The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Quality of Sleep in Patients with Obstructive Sleep Apnea

폐쇄성 수면무호흡증 환자의 수면의 질에 영향을 미치는 요인

  • 오윤희 (제주한라대학교 간호학과) ;
  • 오정환 (제주대학교 의학전문대학원 신경과학교실)
  • Received : 2018.10.31
  • Accepted : 2019.01.10
  • Published : 2019.04.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study is a retrospective descriptive study to investigate the factors affecting sleep quality of Obstructive Sleep Apnea (OSA) patients. Methods: Data were collected from questionnaires and electronic medical records of 176 patients with obstructive sleep apnea were reviewed from 2017 to 2018. The collected data was analyzed into descriptive statistics, t-test, Pearson's correlation, and multiple regression analysis. Results: The mean age of the subjects was 49.37 years and 94.4%(n=166) had low sleep quality. The quality of sleep of the OSA patients had correlations with daytime sleepiness, and depression. The significant factors influencing quality of sleep were Gender(${\beta}=.18$, p<.004), depression(${\beta}=.50$, p<.001), dry mouth (${\beta}=.15$, p<.016), Headache(${\beta}=.17$, p<.008), explained 37.1% of the variance. Conclusion: To improve their sleep quality, required for OSA patients who have the depression, daytime sleepiness.

본 연구는 폐쇄성 수면무호흡증 환자를 대상으로 수면의 질에 미치는 영향요인을 파악하기 위한 후향적 서술조사연구이다. 2017년부터 2018년까지 일 지역 종합병원에서 수면다원검사를 받은 176명의 폐쇄성 수면무호흡증 환자가 작성한 자가보고 설문지와 전자의무기록을 검토하여 자료를 수집하였다. 자료는 기술통계, t-test, Pearson's correlation, 다중회귀분석으로 통계분석을 시행하였다. 대상자의 평균연령은 49.37세이었고, 94.4%가 수면의 질이 낮은 것으로 나타났다. 수면의 질은 주간 졸음, 우울과 유의한 상관관계를 나타내며, 수면의 질에 영향을 미치는 요인은 우울, 두통, 입마름, 성별 이었으며 설명력은 37.1% 이었다. 폐쇄성 수면무호흡증 환자의 수면의 질을 향상하기 위하여 두통, 입마름, 우울을 감소시키는 중재가 필요하다.

Keywords

Table 1. General Characteristics of Subjects

CCTHCV_2019_v19n4_120_t0001.png 이미지

Table 2. Differences of PSQI by General Characteristics

CCTHCV_2019_v19n4_120_t0002.png 이미지

Table 3. Correlations of Respiratory Disturbance, Depression, Sleepiness and Sleep Quality

CCTHCV_2019_v19n4_120_t0003.png 이미지

Table 4. Factors Influencing Sleep Quality

CCTHCV_2019_v19n4_120_t0004.png 이미지

References

  1. J. S. Sunwoo, Y. Hwangbo, W. J. Kim, M. K. Chu, C. H. Yun, and K. I. Yang, "Prevalence, sleep characteristics, and comorbidities in a population at high risk for obstructive sleep apnea: A nationwide questionnaire study in South Korea," PloS one, Vol.13, No.2, 2018.
  2. K. Hongyo, N. Ito, K. Yamamoto, Y. Yasunobe, M. Takeda, R. Oguro, Y. Takami, Y. Takeya, D. Sugimoto, and H. Rakugi, "Factors associated with the severity of obstructive sleep apnea in older adults," GERIATRICS & GERONTOLOGY INTERNATIONAL, Vol.17, No.4, pp.614-621, 2017. https://doi.org/10.1111/ggi.12768
  3. 이승훈, "폐쇄성수면무호흡증의 진단적 측면에서 수면다원검사," 대학내과학회지, 제55권, 제2호, pp.138-145, 2012.
  4. 윤대위, 김진관, 신철, "폐쇄성 수면 무호흡증: 폐쇄성 수면 무호흡증의 역학과 병인," 대한내과학회지, 제89권, 제1호, pp.6-12, 2015.
  5. J. Zhou, M. Camacho, X. Tang, and C. A. Kushida, "A review of neurocognitive function and obstructive sleep apnea with or without daytime sleepiness," Sleep medicine, Vol.23, pp.99-108, 2016. https://doi.org/10.1016/j.sleep.2016.02.008
  6. C. Liqiang, X. Luoyi, W. Lili, S. Yi, and C. Wei, "Evaluation of the risk factors of depressive disorders comorbid with obstructive sleep apnea," Neuropsychiatric Disease & Treatment, Vol.13, pp.155-159, 2017. https://doi.org/10.2147/NDT.S122615
  7. D. J. Buysse, C. F. Reynolds III, T. H. Monk, S. R. Berman, and D. J. Kupfer, "The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research," Psychiatry Research, Vol.28, No.2, pp.193-198, 1989. https://doi.org/10.1016/0165-1781(89)90047-4
  8. 이혜련, "성인의 수면의 질과 관련요인에 관한 연구," 한국보건간호학회지, 제27권, 제1호, pp.76-88, 2013. https://doi.org/10.5932/JKPHN.2013.27.1.76
  9. 김주아, 강승완, "성인의 수면의 질에 따른 심박변이도, 피로, 우울 및 불안과의 관계," 성인간호학회지, 제29권, 제1호, pp.87-97, 2017. https://doi.org/10.7475/kjan.2017.29.1.87
  10. 신경림, 강윤희, 박효정, 김건희, 김려화, "재가노인의 수면장애 유무에 따른 우울, 신체형장애 및 삶의 질 비교," 성인간호학회지, 제23권, 제4호, pp.332-339, 2011.
  11. J. M. Kang, S. G. Kang, S. J. Cho, Y. J. Lee, H. J. Lee, J. E Kim, S. H. Shin, K. H. Pakr, and S. T. Kim, "The quality of life of suspected obstructive sleep apnea patients is related to their subjective sleep quality rather than the apnea-hypopnea index," SLEEP AND BREATHING, Vol.21, No.2, pp.369-375, 2017. https://doi.org/10.1007/s11325-016-1427-8
  12. M. M. Paul, A. W. Mary, K. Rajesh, L. C. Rebecca, and M. H. Ronald, "Relationship between obstructive sleep apnea severity and sleep, depression and anxiety symptoms in newly-diagnosed patients," PLoS ONE, Vol.5, No.4, 2011.
  13. L. A. Panossian and S. C. Veasey, "Daytime sleepiness in obesity: mechanisms beyond obstructive sleep apneaa review," Sleep, Vol.32, No.5, pp.605-615, 2012.
  14. C. M. Yang, Y. S. Liao, C. M. Lin, S. L. Chou, and E. N. Wang, "Psychological and behavioral factors in patients with comorbidobstructive sleep apnea and insomnia," Journal of Psychosomatic Research, Vol.70, No.4, pp.355-361, 2011. https://doi.org/10.1016/j.jpsychores.2010.12.005
  15. 김아린, "신체활동과 우울이 지역사회 거주 노인의 수면의 질에 미치는 영향: 전기노인과 후기 노인의 비교," 기초간호자연과학회지, 제17권, 제4호, pp.287-296, 2015.
  16. M. W. Johns, "A new method for measuring daytime sleepiness: the Epworth sleepiness scale," Sleep, Vol.14, No.6, pp.540-545, 1991. https://doi.org/10.1093/sleep/14.6.540
  17. Y. W. Cho, J. H. Lee, H. K. Son, S. H. Lee, C. Shin, and M. W. Johns, "The reliability and validity of the Korean version of the Epworth sleepiness scale," Sleep and Breathing, Vol.15, No.3, pp.377-384, 2011. https://doi.org/10.1007/s11325-010-0343-6
  18. Y. A. Lee, "study of the reliability and the validity of the BDI, SDS, and MMPI-D scales," Korean J Clin Psychol, Vol.10, pp.98-113, 1991.
  19. S. A. Jo, M. H. Park, I. Jo, S. H. Ryu, and C. Han, "Usefulness of Beck Depression Inventory [BDI] in the Korean elderly population," International Journal of Geriatric Psychiatry: A journal of the psychiatry of late life and allied sciences, Vol.22, No.3, pp.218-223, 2007. https://doi.org/10.1002/gps.1664
  20. S. I. Sohn, D. H. Kim, Y. W. Cho, and M. Y. Lee, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index," Sleep and Breathing, Vol.16, No.3, pp.803-815, 2012. https://doi.org/10.1007/s11325-011-0579-9
  21. L. A. Birleanu, G. Rusu, and T. Mihaescu, "Obstructive sleep apnea [OSA] syndrome and traffic accidents," Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi, Vol.114, No.3, pp.700-706, 2010.
  22. A. Arita, R. Sasanabe, R. Hasegawa, A. Nomura, R, Hori, M. Mano, N. Kinishi, and T. Shiomi, "Risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome," Sleep and Breathing, Vol.19, No.4, pp.1229-1234, 2015. https://doi.org/10.1007/s11325-015-1145-7
  23. N. A. Antic, P. Catcheside, S. Rowland, S. Windler, R. D. McEvoy, and C. Buchan, "The effect of CPAP in normalizing daytime sleepiness, quality of life, and neurocognitive function in patients with moderate to severe OSA," Sleep, Vol.34, No.1, pp.111-118, 2011. https://doi.org/10.1093/sleep/34.1.111
  24. 한은경, "하지불안증후군 환자의 중증도 및 우울이 수면의 질에 미치는 영향," 한국콘텐츠학회논문지, 제17권, 제5호, pp.200-208, 2017. https://doi.org/10.5392/JKCA.2017.17.05.200
  25. S. A. Lee, J. H. Paek, and S. H. Han, "Sleep hygiene and its association with daytime sleepiness, depressive symptoms, and quality of life in patients with mild obstructive sleep apnea," Journal of the Neurological Sciences, Vol.359, No.1-2, pp.445-449, 2015. https://doi.org/10.1016/j.jns.2015.10.017