health of breast cancer survivors.
Methods This study was a secondary analysis that used data from the Korea National Health and Nutrition Examination Survey (KNHANES), from 2015 to 2020. It included 47,118 participants, of which 134 breast cancer survivors and 268 healthy people were separated and analysed by 1:2 Propensity Score Matching (PSM), and complex sample logistic regression analysis was performed using SPSS and R programs.
Results Statistically significant differences were found in smoking rate, walking exercise rate, cancer screening rate, daily energy intake, and self-rated health between breast cancer survivors and healthy groups. After PSM, there were significant differences in the ratio of perceived stress, suicide plan, suicide attempts, and mental health counseling experiences between the healthy group and breast cancer survivors. As compared to the healthy group, breast cancer survivors had a significantly higher risk of mental health issues by 2.19 times. Self-rated health, household income, and number of household members were significant influencing factors affecting the mental health of breast cancer survivors.
Conclusion This study provides evidence of an increased mental health risk in breast cancer survivors compared with healthy women with no cancer. Mental health outcomes, such as stress, sleep disturbance, and suicidal ideation, have been reported post cancer treatment. Counselling and management strategies would be helpful for breast cancer survivors.
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Purpose This concept analysis was performed to clarify “stress in hemodialysis patients”. Methods: Walker and Avant’s methodology guided the analysis. In addition, the concept was compared with stress from other perspectives. Results: Stress in hemodialysis patients was defined in terms of “Physical”, “Psychological”, “Social ‧ Economic”, and “Behavioral” dimensions. Stress in hemodialysis patients is preceded by kidney failure, fear of treatment, and uncertainty about prognosis, after which there is often negative coping such as non-compliance with treatment, or positive coping such as maintaining the status quo, relying on medical staff, conforming to treatment, and self-management. Conclusion: It is necessary to develop a stress intervention program suitable for hemodialysis patients and a tool to identify the concept of stress in hemodialysis patients suitable for domestic situations, as well as conduct further research to identify its influencing factors.
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Purpose This study aimed to obtain insights into the meaning and nature of the lived experiences of environmental health behavior among pregnant women.
Methods: The hermeneutic phenomenology framework developed by Max van Manen informed this study, which included 17 pregnant women as participants. Data were collected using in-depth interviews of the participants between July and September 2020.
Results: The key themes identified were: “fear of health threats to the mother and baby”, “patience with inconveniences for fetal health”, “movement for the environment”, and “generativity embodied from pregnancy”. Participants expressed that they had deeper experiences with regard to their environmental health behavior during pregnancy than they did before, and recognized that communal environmental behaviors impact future environmental pollution. They had a negative perspective towards environmental pollution involving plastics and chemicals, and wanted to protect their children's health by making the best possible behavioral choices.
Conclusion: This study revealed the meanings of environmental health perceptions and behavioral experiences in the participants' sociocultural context. These findings have implications for health care providers' prenatal care practices that focus on environmental health from an ecological perspective.
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Purpose The purpose of this study is to explore the benefits of and barriers to disclosing one’s depressive feelings to others. In particular, this study contrasts the barriers to face-to-face communication of depressive feelings with the benefits of using Mobile Instant Messaging (MIM).
Methods: A total of 300 South Koreans participated in an online survey about their perceptions of disclosing depressive feelings. Paired t-tests, one-way ANOVA, and linear regression were used to examine the effect of demographic characteristics on the tendency to disclose depressive feelings. A semantic network analysis was conducted with open-ended responses to explore the proposed barriers and benefits.
Results: Barriers to expressing depressive feelings in face-to-face communication were observed, while benefits of using MIM were revealed. More importantly, while the perception of social norms was a major barrier to disclosing depressive feelings in face-to-face communication, it was a benefit of disclosing depressive feelings via MIM.
Conclusion: The results highlight the benefits of utilizing MIM as a channel for the disclosure of depressive feelings, which may, in turn, enhance emotional well-being.
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Purpose The purpose of this study was to examine lifestyle behaviors, mental health, and Health-Related Quality of Life (HRQoL) and identify the effects of lifestyle behaviors and mental health on the HRQoL of cancer survivors and general adults. Methods Secondary data analysis was conducted. The data used in the study were drawn from the Korea National Health and Nutrition Examination Survey VII-2 (January 1, 2017, to December 31, 2017).
A sample of 190 cancer survivors (mean age, 65.12 years; women, 63.7%) and 1,815 general adults (mean age, 52.67 years; women, 52.6%) was used, focusing on demographic characteristics, lifestyle behaviors (including tobacco smoking, alcohol drinking, physical activity, and eating behavior), and mental health (including sleeping hours, stress, and depressive symptoms). Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical stepwise multiple regression were performed to analyze the data. Results The overall mean of HRQoL for all the participants was 0.96±0.08 (0.93±0.11 for cancer survivors and 0.97±0.08 for general adults). For cancer survivors, age, depressive symptoms, and moderate intensity physical activity were associated with HRQoL (adjusted R 2 =.180, p<.001). For general adults, age, education level, economic activity, income level, walking, sodium intake, depressive symptoms, and stress were associated with HRQoL (adjusted R 2 =.165, p<.001). Conclusion Cancer survivors had lower HRQoL than general adults. Differences were found in the factors associated with HRQOL in cancer survivors and general adults. Therefore, customized health programs and policies should be developed and provided for each group to improve their HRQoL.
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PURPOSE To identify the risk factors for suicidal ideation across the life cycle among Korean adults using data from 2015 Korean Psycho-social Anxiety Survey. METHODS The data were statistically analyzed using hierarchical logistic regression analysis. RESULTS The factors associated with suicidal ideation among the young adult group were education level (odds ratio [OR] 1.62, 95% confidence interval [CI] 1.05~2.49), self-esteem (OR 1.19, 95% CI 1.12~1.27), stress (OR 3.26, 95% CI 2.07~5.15), anger control problems (OR 3.58, 95% CI 2.34~5.50), and depression (OR 2.59, 95% CI 1.66~4.04) whereas among the middle-aged adults the factors were education level (OR 1.58, 95% CI 1.12~2.23), existence of a spouse (OR 2.55, 95% CI 1.72~3.78), self-esteem(OR 1.13, 95% CI 1.08~1.18), stress (OR 2.46, 95% CI 1.81~3.33), anger control problems (OR 1.70, 95% CI 1.22~2.36), and depression (OR 2.64, 95% CI 1.91~3.64). Among the older adult group the findings were the existence of a spouse (OR 2.16, 95% CI 1.37~3.39), self-esteem(OR 1.22, 95% CI 1.13~1.32), stress (OR 2.21, 95% CI 1.38~3.54), anxiety (OR 2.42, 95% CI 1.46~4.02), and depression (OR 2.48, 95% CI 1.30~4.72). CONCLUSION The findings suggest that there may be a need for different suicide intervention programs to decrease suicidal ideation across the life cycle.
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PURPOSE This study was to examine the impact of acculturation and social support on the mental health among Korean-American registered nurses. METHODS Data were collected with a convenience sample of 203 Korean-American registered nurses living in New York state and New Jersey state from 8th May to 25th August in 2012. The structured questionnaires measured the degree of acculturation, social support, and mental health. Data analysis was conducted using t-test, ANOVA, Pearson correlation efficient, and Stepwise multiple regression. RESULTS Lower level of integration and higher level of marginalization were associated with the lower mental health. Social support was also positively related to mental health and had mediating effect on the relationship between acculturation and mental health. The five variables, including participants' educational background, work shift, integration, marginalization, and social support were significant to predict the level of mental health among Korean-American registered nurses, accounting for 41% of the variability. CONCLUSION The results imply that higher level of social support and strong identity of both home and host culture will enable Korean-American registered nurses to maintain sound mental health.
PURPOSE This study was to identify the mental health and self-care activities according to perceived stress level in type 2 diabetic patients with metabolic syndrome. METHODS The descriptive survey design was conducted using a convenient sample. One hundred and fifty-two diabetic participants with metabolic syndrome were recruited in a university hospital. The data were analyzed using descriptive statistics, Students' t-test, and ANOVA with SPSS/WIN 12.0. RESULTS The high, moderate, and low stress groups according to perceived stress score consisted of 30.9%, 38.2%, and 30.9%, respectively. Differences of mental health and total self-care activities among the three groups were statistically significant. Depression (F=46.73, p<.001), trait anger (F=5.75, p<.01), and anger expression-in (F=4.60, p<.01) of participants in the high stress group were higher than other groups, whereas the total of self-care activities (F=2.85, p<.05) and exercise (F=3.49, p<.05) were lower than other groups. CONCLUSION This study concluded that type 2 diabetic patients with metabolic syndrome with a high stress level were low in self-care activities along with elevated depression and anger.
PURPOSE This study was performed to examine the frequency of irritable bowel syndrome(IBS), perceived stress, and mental health among community-dwelling women. METHODS This study conducted a survey to collect data on 869 women in Seoul and Gyeonggi-do. The measurements included the Rome III criteria(to diagnose IBS), the Global Assessment Recent Stress(GARS scale to evaluate perceived stress), and symptom check list 90R(SCL-90R to evaluate psychological distress). Data were analyzed using SPSS 15.0 program by frequency, chi-square -tests, t-test, and analysis of variance(ANOVA). RESULTS The frequency of IBS in women was 15.1%. Eighty-six women(65.6%) had mixed constipation and diarrhea subtype of IBS. Compared to the women without IBS, those with IBS reported significantly higher scores on GARS, all subscales of GARS, SCL-90R, all subscales of SCL-90R, and the global severity index(GSI). No significant differences were observed among stress, mental health, and the IBS subtypes. CONCLUSION Nursing interventions targeting women with IBS should be developed in order to reduce the associated stress and psychological distress.
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