대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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모바일 SNS를 활용한 불면증 인지행동치료 프로그램이 간호사의 수면에 미치는 효과

The Effects of Mobile Social Networking Service-Based Cognitive Behavior Therapy on Insomnia in Nurses

  • 김지은 (이화여자대학교 간호대학) ;
  • 김석선 (이화여자대학교 간호대학)
  • 투고 : 2016.12.18
  • 심사 : 2017.07.03
  • 발행 : 2017.08.31
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초록

Purpose: This study aimed to examine the effects of cognitive behavior therapy for insomnia (CBT-I) based on the mobile social networking service (SNS) on dysfunctional beliefs and attitudes about sleep, sleep quality, daytime sleepiness, depression, and quality of life among rotatingshift nurses in a hospital in Korea. Methods: A nonequivalent control group pre-post test design was used. The participants included 55 nurses with rotating three-shift work (25 in the experimental group and 30 in the control group). For the experimental group, CBT-I using mobile SNS was provided once a week for 60 minutes over six weeks. Data were analyzed using descriptive statistics, $x^2-test$, independent samples t-test, and Mann-whitney U test with the SPSS 21.0 program. Results: In the homogeneity test of the general characteristics and study variables, there were no significant differences between the two groups. Nurses in the experimental group had significantly lower scores on dysfunctional beliefs and attitudes regarding sleep and sleepiness than nurses in the control group. Nurses in the experimental group had significantly higher scores on sleep quality and quality of life than nurses in the control group. Conclusion: These findings indicate that using the mobile SNS-based CBT-I is feasible and has significant and positive treatment-related effects on rotating-shift nurses' irrational thoughts and beliefs in association with sleep, sleep quality, daytime sleepiness, and quality of life. These contribute to expanding our knowledge of rotating-shift nurses' sleep issues and their preferences for intervention.

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참고문헌

  1. Suh S, Yang HC, Fairholme CP, Kim H, Manber R, Shin C. Who is at risk for having persistent insomnia symptoms? A longitudinal study in the general population in Korea. Sleep Medicine. 2014;15(2):180-186. http://dx.doi.org/10.1016/j.sleep.2013.09.024
  2. Ministry of Health and Welfare. Sleep disorder [Internet]. Seoul: National Health Insurance Service; Ministry of Health and Welfare c2013 [cited 2016 Aug 19]. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=289376.
  3. Halter MJ. Sleep-wake disorders. In: Halter MJ, Varcarolis EM, editors. Varcarolis'foundations of psychiatric mental health nursing: a clinical approach. 7th ed. St. Louis, Missouri: Elsevier Health Sciences; 2014. p. 364-379.
  4. Choi HY, Lim WJ. Current clinical practice of insomnia. The Ewha Medical Journal. 2013;36(2):84-92. http://dx.doi.org/10.12771/emj.2013.36.2.84
  5. Morin CM, Hauri PJ, Espie CA, Spielman AJ, Buysse DJ, Bootzin RR. Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review. Sleep. 1999;22(8):1134-1156. https://doi.org/10.1093/sleep/22.8.1134
  6. Arnedt JT, Cuddihy L, Swanson LM, Pickett S, Aikens J, Chervin RD. Randomized controlled trial of telephone-delivered cognitive behavioral therapy for chronic insomnia. Sleep. 2013;36(3):353-362. http://dx.doi.org/10.5665/sleep.2448
  7. Johnson JA, Rash JA, Campbell TS, Savard J, Gehrman PR, Perlis M, et al. A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for insomnia (CBT-I) in cancer survivors. Sleep Medicine Reviews. 2016;27:20-28. http://dx.doi.org/10.1016/j.smrv.2015.07.001
  8. Richter K, Acker J, Adam S, Niklewski G. Prevention of fatigue and insomnia in shift workers-a review of non-pharmacological measures. EPMA Journal. 2016;7:16. http://dx.doi.org/10.1186/s13167-016-0064-4
  9. Jarnefelt H, Lagerstedt R, Kajaste S, Sallinen M, Savolainen A, Hublin C. Cognitive behavioral therapy for shift workers with chronic insomnia. Sleep Medicine. 2012;13(10):1238-1246. http://dx.doi.org/10.1016/j.sleep.2012.10.003
  10. Lee JT, Lee KJ, Park JB, Lee KW, Jang KY. The relations between shiftwork and sleep disturbance in a university hospital nurses. Korean Journal of Occupational and Environmental Medicine. 2007;19(3):223-230.
  11. Im SB, Yu SY, Seo EB, Lee SJ, Yun BR, Seo EJ, et al. The effects of shift work on the nurses'negative affectivity and sleep disorder. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2006;15(1):40-47.
  12. Kim MS, Kim JR, Park KS, Kang YS, Choe MS. Associations between sleep quality, daytime sleepiness, with perceived errors during nursing work among hospital nurses. Journal of Agricultural Medicine and Community Health. 2013;38(4):229-242. http://dx.doi.org/10.5393/JAMCH.2013.38.4.229
  13. van Straten A, Emmelkamp J, de Wit J, Lancee J, Andersson G, van Someren EJ, et al. Guided internet-delivered cognitive behavioural treatment for insomnia: a randomized trial. Psychological Medicine. 2014;44(7):1521-1532. http://dx.doi.org/10.1017/S0033291713002249
  14. Espie CA, Kyle SD, Williams C, Ong JC, Douglas NJ, Hames P, et al. A randomized, placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered via an automated media-rich web application. Sleep. 2012;35(6):769-781. http://dx.doi.org/10.5665/sleep.1872
  15. Espie CA, MacMahon KM, Kelly HL, Broomfield NM, Douglas NJ, Engleman HM, et al. Randomized clinical effectiveness trial of nurse-administered small-group cognitive behavior therapy for persistent insomnia in general practice. Sleep. 2007;30(5):574-584. http://dx.doi.org/10.1093/sleep/30.5.574
  16. Brown JS, Sellwood K, Beecham JK, Slade M, Andiappan M, Landau S, et al. Outcome, costs and patient engagement for group and individual CBT for depression: a naturalistic clinical study. Behavioural and Cognitive Psychotherapy. 2011;39(3):355-358. http://dx.doi.org/10.1017/S135246581000072X
  17. Morin CM, Stone J, Trinkle D, Mercer J, Remsberg S. Dysfunctional beliefs and attitudes about sleep among older adults with and without insomnia complaints. Psychology and Aging. 1993;8(3):463-467. http://dx.doi.org/10.1037/0882-7974.8.3.463
  18. Yu ES, Ko YG, Sung GH, Kwon JH. Validation of the Korean version of dysfunctional beliefs and attitudes about sleep (K-DBAS-16). Korean Journal of Clinical Psychology. 2009;28(1):309-320. https://doi.org/10.15842/kjcp.2009.28.1.018
  19. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213. http://dx.doi.org/10.1016/0165-1781(89)90047-4
  20. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep and Breathing. 2012;16(3):803-812. http://dx.doi.org/10.1007/s11325-011-0579-9
  21. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540-545. http://dx.doi.org/10.1093/sleep/14.6.540
  22. Cho YW, Lee JH, Son HK, Lee SH, Shin C, Johns MW. The reliability and validity of the Korean version of the Epworth sleepiness scale. Sleep and Breathing. 2011;15(3):377-384. http://dx.doi.org/10.1007/s11325-010-0343-6
  23. Radloff LS. The CES-D scale. A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401. http://dx.doi.org/10.1177/014662167700100306
  24. Chon KK, Rhee MK. Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology. 1992;11(1):65-76.
  25. The WHOQOL group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine. 1998;28(3):551-558. http://dx.doi.org/10.1017/S0033291798006667
  26. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF). Journal of the Korean Neurological Association. 2000;39(3):571-579.
  27. Perlis ML, Jungquist C, Smith MT, Posner D. Cognitive behavioral treatment of insomnia: a session-by-session guide. 1st Engl. Ed. Kim JH, Seo SY, Yoon CH, translators. Seoul: Koonja; c2013. 185 p.
  28. Lancee J, Eisma MC, van Straten A, Kamphuis JH. Sleep-related safety behaviors and dysfunctional beliefs mediate the efficacy of online CBT for insomnia: a randomized controlled trial. Cognitive Behaviour Therapy. 2015;44(5):406-422. http://dx.doi.org/10.1080/16506073.2015.1026386
  29. Lee JJ, Shin HC. Effects of cognitive-behavioral therapy of insomnia on Korean college students. Korean Journal of Counseling. 2011;12(2):693-707. https://doi.org/10.15703/kjc.12.2.201104.693
  30. Shimodera S, Watanabe N, Furukawa TA, Katsuki F, Fujita H, Sasaki M, et al. Change in quality of life after brief behavioral therapy for insomnia in concurrent depression: analysis of the effects of a randomized controlled trial. Journal of Clinical Sleep Medicine. 2014;10(4):433-439. http://dx.doi.org/10.5664/jcsm.3624

피인용 문헌

  1. Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses vol.30, pp.21, 2021, https://doi.org/10.1111/jocn.15819