Korean J Adult Nurs.  2015 Aug;27(4):375-383. 10.7475/kjan.2015.27.4.375.

The Mediating Effects of Resilience between Symptom Experience and Depression in Patients with Chronic Obstructive Pulmonary Disease

• Kong KR
• Lee EN

• KMID: 2421523
• DOI: http://doi.org/10.7475/kjan.2015.27.4.375

Abstract

PURPOSE
The purpose of this study was to identify the relationship of resiliency and symptom experience and depression. Subjects (N=152) were patients with chronic obstructive pulmonary disease (COPD).admitted to D University Medical Center in B City.
METHODS
Data collection was conducted from July 20 to August 25, 2013. The levels of symptom, resilience, and depression were measured using a seven question symptom experience measuring instrument, a 25-question resilience instrument, and a 15-question Short Geriatric Depression Scale (SGDS). The collected data were analyzed by descriptive analysis, Pearson's correlation coefficients, and path analysis using SPSS/Win 19.0 and AMOS 5.0.
RESULTS
There was a significant negative correlation between symptom and resilience, a significant positive correlation between symptom and depression, and a significant negative correlation between resilience and depression. Symptom showed a direct effect on depression and an indirect effect on depression scores through resilience as a mediating variable.
CONCLUSION
It is necessary to develop nursing intervention programs to relieve symptom in COPD patients, and to develop appropriate resilience enhancement programs to reduce their depression.

MeSH Terms

Academic Medical Centers
Data Collection
Depression*
Humans
Negotiating*
Nursing
Pulmonary Disease, Chronic Obstructive*

Figure

• 

  Figure 1. Path model of symptom, resilience, and depression.

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