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A Study on the Convergence of Sleep Patterns and Sleep Disturbance Factors of Inpatients Children Recognized by Care Providers

돌봄 제공자가 인식하는 입원아동의 수면양상 및 수면방해 요인에 대한 융합연구

  • Park, So-Yeon (Department of Nursing, Dong-Eui Institute of Technology)
  • 박소연 (동의과학대학교 간호학과)
  • Received : 2020.03.27
  • Accepted : 2020.06.20
  • Published : 2020.06.28

Abstract

This was a basic study to ascertain the changes in sleep patterns and the factors disrupting sleep in hospitalized children. The participants were children aged 6 years or younger who had been hospitalized in an advanced general hospital in a particular region. A total of 81 participants were included, and for data analysis using SPSS/WIN 21.0. The results showed that children's sleep duration decreased significantly after hospitalization compared to before (p<.001), and there were significant differences in sleep onset latency (p<.001) and frequency of sleep deprivation (p<.001). Factors perceived by the children's mothers to disrupt sleep included the child's health state, noise in the ward, nurses' treatments, and lighting in the ward. This study verified that children's sleep quality and duration decreases during hospitalization, demonstrating the need to prepare measures to improve sleep in hospitalized children based on an understanding of changes in sleep patterns and disrupting factors.

본 연구는 입원 중인 아동의 수면양상의 변화 및 수면방해 요인을 파악하기 위한 기초 연구이다. 본 연구는 구조화된 설문지를 이용하여 상급종합병원에 입원한 6세 이하 아동 81명을 대상으로 하였으며, 자료 분석은 SPSS/WIN 21.0을 이용하였다. 본 연구의 결과 아동의 수면시간은 입원 전에 비해 입원 후 유의한 수준으로 감소하였으며(p<.001), 수면잠복기(p<.001)와 수면 박탈 횟수(p<.001)에 차이가 있었다. 돌봄 제공자인 어머니가 인식하는 아동의 수면방해 요인은 아동의 건강 상태, 병실 내 소음, 간호사의 처치, 병실 내 조명 등이었다. 본 연구를 통해 아동의 입원 시 수면의 시간과 질이 감소한 것을 확인할 수 있었다. 입원 아동의 수면양상의 변화와 방해 요인을 파악한 연구를 바탕으로 입원 아동의 수면 증진을 위한 방안 마련이 필요하다.

Keywords

References

  1. Korean Society of Sleep Medicine. (2018). Healthy sleep-proper sleep time. [Online]. http://www.sleepmed.or.kr/content/info/sleeptime.html
  2. E. Bathory & S. Tomopoulos. (2017). Sleep regulation, physiology and development, sleep duration and patterns, and sleep hygiene in infants, toddlers, and preschool-age children. Current Problems in Pediatric and Adolescent Health Care, 47(2), 29-42. DOI:10.1016/j.cppeds.2016.12.001
  3. C. J. Eastman & L. Lazarus (1973). Growth hormone release during sleep in growth retarded children. Archives of Disease in Childhood, 48(7), 502-507. DOI:10.1136/adc.48.7.502
  4. S. Paruthi et al. (2016). Consensus statement of the American academy of sleep medicine on the recommended amount of sleep for healthy children: Methodology and discussion. Journal of Clinical Sleep Medicine, 12(11), 1549-1561. DOI: 10.5664/jcsm.6288
  5. D. Ophoff, M. A. Slaats, A. Boudewyns, I. Glazemakers, K. Van Hoorenbeeck & S. L. Verhulst. (2018). Sleep disorders during childhood: a practical review. European Journal of Pediatrics, 177(5), 641-648. DOI:10.1007/s00431-018-3116-z
  6. Y. N. Jo & Y. Y. Choi. (2011) A Study on the relationship between infant’s sleep and physical development and self-control from the aspect of holistic Education. Korean Society for Holistic Convergence Education, 15(3), 105-120.
  7. Korean Academy of Sleep Medicine. (2014). Sleep medicine information. [Online]. https://sleep.or.kr/05_sleep/0301.php
  8. Y. Lee. (2020). Hospitalization stress in child : Concept analysis. Journal of the Korea Convergence Society, 11(1), 327-335. https://doi.org/10.15207/JKCS.2020.11.1.327
  9. L. J. Meltzer, K. F. Davis & J. A. Mindell. (2012). Patient and parent sleep in a children's hospital. Pediatric Nursing, 38(2), 64-71.
  10. R. Bevan et al. (2018). Sleep quality and noise: comparisons between hospital and home settings. Archives of Disease in Childhood, 104(2), 147-151. DOI:10.1136/archdischild-2018-315168
  11. S. Bisogni, I. Chiarini, F. Giusti, D. Ciofi, G. M. Poggi & F. Festini. (2015). Impact of hospitalization on the sleep patterns of newborns, infants and toddlers admitted to a pediatric ward: a cross-sectional study. Minerva Pediatrica, 67(3), 209-217.
  12. J. Jung, E. H. Lee, Y. J. Yang & B. Y. Jang. (2017). Sleep pattern and factors causing sleep disturbance in adolescents with cancer before and after hospital admission. Asian Oncology Nursing, 17(3), 143-150. DOI:10.5388/aon.2017.17.3.143
  13. M. H. Park & A. R. Lee. (1998). The changes in children's sleeping patterns caused by hospitalization. Korean Journal of Child Health Nursing, 4(2), 265-273.
  14. Y. Baek, J. Yoo, S. W. Lee & H. J. Jin. (2013). Domestic trends of research and patent for sleep disorder. The Journal of the Korea Contents Association, 13(6), 309-317. DOI:10.5392/jkca.2013.13.06.309
  15. C. S. Fichten, L. Creti, R. Amsel, W. Brender, N. Weinstein & E. Libman. (1995). Poor sleepers who do not complain of insomnia: myths and realities about psychological and lifestyle characteristics of older good and poor sleepers. Journal of Behavioral Medicine, 18(2), 189-223. DOI:10.1007/bf01857869
  16. Y. H. Kim. (2010). Effect of aroma hand massage using lavender oil on improvement of sleep quality of the elderly inpatients. Doctoral dissertation. Kyemyeong University, Daeju.
  17. L. B. Peirce et al. (2018). Caregiver and staff perceptions of disruptions to pediatric inpatient sleep. Journal of Clinical Sleep Medicine, 14(11), 1895-1902. DOI:10.5664/jcsm.7488
  18. J. S. Young, J. A. Bourgeois, D. M. Hilty & K. A. Hardin. (2008). Sleep in hospitalized medical patients, Part 1: Factors affecting sleep. Journal of Hospital Medicine, 3(6), 473-482. DOI:10.1002/jhm.372.
  19. L. Oliveira, C. Gomes, L. B. Nicolau, L. Ferreira & R. Ferreira. (2015). Environment in pediatric wards: light, sound, and temperature. Sleep Medicine, 16(9), 1041-1048. DOI:10.1016/j.sleep.2015.03.015
  20. J. C. Yoder, P. G. Staisiunas, D. O. Meltzer, K. L. Knutson & V. M. Arora. (2012). Noise and sleep among adult medical inpatients: Far from a quiet night. Archives of Internal Medicine, 172(1), 68-70. DOI:10.1001/archinternmed.2011.603
  21. A. R. Herbert, J. Lima, D. A. Fitzgerald, C. Seton, K. A. Waters & J. J. Collin. (2014). Exploratory study of sleeping patterns in children admitted to hospital. Journal of Paediatrics and Child Health, 50(8), 632-638. DOI:10.1111/jpc.12617
  22. J. A. Owens & J. A. Mindell. (2006). Pediatric sleep medicine: Priorities for research, patient care, policy and education. Journal of Clinical Sleep Medicine, 2(1), 77-88. DOI:10.5664/jcsm.26439
  23. W. Nassery & K. Landgren. (2019). Parents' experience of their sleep and rest when admitted to hospital with their ill child: A qualitative study. Comprehensive child and adolescent nursing, 42(4), 265-279. DOI:10.1080/24694193.2018.1528310
  24. J. H. Choi, S. H. Lee, H. M. Lee, J. K. Lee, S. Y. Kwon, C. Shin & S. H. Lee. (2005). Correlation between quality of life and personality, behavior problem in children with sleep disordered breathing. Korean Journal of Otorhinolaryngology-Head and Neck Surgery, 48(10), 1235-1241.
  25. J. H. Lee, J. K. Han & Y. H. Kim. (2013). A Clinical analysis of sleep disorders in korean children and adolescence visiting the korean medicine dospital. The Journal of Pediatrics of Korean Medicine, 27(3), 65-73. https://doi.org/10.7778/jpkm.2013.27.3.065
  26. K. R. Ross et al. (2012). Sleep-disordered breathing is associated with asthma severity in children. The Journal of Pediatrics, 160(5), 736-742. https://doi.org/10.1016/j.jpeds.2011.10.008
  27. E. M. Oh et al. (2015). Sleep disturbance in children with allergic disease. Allergy, Asthma & Respiratory Disease, 3(1), 70-76. DOI:10.4168/aard.2015.3.1.70
  28. N. Shin, B. Park, M. Kim, K. Yun & S. Y. Yoon. (2017). Relationships Among Sleep Problems, Executive Function and Social Behavior During the Preschool Period. Korean Journal of Child Studies, 38(3), 33-48. DOI:10.5723/kjcs.2017.38.3.33