Purpose: To develop and test a structural model of functional health in middle-aged women based on the theory of unpleasant symptoms.
Methods: The direct and indirect effects of menopause status, childhood trauma, post-traumatic stress, social support, and sleep quality on functional health of 264 Korean women were examined.
Findings: Menopause status and poor sleep quality had a negative direct effect and social support had a positive direct effect on functional health. Menopause status had a negative indirect effect on functional health through poor sleep quality.
Conclusions: Biopsychosocial nursing intervention programs need to be developed to improve functional health in middle-aged women.
Implications For Nursing Practice: It is important to mediate quality of sleep to improve functional health in middle-aged women. 목적 불쾌증상 이론을 바탕으로 중년 여성의 건강기능을 평가하기 위함이다. 방법 264명의 한국 여성을 대상으로 건강기능에 영향을 미치는 폐경, 아동기 외상, 외상 후 스트레스, 사회적 지지의 직ㆍ간접적 영향을 확인하였다. 결과 폐경과 낮은 수면의 질은 건강기능에 부적 영향을 미쳤으며, 사회적 지지는 건강기능에 정적 영향을 미쳤다. 폐경은 건강기능에 간접적 영향을 미쳤다. 결론 중년여성의 건강기능을 증진하기 위해 신체ㆍ심리ㆍ사회적 요인을 고려한 통합적 중재가 필요하다. 간호실무 적용점: 중년여성의 건강기능을 유지하기 위해 수면의 질을 중재하는 것이 중요하다.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586787 | PMC |
| http://dx.doi.org/10.1111/2047-3095.12275 | DOI Listing |
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