Purpose This study was conducted to investigate the moderating effect of physical activity on the relationship between perceived stress and depression in patients newly diagnosed with ischemic heart disease.
Methods: This study had a cross-sectional design. Data were collected using a structured self-report questionnaire, which covered demographic characteristics, perceived stress, depression, and physical activity. Multiple linear regression was used to determine whether perceived stress and physical activity influenced depression, after controlling for demographic characteristics. The moderating effect of physical activity on the relationship between perceived stress and depression was analyzed using model 1 of the PROCESS macro (bootstrap sample size=5,000).
Results: The findings revealed that the level of depression was higher in women (p=.003), individuals without a spouse (p=.004), and those with an average monthly income of less than 3 million won (p=.045). The regression results showed that perceived stress was associated with a significant increase in the level of depression (β=.53, p<.001), and low physical activity was also a significant predictor of depression (β=.16, p=.013). The moderating effect of physical activity on the relationship between perceived stress and depression was confirmed, indicating that when physical activity was high, the impact of perceived stress on depression was weaker than when physical activity was low (B=-0.37, p=.038).
Conclusion: The findings suggest the need to implement a nursing program that can enhance physical activity and early screening for stress and depression in patients with ischemic heart disease.
PURPOSE The purpose of the study was to evaluate the influence of patient activation on diabetes self-care activities and diabetes-specific distress among patients with type 2 diabetes mellitus. METHODS This cross-sectional correlational study was a secondary data analysis, utilizing data collected from September 2016 to July 2017, for 151 adults diagnosed with type 2 diabetes in ambulatory endocrinology units of two tertiary hospitals in a metropolitan city. The instruments used for data collection included the Summary of Diabetes Self-Care Activities Questionnaire, the Patient Activation Scale, and the Brief Diabetes Distress Screening Instrument. Hierarchical multiple linear regression analyses were conducted to test the influence of patient activation levels on self-care activities and diabetes-specific distress, after controlling for demographic and clinical variables. RESULTS The average patient activation level was 67.8±16.72 (with the possible range from 0 to 100), and the average diabetes-specific distress level was 6.91±2.69 (with the possible range from 2 to 12). Diabetes self-care activities scores were highest in medication adherence and lowest in glucose self-monitoring. Patient activation was the significant factor influencing self-care activities, after controlling for demographic and clinical variables, but showed no significant influence on diabetes-specific distress. Oral hypoglycemic agents and insulin medications were the significant factors influencing diabetes-specific distress. CONCLUSION These findings indicate the importance of nursing interventions to improve patient activation and to alleviate diabetes-specific distress. Therefore, in order to improve diabetes self-care activities, it is necessary to facilitate patient activation for diabetes care.
Citations
Citations to this article as recorded by
Diabetes self‐care activities and its correlates in patients with diabetic neuropathy Younhee Kang, Inkyung Park Journal of Clinical Nursing.2025; 34(6): 2163. CrossRef
Relationship between Person-Centered Climate and Patient Satisfaction in Cancer Patients: The Mediating Effects of Patient Activation and Nurse Trust Hyun Jin Jung, Seon Hwa Park, Jung Hwa Jo, Hyun Jo Youn, A Ram Kim, Da Hye Lee, Mi Sun Park Asian Oncology Nursing.2024; 24(1): 21. CrossRef
Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes Young-Eun Yi, Hyun-Ju Lee Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179. CrossRef
Patient Activation in Cancer Patients: Concept Analysis Se Young Jang, Eun Sun Lee Korean Journal of Adult Nursing.2024; 36(1): 15. CrossRef
The Mediating Effect of Experiential Avoidance on the Relationship between Diabetes Distress and Self-Stigma in People with Diabetes Mellitus Type 2 in Republic of Korea Kawoun Seo Healthcare.2023; 11(20): 2773. CrossRef
The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea Hyesun Kim, Kawoun Seo Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446. CrossRef
Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory Mona Choi, Chang Gi Park, Soomin Hong Asian Nursing Research.2022; 16(4): 187. CrossRef
Effects of Symptoms and Patient Activation on Sleep Disturbance in Patients with Acute Leukemia Undergoing Chemotherapy Suna Lee, Eunjung Ryu Asian Oncology Nursing.2021; 21(3): 173. CrossRef
PURPOSE This study aimed to examine the relationship between illness perception, stress, and sleep, focusing on the influence of illness perception on the quality of sleep through the mediating effect of stress in patients with metabolic syndrome risk factors. METHODS A cross-sectional correlational study was conducted with 219 patients with two metabolic syndrome risk factors. Participants were recruited from outpatient clinics in Daegu and Gyeongbuk between June and July 2016. Data were collected using a self-administered structured questionnaire that included items from the Brief Illness Perception Scale, the Perceived Stress Inventory, and the Pittsburgh Sleep Quality Index. Pearson's correlation coefficient, independent t-test, one-way ANOVA, multiple linear regression analysis, and a SPSS macro bootstrap approach were performed. RESULTS There were significant correlations between illness perception and sleep (r=.42, p<.001) and between stress and sleep (r=.49, p<.001). Illness perception was a significant predictor of stress (t=7.99, p<.001) and sleep (t=5.83, p<.001) after adjusting for the influence of age, gender, job status, and body mass index. A mediating effect of stress on the relationship between illness perception and sleep was demonstrated by Baron and Kenny's approach (Z=4.57, p<.001) and the PROCESS macro for SPSS (95% confidence interval=0.04~0.13). CONCLUSION This study suggests that the negative impact of illness perception on sleep can be reduced by regulating stress. Further, it is necessary to develop intervention programs that can reduce stress linked to the illness perception among patients with metabolic syndrome risk factors.
Citations
Citations to this article as recorded by
Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study Eun-Hee Lee, Dongwon Choi Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 494. CrossRef
Illness perception and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention in Iran Aysan Thagizadeh, Akram Ghahramanian, Vahid Zamanzadeh, Naser Aslanabadi, Tonia C. Onyeka, Nargess Ramazanzadeh BMC Cardiovascular Disorders.2022;[Epub] CrossRef
PURPOSE This study sought to examine the relationships among patient's stress, pain, and nursing needs in the recovery room after surgery that was performed under general anaesthesia. METHODS Participants were adult patients aged 20 to 64 years who underwent surgery under general anesthesia from February 5, 2018 to March 9, 2018. A survey was conducted to evaluate the participants' general demographics, stress, pain and recovery room nursing needs at a Post Anesthesia Care Unit (PACU). A total of 145 patients receiving operational treatment in Daejin Medical Center at Gyeonggi-do were recruited. Collected data were analyzed in terms of percentage, frequency, independent t-test, one-way ANOVA, and Pearson's correlation coefficient using SPSS/WIN 23.0 program. RESULTS Among the PACU nursing needs environmental and educational nursing needs were the highest. In addition, patients with underlying diseases experienced more post-operational stress and had fewer educational nursing needs in the recovery room. Therefore, Aggressive pain management and emotional recovery room nursing needs should be provided in the PACU. CONCLUSION It is necessary to build a comfortable environment for the patient as well as protect patients from infection and guarantee their privacy. In order to reduce patients' stress, educational nursing needs in the recovery room should be provided before an operation.
Citations
Citations to this article as recorded by
Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit Yul Ha Lee, Hye-Ja Park Journal of Health Informatics and Statistics.2023; 48(3): 267. CrossRef
PURPOSE To provide basic data for the health management of adults with prolonged fatigue, demographic characteristics, stress, sleep quality, and metabolic syndrome were compared between groups with and without prolonged fatigue. METHODS Data of 370 adults (197 with Prolonged Fatigue [PF] and 173 without PF) from the 2014~2016 database of Korea Medicine Data Center were used. Fatigue, stress and sleep quality were measured with the revised Chalder Fatigue Scale, Psychosocial Well-being Index-Short Form, and Pittsburgh Sleep Quality Index, respectively. Metabolic syndrome was diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III criteria. RESULTS First, regarding demographic characteristics, there were significant differences in occupation, smoking, and Body Mass Index (BMI) between groups with and without PF. More of the participants with PF than those without PF were employed, and smokers. They were also more likely to be obese than the participants in the group without PF. Second, there were significant differences between the groups in terms of stress and sleep quality; the participants with PF showed higher stress and lower sleep quality than those without PF. Finally, the prevalence of metabolic syndrome was found to be higher in the participants with PF than those without PF. CONCLUSION Considering the characteristics of the participants with PF, it is necessary to develop nursing programs to improve stress, sleep quality, and metabolic syndrome to reduce fatigue. These kinds of nursing programs are particularly necessary for people who are smokers, obese and employed.
Citations
Citations to this article as recorded by
Effects of Varying Caffeine Dosages and Consumption Timings on Cerebral Vascular and Cognitive Functions: A Diagnostic Ultrasound Study Min-Ki Choi, Hee-Seul Ahn, Da-Eun Kim, Da-Seul Lee, Chan-Sol Park, Chang-Ki Kang Applied Sciences.2025; 15(4): 1703. CrossRef
Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study Kyeha Kim, Jihyun Oh Medicine.2023; 102(50): e36549. CrossRef
A Study on the Relationship between Fatigue, Psychosocial Stress, and Behavior that Reduces Endocrine Disrupting Chemicals Exposure in Infertile Males Sung Ju Kim, So Young Choi Journal of The Korean Society of Maternal and Child Health.2021; 25(3): 211. CrossRef
E-SUBMISSION
First
Prev
