Park Jin H, Kim Mi Jin
Assistant Professor, Department of Nursing, Changshin University, Changwon, Korea.
Assistant Professor, Department of Nursing, Daegu Haany University, Gyeongsan, Korea.
Child Health Nurs Res. 2021 Jul;27(3):276-285. doi: 10.4094/chnr.2021.27.3.276. Epub 2021 Jul 30.
This study investigated the factors that influence depression in adolescents diagnosed with asthma in South Korea, providing basic data supporting efforts to improve adolescents' mental health.
Multiple regression analysis was conducted on 4,020 subjects who had been diagnosed with lifelong asthma among the 57,303 respondents to the 15th Korea Youth Risk Behaviour Web-Based Survey from 2019.
The participants were more likely to have depression if they were female, in middle school, their academic achievement was poor, they were drinkers or smokers, if they felt a very high amount of stress, and if they experienced very inadequate recovery from fatigue. Adolescents with asthma were 9.00 times more likely to experience depression when they felt a very high amount of stress (95% confidence interval [CI]=5.51-14.69, <.001) than when they felt no stress.
Given these factors, measures to improve the mental health of adolescents should be developed and expanded, especially to decrease their stress levels. A separate program that is different from the school's regular health curriculum should be developed to manage the stress levels of adolescents with asthma, such as an after-school program or a program conducted at a local community centre.
本研究调查了影响韩国青少年哮喘患者抑郁的因素，为改善青少年心理健康的努力提供基础数据支持。
对2019年第15次韩国青少年风险行为网络调查的57303名受访者中被诊断为终身哮喘的4020名受试者进行多元回归分析。
如果参与者为女性、处于中学阶段、学业成绩差、饮酒或吸烟、感到压力非常大以及从疲劳中恢复非常不足，那么他们更有可能患抑郁症。当哮喘青少年感到压力非常大时（95%置信区间[CI]=5.51-14.69，<.001），患抑郁症的可能性是没有压力时的9.00倍。
鉴于这些因素，应制定并扩大改善青少年心理健康的措施，尤其是降低他们的压力水平。应制定一个与学校常规健康课程不同的单独项目来管理哮喘青少年的压力水平，例如课后项目或在当地社区中心开展的项目。
