J Korean Acad Community Health Nurs.  2022 Mar;33(1):43-52. 10.12799/jkachn.2022.33.1.43.

The Mediating Effects of Health Concern and Depression in the Relation between Self-quarantined People’s COVID-19 Stress and Fatigue

Affiliations
  • 1Associate Professor, College of Nursing, Sahmyook University, Seoul, Korea
  • 2Assistant Professor, College of Nursing, Sahmyook University, Seoul, Korea

Abstract

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.

Keyword

COVID-19; Quarantine; Depression; Fatigue; Stress
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