Research in Community and Public Health Nursing

Original Articles

Effects of Fatigue and Emotional Labor on Sleep Quality among Apartment Security Guards: Chul-Gyu Kim, Sujeong Jeong, Young Mi Ryu, Seungmi Park, Kyoungmi Moon, Yunjung Kwon, Sun-A Park, Hye Ok Park; Res Community Public Health Nurs. 2023;34(3):205-216. Published online September 27, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00220

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Abstract PDF: Purpose
This study aimed to identify the effects of fatigue and emotional labor on the quality of sleep among apartment security guards.
Methods
A total of 196 apartment security guards working in 10 different regions participated in the study between July and October 2022, completing questionnaire assessing fatigue (physical imbalance, exhaustion, mental fatigue, and nervous system disfunction), emotional labor, and sleep quality. Data were analyzed using descriptive statistics, independent t-test, Mann-Whitney U test, ANOVA including Scheffe’s post hoc, and regression analysis.
Results
183(93.4%) participants were poor sleeper. Regression analysis of the factors influencing sleep quality yielded a significant model (F= 21.56, p<.001) with an explanatory power of 25.0% in the order of fatigue(exhaustion) (β=.28, p<.001), emotional labor (β=.27, p<.001), and subjective economic status (β=.15, p=.017).
Conclusion
It is essential to develop nursing educational programs that reduce exhaustion and emotional labor for improving the quality of sleep.

Burnout, Secondary Traumatic Stress, and Compassion Satisfaction of Military Officers Responding to COVID-19: Seo Young Baek, Sin Woo Hwang; J Korean Acad Community Health Nurs. 2022;33(2):217-227. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.217

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Abstract PDF: Purpose
The purpose of this study was to identify individual and occupational factors influencing burnout, secondary traumatic stress, and compassion satisfaction in military officers who experienced supporting civilians in responding to COVID-19. Methods This descriptive study was conducted on 140 special forces’ military officers who experienced responding to disasters within 3 months. Data were collected through an online survey from September to November 2021. Results The mean scores for burnout, secondary traumatic stress, and compassion satisfaction were 21.67±6.03, 20.54±8.21, and 39.72±8.12 out of 50, respectively. The significant factors that influenced burnout and secondary traumatic stress were ‘higher passive stress copying styles’ (B=0.17, p<.001; B=0.31, p=<.001, respectively) and ‘lower social support (B=-0.11, p=.031; B=-0.10, p=.001, respectively). The compassion satisfaction was more significantly associated with ‘higher self-efficacy’ (B=0.37, p=<.001), ‘higher active stress copying styles’ (B=0.19, p=.006), and ‘education responding to disasters’ (B=2.04, p=.029). Conclusion The results suggest that the strategies to increase social support, self-efficacy, and active stress coping styles should be considered in developing educational programs for military officers responding to disasters to minimize burnout, secondary traumatic stress and to improve compassion satisfaction.

The Mediating Effects of Health Concern and Depression in the Relation between Self-quarantined People’s COVID-19 Stress and Fatigue: Sun Hwa Shin, Eun Hye Lee; J Korean Acad Community Health Nurs. 2022;33(1):43-52. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.43

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Abstract PDF: Purpose
This study was to investigate the mediating effects of health concern and depression on the stress and fatigue of COVID-19 self-quarantine.
Methods
This was a cross-sectional study. A total of 227 people with COVID-19 self-quarantine experience were recruited during May 2021. Participants were invited to complete self-reported questionnaires that measure stress, health concern, depression, fatigue and demographic information. The data obtained were analyzed using multiple regression and dual mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval.
Results
This study analyzed the direct effects of COVID-19 stress on the health concern, depression and fatigue. And COVID-19 stress had indirect effects on their fatigue via health concern and depression. Both health concern and depression had dual mediating effects in the influence of COVID-19 stress on fatigue. In the relationship between COVID-19 stress and fatigue, the mediating effect of depression was significant.
Conclusion
Fatigue due to prolonged COVID-19 can be alleviated by managing stress and mediating health concern and depression, and so therefore active nursing intervention is required.

The Effects of Auricular Acupressure Therapy on Sleep Disorder and Fatigue in Menopausal Women: Eun Jin Ryu, So Eun Choi; J Korean Acad Community Health Nurs. 2020;31(4):447-458. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.447

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2 Citations

Abstract PDF

Purpose
The purpose of this study was to identify the effects of auricular acupressure therapy on sleep disorder and fatigue in menopausal women.
Methods
The study design was a non-equivalent control group pretest-posttest design. The participants were 40~60 years old women, assigned to the experimental group (n=25) or the control group (n=27). Auricular acupressure using vaccaria seeds was administered to the experimental group. The sessions continued for 6 weeks. Outcome measures included Pittsburgh sleep quality index, sleep meter, sleep diary, fatigue assessment instrument, serum cortisol, and serum serotonin.
Results
Menopausal women in the experimental group showed significant increases in deep sleep, light sleep, serotonin level and sleep duration compared with the control group. Also, the experimental group reported decreases in PSQI, sleep latency, awakening time, fatigue and cortisol level compared with the control group.
Conclusion
Results show that auricular acupressure using vaccaria seeds is considered as an effective treatment for sleep disorder and fatigue in menopausal women. We conclude that it can be used as a nursing intervention method proven to reduce sleep disorder and fatigue in menopausal women.

Citations

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The Effects of Auricular Acupressure on Menopausal Symptoms, Stress, and Sleep in Postmenopausal Middle‐Aged Women: A Randomized Single‐Blind Sham‐Controlled Trial
Bomi Kim, Hyojung Park
Journal of Midwifery & Women's Health.2024; 69(1): 41. CrossRef
The Effectiveness of Cognitive Behavioral Therapy on Depression and Sleep Problems for Climacteric Women: A Systematic Review and Meta-Analysis
Ji-Hyun Kim, Hea-Jin Yu
Journal of Clinical Medicine.2024; 13(2): 412. CrossRef

The Effect of Sleep Duration and Relief of Fatigue after Sleep on the Risk of Injury at School among Korean Adolescents: Jung Ok Yu, Jung Soon Kim; J Korean Acad Community Health Nurs. 2015;26(2):100-107. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.100

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3 Citations

Abstract PDF

PURPOSE
To explore the association between sleep and the risk of accidental injury at school among Korean adolescents.
METHODS
From the database of the Ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researcher selected 63,307 adolescents who responded to a survey on sleep hours. We conducted logistic regression with sleep duration and fatigue after sleep as independent variables, the risk of injury at school as a dependent variable, and gender, grade, school type, economic status, parents' education level, number of participations in physical education, and current smoking and drinking as control variables.
RESULTS
Using 9 hours of sleep as the reference, the adjusted injury risk (odds ratio) was 1.74 for those sleeping less than 5 hours a day, 1.61 for 5 hours, 1.45 for 6 hours, 1.31 for 7 hours, 1.13 for 8 hours, and 1.40 for 10 hours or longer. The difference between each pair of groups was statistically significant. In this study, injury risk increased as sleep duration decreased and fatigue after sleep increased.
CONCLUSION
The findings suggest that a short nightly duration of sleep and fatigue after sleep can be considered potential risk factorsfor unintentional injuries at school among Korean adolescents.

Citations

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Mediating effect of sleep satisfaction on the relationship between stress and self-rated health among Korean adolescents: A nationwide cross-sectional study
Jaeyoung Lee
Children and Youth Services Review.2020; 109: 104717. CrossRef
Structural Equation Model for the Subjective Happiness of Adolescents : Focused on Perceived Stress, Activities and Practices
Ok-Youn Wi, Ji-Hyun Lee
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(7): 585. CrossRef
Factors associated with Unintentional Injuries to Korean Adolescents at School: A Multilevel Study
Jung-Ok Yu, Myo-Sung Kim
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 337. CrossRef

The Effect of Cardiopulmonary Symptoms and Sleep on Fatigue in Pneumoconiosis Patients: Young Mee Lee; J Korean Acad Community Health Nurs. 2011;22(4):458-464. Published online December 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.4.458

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Abstract PDF: PURPOSE
The purpose of this study was to investigate the effect of cardiopulmonary symptoms and sleep on fatigue in pneumoconiosis patients.
METHODS
Self-administered questionnaires were given to 211 neumoconiosis patients during the period from May 12 to May 20, 2010.
RESULTS
The mean score of fatigue was as high as 6.7. The level of fatigue depended on the subjects' leisure activity and complication. Fatigue was significantly correlated with cardiopulmonary symptoms and sleep. The influential factors affecting fatigue were cardiopulmonary symptoms, complication, sleep and leisure activity, which explained about 46.5% of the variance.
CONCLUSION
The results of this study indicate that nursing interventions are needed to reduce fatigue and to improve cardiopulmonary symptoms and insomnia in pneumoconiosis patients.

Relations between Fatigue and Work-related Factors in Workers: Eun Sook Jung, Nam Hyun Cha; J Korean Acad Community Health Nurs. 2011;22(4):420-428. Published online December 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.4.420

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Abstract PDF

PURPOSE
The purpose of this study was to investigate the relations between fatigue and work-related factors in workers.
METHODS
A total of 204 subjects aged between 21 and 59 were selected through convenient sampling. Data were collected with a self-reported questionnaire from May 20 to 31, 2011. Collected data were analyzed with SPSS/WIN 17.0.
RESULTS
Difference in fatigue according to general characteristics was significant according to duty type. Difference in fatigue according to occupational characteristics was significant according to work intensity, work speed, demand of work concentration, work space, physical environment, largest weight by hands, vibration, visual demand of work, difficulty of work practice, work stress, and rest hours in holiday. There was a positive correlation between fatigue and occupational characteristics. Stepwise multiple regression analyses showed that educational level, work intensity, and rest hours in holiday were the strongest factors associated with fatigue (R2=.363 p<.001). These factors explained fatigue by 36.3%.
CONCLUSION
The findings of this study may be useful in understanding workers' fatigue and developing more specific fatigue relief programs.

Citations

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Effects of Fatigue Reduction Program on Female Employees in One Food Production Company
Eun-Sook Jung, Jong-Eun Lee, Tae Yeon Kim
Korean Journal of Occupational Health Nursing.2015; 24(1): 11. CrossRef

A Comparison of Pain, Pain Interference and Fatigue according to the Level of Physical Activity in the Elderly with Chronic Pain: Bo Kyoung Cha, Chang Seung Park; J Korean Acad Community Health Nurs. 2011;22(2):162-172. Published online June 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.2.162

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9 Citations

Abstract PDF

PURPOSE
This study was conducted to evaluate differences in pain, pain interference, and fatigue, according to the level of physical activity in the elderly with chronic pain.
METHODS
Data were collected between January and March 2011 from 116 elders with chronic pain living in community settings. The data were analyzed using the SPSS/WIN 17.0 program for descriptive statistics, 2 test, t-test, ANOVA and ANCOVA. The reliability of the instruments was tested with Cronbach's alpha coefficient, which ranged from .91 to .93.
RESULTS
The results were as follows. The mean total physical activity was 2287.4 MET-min/week, and 41.4% of the investigated subjects were classified into the low physical activity group. After adjusting for age and sex, the moderate and high physical activity groups were significantly lower in pain (F=6.33, p=.002), pain interference (F=11.57, p<.001), and fatigue (F=3.16, p=.046) than the low physical activity group.
CONCLUSION
Results from this study suggest that the level of physical activity can influence pain, pain interference and fatigue. Therefore, incorporating more physical activities into daily routines, inactive elderly individuals may improve their pain, pain interference and fatigue.

Citations

Citations to this article as recorded by

Benefits of sustained physical activity from middle age to early old age on quality of life in early old age
Mikyung Lee, Hyeonkyeong Lee, Kijun Song, Young-Me Lee
Scientific Reports.2022;[Epub] CrossRef
Gender-based comparison of factors affecting regular exercise of patients with Non-Insulin Dependent Diabetes Mellitus (NIDDM) based on the 7th Korea National Health and Nutrition Examination Survey (KNHANES)
Ji-Yeon Choi, Jieun Shin, Seunghui Baek, Antonio Palazón-Bru
PLOS ONE.2021; 16(9): e0257822. CrossRef
Gender Comparison Factors Influencing Regular Exercise Adherence in Patients with Coronary Artery Disease: Data from the 6th Korea National Health and Nutrition Examination Survey (2013~2015)
Hyekyung Jin, Minju Kim
Journal of Korean Academy of Fundamentals of Nursing.2018; 25(2): 134. CrossRef
Characteristics and Factors related to Fatigue in Older Adults at a Senior Welfare Center
Su Yeon Jeong, Smi Choi-Kwon
Korean Journal of Adult Nursing.2018; 30(5): 516. CrossRef
Nonverbal Pain Measurement for Elders: A Literature Review
Kyung Mi Lee, Jun-Ah Song
Journal of Korean Gerontological Nursing.2016; 18(3): 147. CrossRef
Effects of Depression, and Physical Activity on Fatigue among Elderly with Chronic Disease
Eun-Ju Lee, Euna Park
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 260. CrossRef
Factors Influencing Physical Activity in Elderly Women at Senior Citizen Centers
Kyung Hee Seo, Young Eun
Journal of muscle and joint health.2015; 22(3): 236. CrossRef
Relationship among Pain, Depression and Activities of Daily Living in Nursing Home Residents
Young-Mi Lee
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(11): 6728. CrossRef
Association between Physical Activity and Health-Related Quality of Life in Korean: The Korea National Health and Nutrition Examination Survey IV
Sunmi Kim, Young-Min Kwon, You-Il Park
Korean Journal of Family Medicine.2014; 35(3): 152. CrossRef

A Study on the Effects of the Reduction of Working Hours on Female Workers' Fatigue: Bok Im Lee, Hye Sun Jung; J Korean Acad Community Health Nurs. 2007;18(2):276-283. Published online June 30, 2007

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Abstract PDF: PURPOSE
This present study has been conducted on female workers' shorter working hours in order to look into their fatigue level and the correlation between fatigue and working hours.
METHOD
We surveyed 237 respondents using a questionnaire from June 1st to June 20th, 2005.
RESULTS
The means of total fatigue complaint was 3.45. The fatigue level was significantly higher in the lower age group, unmarried group, manager group and shorter working duration group. And the fatigue level was significantly correlated to working hours and work intensity. In the results of stepwise multiple regression, factors affecting the fatigue level were the change of work intensity, age, regular diet habit, working hours and the type of occupation.
CONCLUSION
It is necessary to prepare the health promotion programs, which can reduce female workers' fatigue level and relieve the intensity of their works.

A Study on Depression, Sleep and Fatigue in Younger and Older Elders: Yeon Hee Choi; J Korean Acad Community Health Nurs. 2007;18(2):223-231. Published online June 30, 2007

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Abstract PDF: PURPOSE
This study was to compare differences in and correlation among depression, sleep and fatigue between younger and older elders.
METHOD
A total of 370 subjects aged between 65 and 88 were selected through convenient sampling. Data were collected using a self-report questionnaire from March to December, 2005.
RESULTS
Younger elders showed lower levels of depression and fatigue than older ones. The level of sleep satisfaction was higher in older elders than in younger ones. In both groups, fatigue was positively correlated to depression, and depression and fatigue were negatively correlated to sleep satisfaction. In addition, fatigue was affected by depression, the number of persons in household and sleep satisfaction.
CONCLUSION
Older elders showed more serious health problems than younger ones. It is necessary to develop comprehensive intervention programs in order to promote healthy lifestyle for older elders.

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