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Sleep Quality and Factors affecting Sleep Disturbance among Percutaneous Coronary Angiography Patients in a General Hospital

종합병원의 경피적 관상동맥조영술 후 환자의 수면의 질과 수면방해요인

  • Received : 2015.03.31
  • Accepted : 2015.05.25
  • Published : 2015.05.31

Abstract

Purpose: The purpose of this study was to investigate the variance of sleep quality and factors affecting sleep disturbance among patients with percutaneous coronary angiography in a general hospital. Methods: The subjects of this study was comprised of 101 patients with percutaneous coronary angiography in a general hospital located in B city. Data were collected by a structured questionnaire from November to December 2013. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The levels of the participants' sleep quality and sleep disturbance were 4.35 and 5.91 in order of each out of the total score, 10. There was no significant difference in the quality of sleep between intensive care unit and internal medicine unit. Factors influencing sleep quality were 'uncomfortable bed, gown and pillow'(${\beta}=-.279$, p=.003), 'living alone'(${\beta}=-.273$, p=.003), and 'toilet problem' (${\beta}=-.222$, p=.016), which explained 21.5% of the variance (F=10.03, p<.001). Conclusion: The results of this study will provide a basis for improving the sleep quality of patients with percutaneous coronary angiography.

Keywords

References

  1. An, J. Y., & Tak, Y. R. (2009). Depressive symptoms and related risk factors in old and oldest-old elderly people with arthritis. Journal of Korean Academy of Nursing, 39, 72-83. https://doi.org/10.4040/jkan.2009.39.1.72
  2. Berman, A., Snyder, S. J., McKinney, D. S. (2011). Nursing basics for clinical practice. Upper Saddle River; Pearson.
  3. Bombois, S., Derambure, P., Pasquier, F., & Monaca, C. (2010). Sleep disorders in aging and dementia. The Journal of Nutrition, Health & Aging, 14, 212-217. https://doi.org/10.1007/s12603-010-0052-7
  4. Choi, Y. H. (2005). The sleep quality and sleep disturbance factor of inpatients in ICU. Master's thesis, Kosin University, Busan.
  5. Edell-Gustaffson, U. M. (2002). Insufficient sleep, cognitive anxiety and health transition in men with coronary artery disease: A self-report and polysomnographic study. Journal of Advanced Nursing, 37(5), 414-422. https://doi.org/10.1046/j.1365-2648.2002.02106.x
  6. Freedman, N. S., Kotzer, N., & Schwab, R. J. (1999). Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit. American Journal of Respiratory and Critical Care Medicine, 159(4 pt 1), 1155-1162. https://doi.org/10.1164/ajrccm.159.4.9806141
  7. Frisk, U., & Nordstrom, G. (2003). Patients' sleep in an intensive care unit: Patients' and nurses' perception. Intensive and Critical Care Nursing, 19(6), 342-349. https://doi.org/10.1016/S0964-3397(03)00076-4
  8. Gi, E. J. (2001). A study for discomfort and bleeding complications during absolute bed rest in patients undergoing percutaneous coronary intervention. Master's thesis, Ajou University, Suwon.
  9. Kasper, D., Braunwald, E., Fauci, A., Hauser, S., Longo, D., & Jameson, J. (2006). Harrison's principles of internal medicine, 16th edition vol. (II), McGraw-Hill Korea. Seoul.
  10. Keeling, A. W., Knight, E., Taylor, V., & Nordt, L. A. (1994). Postcardiac catheterization time-in-bed study: Enhancing patient comfort through nursing research. Applied Nursing Research, 7(1), 14-17. https://doi.org/10.1016/0897-1897(94)90015-9
  11. Kim, K. H. (2001). Quality of sleep and sleep disturbance factors of coronary artery disease patients in CCU. Ewha Womans University, Seoul.
  12. Kim, K. S., Kang, J. E. (1994). The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal sugical patients. Journal of Korean Academy of Fundamentals of Nursing, 1(1), 19-36.
  13. Koh, C. K. (2007). Perception of sleep among patients at intensive care units and its related factors. Clinical Nursing Research, 13(2), 149-158.
  14. Koo, Y. J., Koh, H. J. (2008). Effects of eye protective device and ear protective device application on sleep disorder with coronary disease patients in ICU. Journal of Korean Academy of Nursing, 38(4), 582-592. https://doi.org/10.4040/jkan.2008.38.4.582
  15. Lee, E. J. (1995). A study on perceived discomfort in patients following cardiac catheterization. Journal of Korean Academy of Nursing, 25(1), 124-140.
  16. Miller, M. A., & Cappuccio, F. P. (2007). Inflammation, sleep, obesity and cardiovascular disease. Current Vascular Pharmacology 5, 93-102. https://doi.org/10.2174/157016107780368280
  17. Mullington, J., M., Haack, M., Toth, M., Serrador, J. M., & Meier-Ewert, H. K. (2009). Cardiovascular, inflammatory and metabolic consequences of sleep deprivation. Progress in Cardiovascular Diseases 51, 294-302. https://doi.org/10.1016/j.pcad.2008.10.003
  18. Noh, W. J., Sohng, K. Y., & Lee, Y. M. (2005). Sleep patterns of ICU patients, characteristics and factors related to sleep disturbance. Journal of Korean Academy of Fundamental Nursing, 12(2), 247-254.
  19. Novaes, M. A., Aronovich, A., Ferraz, M. B., & Knobel, E. (1997). Stressors in ICU: Evaluation. Intensive Care Medicine, 3(12), 1282-1285.
  20. Paik, Y. N. (2000). Sleep disturbing factors and the relative significance in sleep of hospitalized elderly patients. Unpublished master's thesis, Seoul National University, Seoul.
  21. Parish, J. M., & Shepard, J. W. Jr. (1990). Cardiovascular effects of sleep disorder. Chest, 97, 1220-1226. https://doi.org/10.1378/chest.97.5.1220
  22. Picher, J. T., Ginter, D. R., & Sadowsky, B. (1997). Sleep quality versis sleep quantity; Relationship between sleep and measure of health well-being and sleepness in college student. Journal of Psychosomatic Research, 42(6), 583-596. https://doi.org/10.1016/S0022-3999(97)00004-4
  23. Reynolds, S., Waterhouse, K., & Miller, K. H. (2001). Patient care after percutaneous transluminal coronary angioplasty. Nursing Management, 32(9), 51-54. https://doi.org/10.1097/00006247-200104000-00021
  24. Ryu, M. J. (2010). The effects of sleep-inducing music on sleep patterns with percutaneous transluminal coronary angiography patients in CCU. Master's thesis, Keimyung University. Daegu.
  25. Snyder-Halpern, R., & Verran, J. A. (1987). Instrumentation to describe subjective sleep characteristics in healthy subjects. Research in Nursing & Health, 10(3), 155-163. https://doi.org/10.1002/nur.4770100307
  26. Statistics Korea (2013). Cause of death statistics. Retrieved March 3, 2015 from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1012
  27. Topf, M., Bookman, M., & Arand, D. (1996). Effects of critical care unit noise on the subjective quality of sleep. Journal of Advanced Nursing, 24, 545-551. https://doi.org/10.1046/j.1365-2648.1996.22315.x
  28. Weinhouse, G. L., & Schwab, R. J. (2006). Sleep in the critically ill patient. Sleep, 29(5), 707-716. https://doi.org/10.1093/sleep/29.5.707