한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제8권3호
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  • Pages.141-150
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  • 2017
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  • 2233-4890(pISSN)
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  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
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노인 불면증 환자의 수면의 질에 영향을 미치는 요인에 관한 융합연구

Convergent Study of the Factors Affecting the Quality of Sleep among Elderly Insomnia Patients

  • 투고 : 2017.02.13
  • 심사 : 2017.03.20
  • 발행 : 2017.03.28
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초록

본 연구의 목적은 노인 불면증 환자를 대상으로 우울 및 사회적 지지가 수면의 질에 미치는 영향요인을 규명하기 위함이다. 연구방법은 DSM-IV 진단기준에 의거하여 진단받은 불면증 환자 143명을 대상으로 하였다. 대상자들은 구조화된 설문지를 통해서 수면의 질, 우울, 사회적 지지를 측정하였고, 대상자의 의무기록을 검토하여 질병특성에 대한 정보를 수집하였다. 연구결과 수면의 질은 우울정도가 높을수록(r=.255, p<.05), 사회적 지지가 낮을수록(r=-.270, p<.001) 저하되었다. 수면의 질에 영향을 미치는 예측요인은 정보적지지(${\beta}=-0.406$, p<.05)와 정서적지지(${\beta}=-0.525$, p<.05)로 나타났으며, 모형 설명력은 13.2%이었다. 이와 같은 연구결과를 바탕으로 노인 불면증 환자들의 수면의 질을 향상시키기 위해서 정보적 지지와 정서적 지지를 고려한 간호중재가 개발되어야 할 것이다.

The purpose of this study was to identify relationship among the depression, social support and quality of sleep in elderly insomnia patients. A total of 143 patients with insomnia diagnosed according to DSM-IV criteria. Quality of sleep, depression, and social support were measured using a self structured questionnaire and participant's medical records were reviewed for obtaining their clinical information. Quality of sleep was positively associated with depression(r=.255, p<.05), and negative correlation with social support(r=-.270, p<.001). The significant factors for quality of sleep were information support(${\beta}=-0.406$, p<.05) and affectionate support(${\beta}=-0.525$, p<.05). These factors explained 13.2% of the variance in quality of sleep. The elderly patients suffering the insomnia need the nursing interventions considering information support and affectionate support in order to improve sleep quality.

키워드

참고문헌

  1. Statistics, "Elderly Statistics", Seooul, Korea, 2012.
  2. H. C. Driscoll, L. Serody, S. Patrick, J. Maurer, S. Bensasi, P. R. Houck, C. F. M. D. Miller, "Sleeping well, aging well: a descriptive and crosssectional study of sleep in 'successful agers' 75 and older", The American journal of geriatric psychiatry, Vol. 16, No. 1, pp. 74-82, 2008. https://doi.org/10.1097/JGP.0b013e3181557b69
  3. S. H. Sok, K. B. Kim, "Applied Effects of Auricular Acupuncture Therapy on Insomnia of Taeumin in Elderly Women", Journal of East-West Nursing Research, Vol. 14, No. 2, pp. 1-8, 2008.
  4. Y. W. Cho, W. C, Shin, C. H. Yun, S. B. Hong, J. Kim, C. J. Earley, "Epidemiology of insomnia in Korean adults: prevalence and associated factors", Journal of clinical neurology, Vol. 5, No. 1, pp. 20-23, 2009. https://doi.org/10.3988/jcn.2009.5.1.20
  5. M. Novak, I. Mucsi, C. M. Shapiro, J. Rethelyi, M. S. Kopp, "Increased utilization of health services by insomniacs an epidemiological perspective", Journal Psychosomatic Research, Vol. 56, No. 5, pp. 527-536, 2004. https://doi.org/10.1016/j.jpsychores.2004.02.007
  6. S. H. Ahn, H. K. Choi, J. H. Kim, J. L. Kim, "Prevalence of Insomnia and Associated Factors among Community-Dwelling Korean Elderly" Jounal of Korean Geriatric Psychiatry, Vol. 19, No. 1, pp. 32-39, 2015.
  7. K. R. Shin, S. J. Gong, Y. H. Kang, J. W. Oak, E. J. Lim, "The relationship of late-life function and disability(LLFDI) with quality of sleep in older men with prostatic hypertrophic symptoms", Korean Journal of Adult Nursing, Vol. 21, No. 1, pp. 43-52, 2009.
  8. A. G. Wade, I. Ford, G. Crawford, A. D. McMahon, T. Nir, M. Laudon, N. Zisapel, "Efficacy of prolonged release melatonin in insomnia patients aged 55-80 years: quality of sleep and next-day alertness outcomes", Current medical research and opinion, Vol. 23, No. 10, pp. 2597-2605, 2007. https://doi.org/10.1185/030079907X233098
  9. J. Glass, K. L. Lanctot, N. Herrmann, B. A. Sproule, U. E. Busto, "Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefits", BMJ, Vol. 331, No. 7526, pp. 1169-1173, 2005. https://doi.org/10.1136/bmj.38623.768588.47
  10. K. G. Baron, K. J. Reid, R. G. Malkani, J. Kang, P. C. Zee, "Sleep Variability Among Older Adults With Insomnia: Associations With Sleep Quality and Cardiometabolic Disease Risk", Behavioral sleep medicine, Vol. 15. No. 1. pp. 144-157, 2017. https://doi.org/10.1080/15402002.2015.1120200
  11. S. J. Yang, J. S. Kim, "Factors Affecting the Quality of Sleep among Community Dwelling Elders", Journal Korean Gerontol Nursing, Vol. 12, No. 2, pp. 108-118, 2010.
  12. O. S. Cho, J. L. Kim, Y. M. Kim, "A Study on Sleep Quality and Geriatric Depression in the Elderly between Hospital and Senior Welfare Service Center", Journal of the Korean Gerontological Society, Vol. 33, No.2, pp. 493-507, 2013.
  13. J. H. Kim, P. J. Oh, "Effects of Nonpharmacological Interventions on Primary Insomnia in Adults Aged 55 and Above: A Meta-analysis", Korean Journal of Adult Nursing, Vol. 28, No. 1, pp. 13-29, 2016. https://doi.org/10.7475/kjan.2016.28.1.13
  14. E. K. Han, "Structural equation modeling on functional health of patients with insomnia based on theory of unpleasant symptom", Yonsei University, Ph. D. thesis, 2016.
  15. A. T. Beck, "Depression: Clinical, experimental, and theoretical aspects", University of Pennsylvania Press, 1967.
  16. M. K. Rhee, Y. H. Lee, S. H. Park, C. H. Sohn, Y. C. Chung, S. K. Hong, B. K. Lee, P. Chang, A-R. Yoon, "A standardization study of Beck Dep ression Inventory I-Korean Verson(K-BDI): Reliability and Factor Analysis", The Korean Journal of Psychopathology, Vol. 4, No. 1, pp. 77-95, 1995.
  17. C. D. Sherbourne, A. L. Stewart, "The MOS social support survey", Social science & medicine, Vol. 32, No. 6, pp. 705-714, 1991. https://doi.org/10.1016/0277-9536(91)90150-B
  18. M. K. Lim, "Relationships between social support and health among low income groups in urban area", Seoul National University, master's thesis, 2002.
  19. D. J. Buysse, C. F. Reynolds, T. H. Monk, S. R. Berman, D. J. Kupfer, "The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research", Psychiatry Research, Vol. 28, No. 2, pp. 193-213, 1989. https://doi.org/10.1016/0165-1781(89)90047-4
  20. K. W. Kim, I. Y. Yoon, S. Chung, Y. K. Shin, S. B. Lee, E. A. Choi, J. M. Kim, "Prevalence, comorbidities and risk factors of restless legs syndrome in the Korean elderly population -results from the Korean Longitudinal Study on Health and Aging", Journal of sleep research, Vol. 19, No. 1, pp. 87-92, 2010. https://doi.org/10.1111/j.1365-2869.2009.00739.x
  21. B. Zhang, Y. K. Wing, "Sex differences in insomnia: a meta-analysis", Sleep, Vol. 29, No. 1, pp. 85-93, 2006. https://doi.org/10.1093/sleep/29.1.85
  22. J. P. Hong, J. H, Ahn, Y. K. Yun, J. I. Park, S. Y. Lee, B. J. Hahm, J. K. Kim, O. S. Han. M. J. Cho, "Sleep habits and insomnia associated factors in the urban elderly: demographic, health and psychobehavioral correlates", Journal Korean Neuropsychiatric association, Vol. 39, No. 6, pp. 1111-1121, 2000.
  23. W. H. Kim, B. S. Kim, S. K. Kim, S. M. Chang, D. W. Lee, M. J. Cho, J. N. Bae, "Prevalence of insomnia and associated factors in a community sample of elderly individuals in South Korea", International Psychogeriatrics, Vol. 25, No. 10, pp. 1729-1737, 2013. https://doi.org/10.1017/S1041610213000677
  24. Y. H. Kang, M. Y, Kim, G. J. Lee, D. Y. Jung, R. W. Ma, "A Study of Social Support, Loneliness, Sleep Quality, and Perceived Health Status among Community-dwelling Older Adults", Journal of Korean Public Health Nursing, Vol. 26, No. 2, pp. 303-313, 2012. https://doi.org/10.5932/JKPHN.2012.26.2.303
  25. K. M. Bang, H. C. Kim, "Quality of Sleep and Health-Related Quality of Life in Patients with Major Mental Disorders", Journal of the Korean Society of Biological Therapies in Psychiatry, Vol. 11, No. 2, pp. 138-149, 2005.
  26. D. F. Swaab, E. Fliers, T. S. Partiman, "The suprachiasmatic nucleus of the human brain in relation to sex, age and senile dementia", Brain research, Vol. 342, No. 1, pp. 37-44, 1985. https://doi.org/10.1016/0006-8993(85)91350-2
  27. S. Y. Sohn, "Comparative Study on the Quality of Life of the Elderly and its' Affecting Factors Between Rural and Urban Areas", Journal of the Korean Gerontological Society, Vol. 26, No. 3, pp. 601-615, 2006.
  28. B. J. Ham, L. Kim, "Insomnia and Personality Trait", Sleep Medicine and Psychophysiology, Vol. 9, No. 2, pp. 100-105, 2002.
  29. X. Liu, L. Liu, "Sleep habits and insomnia in a sample of elderly persons in China", Sleep, Vol. 28, No. 12, pp. 1579-1587, 2005.
  30. P. V. D. N. Nóbrega, A. C. C. Maciel, C. M. de Almeida Holanda, R. Oliveira Guerra, J. F. Araujo, "Sleep and frailty syndrome in elderly residents of long‐stay institutions: A crosssectional study", Geriatrics & gerontology international, Vol. 14, No. 3, pp. 605-612, 2014. https://doi.org/10.1111/ggi.12144
  31. J. S. Lee, S, Y. Lee, "Effects of Cognitive Function and Depression on Anxiety in Elderly People-Convergent approach", Journal of Digital Convergence, Vol. 13, No. 8, pp. 401-408, 2015. https://doi.org/10.14400/JDC.2015.13.8.401
  32. A. R. Kim, "The Influence of physical activity and depression on sleep quality in community -dwelling older adults: A comparison between Young-old and Old-old", Journal of Korean Biological Nursing Science, Vol. 17, No. 4, pp. 287-296, 2015. https://doi.org/10.7586/jkbns.2015.17.4.287
  33. K. H. Yang, M. G. Jeong, "Mediating Effects According to Family Type in the Complex Relationship between Psychological and Material Factors and Depression in the Elderly", Journal of Digital Convergence, Vol. 13, No. 7, pp. 437-444, 2015. https://doi.org/10.14400/JDC.2015.13.7.437
  34. H. J. Choi, S. G. Back, "A Study on Depressive disposition by Convergence approach of Leisure History and Family situation in Elderly Women", Journal of the Korea Convergence Society, Vol. 6, No. 5, pp. 295-302, 2015. https://doi.org/10.15207/JKCS.2015.6.5.295
  35. N. Krause, "Exploring age differences in the stress-buffering function of social support", Psychology and Aging, Vol. 20, No. 4. pp. 714-717, 2005. https://doi.org/10.1037/0882-7974.20.4.714
  36. W. M. Troxel, T. F. Robles, M, Hall , D. J. Buysse, "Marital quality and the marital bed: examining the covariation between relationship quality and sleep", Sleep Medicine Reviews, Vol. 11, No. 5, pp. 389-404, 2007. https://doi.org/10.1016/j.smrv.2007.05.002
  37. H. E. Gunn, W. M. Troxel, M. H. Hall, D. J. Buysse, "Interpersonal distress is associated with sleep and arousal in insomnia and good sleepers", Journal of psychosomatic research, Vol. 76, No. 3, pp. 242-248, 2014. https://doi.org/10.1016/j.jpsychores.2013.11.010
  38. S. S. Shin, K. J. Lee, " The stress, social support and psychological well-being of the elderly", Journal of the Korea Gerontological Society, Vol. 22, No. 1. pp. 1-20, 2002.