• 성인간호학회지
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• 제13권2호
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• pp.209-222
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• 2001

The environment in the ICU leads to negative changes in a patient's usual sleep pattern and so contributes negatively to the patient's health condition as compared to patients in general wards. Therefore, it is thought that an important nursing intervention would be to identify the relation between noise and sleep patterns which play an important role in illness recovery. The purpose of the present study was to explore the relationship between noise in the ICU and the sleep pattern of patients admitted to the ICU. A descriptive correlation design was used to examine the relationship. Thirty-four subjects were recruited from a Medical ICU (MICU), Surgical ICU (SICU) and Coronary Care Unit (CCU) at a large university hospital in Suwon. Data were collected from September 28 to October 31 in 1999. In the present study, noise was categorized into noise level and patients' perception of noise. The objective noise level was measured using the A-Weighted Sound Level Meter. The patients' preception of noise was measured using a self-reported questionnaire developed by the researcher. Sleep patterns in this study includes both quantity and quality of sleep. These were measured using open ended questionnaires and the 'Korean Sleep Scale A' developed by Oh, Song, Kim(1998). The data was analyzed using the SPSS-WIN to test the research question, Pearson product moment correlation coefficient was run. Ancillary analysis were conducted with demographic variables to determine their relation to the main study variables. For the ancillary analysis, t-test and one-way ANOVAs were performed. The results of the present study are summerized as follows : 1. The total mean of objective noise level (10pm-6am) was 56.2dB. The means for night time noise level in individual ICUs for the SICU, MICU and CCU, were 58.7dB, 58.6dB and 48.3dB, respectively. The total mean for patients' noise perception was 42.8 out of a maximum possible score of 76. For item means of noise perception, the one ranked highest was "conversations between doctors and nurses" (3.2). The one ranked lowest was "noise from the radio" (1.2). Regarding the degree of perception for each type of noise source, the one ranked highest was "equipment noise" (2.6), the second was "conversation between medical staff" (2.4), the third was "conversation between patients, caregivers and visitors" (2.3), and the one ranked lowest was "environment noise" (1.8). 2. Looking at quantity of sleep of ICU patients, the mean nocturnal sleep time was found to be 4.9 hours. The total mean of sleep quality for ICU patients was 21.0 out of a maximum possible score of 40. 3. The relationship between perception of noise and quantity of sleep was statistically significant(r= - .41, p<.05). The relationship between perception of noise and quality of sleep was also statistically significant(r= - .47, p<.01). The results of the study indicate that personal perception of noise is related to sleep patterns. Therefore, it is suggested that nursing interventions be developed to reduce the degree of personal perception of noise and, thus, decrease sleep pattern disturbances in patients in the ICU.

• 수면정신생리
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• 제28권2호
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• pp.70-77
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• 2021

목 적 : 본 연구의 목적은 불면증 환자의 주관적 수면인식과 관련 있는 임상적, 객관적 요인들을 알아보고 임상에서 불면증 환자의 이해와 평가 및 치료에 도움을 주기 위함이다. 방 법 : 109명의 불면증 환자들을 대상으로, 수면다원검사 결과와 자가보고 설문지를 후향적으로 분석하였다. 주관적 수면인식은 아침자가보고 설문지의 주관적 총 수면시간(subjective total sleep time, subjective TST), 입면 잠복시간(subjective sleep onset time; subjective SOL), 각성횟수, 아침 개운함 정도로 측정하였으며, 주관적-객관적 수면차이를 계산하였다. 임상적 특징은 Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), Epworth Sleepiness Scale (ESS)를 측정하였다. 변수들 사이의 관련성을 알아보기 위하여 상관분석을 시행하였다. 결 과 : 109명의 불면증 대상자(남성 = 72명, 나이 43.49 ± 15.32세)를 분석한 결과, 주관적 총 수면시간(subjective TST)은 수면다원검사에서의 입면 후 각성시간(wake after sleep onset, WASO) (p < 0.001), N1 수면(p = 0.039), PSQI (p < 0.001), BDI (p = 0.014)와 유의한 음의 상관관계를 보였다. 수면차이는 PSQI (p = 0.018)와 유의한 음의 상관관계가 있었다. 아침 개운함 정도는 PSQI (p = 0.019), BDI (p < 0.001)와 유의한 음의 상관관계가 있었다. 결 론 : 불면증 환자에서 주관적 수면인식은 수면다원검사의 입면 후 각성시간(WASO), N1 수면과 관련성이 있었으며, 우울감과 평소 수면의 질과 관련성이 있었다. 불면증 환자에서 다양한 객관적 수면변수, 평소 수면의 질 및 우울감이 주관적 수면인식에 영향을 미치므로, 이를 고려하여 환자를 평가 및 치료해야 하겠다.

• 산업융합연구
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• 제22권1호
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• pp.127-135
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• 2024

본 연구는 여가활동 참가 대학생들의 건강생활습관이 수면의 질에 미치는 영향을 알아보기 위해서 편의표집방법(convenience sampling method)을 사용하였다. 연구대상은 여가참가 대학생 153명으로 구글 URL설문지를 통해 조사하였으며 연구문제를 위해 IBM SPSS 통계 프로그램을 사용하였다. 그 결과, 첫째, 대학생의 특성에 따른 전공에서는 예체능계열이 자연계열보다 운동생활습관이 높은 것으로 나타났으며, 여가참가에서는 스포츠부문에 참가하는 대학생이 운동생활습관, 건강인지습관, 식습관, 주관수면에서 영향을 미치는 것으로 나타났다. 여가활동기간에서는 3년이상 여가활동에 참가한 학생이 운동생활습관, 건강인지습관, 주간수면에 영향을 미치는 것으로 나타났다. 여가활동시간에서는 1-2시간 참가하는 학생이 운동생활습관, 건강인지습관, 식습관에서 영향을 미치는 것으로 나타났다. 둘째, 수면의 어려움에서 나쁜생활습관이 영향을 미치는 것으로 나타났으며 주간수면에서는 운동생활습관, 나쁜생활습관, 식습관에서 영향을 미치는 것으로 나타났다.

• 한국보건간호학회지
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• 제11권2호
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• pp.83-93
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• 1997

This study was done for the purpose of investigating college students' body weight and health behavior. The subjects for this study were 1421 students obtained by a convenient sampling from one junior college located in Mok-Po. The data were analyzed by self-reporting questionnaire from June 18 to 28, 1996. The data were analyzed by descriptive statistics with SAS program. The results were as followed; Factors of comparatively high contribution to overweight were male students, perception they were healthy. smoking, alcohol drinking, irregular sleep and eating pattern, sleep for 9 hours over, regular exercise, no snack, diet control for weight loss. Factors of comparatively high contribution to underweight were female students. perception they were unhealthy. no smoking and alcohol drinking. irregular sleep and eating pattern. high rate of snack, sleep for 9 hours over. In conclusion overweight and underweight were correlated with seven health habits' and we suggest health education related to seven health habits.

• 동서간호학연구지
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• 제15권1호
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• pp.43-53
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• 2009

Purpose: This study is to summarize of Western-Eastern books and articles on sleep disturbances and to analyze the trends of nursing research in Korea. Methods: The Western-Eastern books and articles on sleep disturbances were comprehensively reviewed. The 70 articles published from 1981-2008 of Korean nursing research about sleep disturbances were reviewed using a structured form. Results: In Oriental medicine, the main cause of sleep disorder is unbalance of Yin and Yang, the treatments are herb therapy, acupuncture, moxibustion, psychotherapy, sleep hygiene, etc. In Western medicine, the International Classification of Sleep disorder is dyssomnia, parasomnia, mental/neurologic or other medical disorders, proposed sleep disorder and the treatments are pharmacotherapy, cure treatment of sleep hygiene, cause, behavior and perception. The number of nursing research and experimental study about sleep disorder in Korea is increasing. The most common subjects were hospitalized patients and the elderly, Of the 34 experimental studies, foot reflexology was the most commonly used as a nursing intervention. Conclusions: Nurses should concern more on patients' or clients' sleep disturbances to increase their quality of life. This literature study is useful for the access to effective nursing intervention for sleep disturbances.

• Journal of Korean Biological Nursing Science
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• 제24권3호
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• pp.181-189
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• 2022

Purpose: This study was conducted to identify the factors influencing sleep among Korea adolescents. Methods: This was a secondary data analysis of the 7th-8th National Health and Nutrition Survey 2016-2020. Participants were 1,984 people age 12-18. Data were analyzed using frequency, percentage, χ² test, and complex sample multiple logistic regression analysis. Results: The risk of sleeping more than 10 hours was 2.50 times higher in normal subjects, than subjects underweight in body weight perception (95% CI= 1.29-4.81). The risk of sleeping more than 10 hours was 2.10 times higher in overweight subjects, than subjects underweight in body weight perception (95% CI= 1.14-3.87). The risk of sleeping less than 8 hours was 1.36 times higher in subjects high in stress status, than subjects low in stress status (95% CI= 1.05-1.75). The risk of sleeping more than 10 hours was 1.99 times higher in subjects who had not eaten, than subjects who had been eating breakfast (95% CI= 1.11-3.55). Conclusion: Thus, it is necessary to intensify sleep management required through proper health behavior as well as the mental health management of adolescents and improvement in eating behavior.

• Safety and Health at Work
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• 제10권1호
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• pp.30-38
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• 2019

Background: Police officers' stress perception, frequency of stressful events (stressors), and police work characteristics may contribute to poor sleep quality through different mechanisms. Methods: We investigated associations of stress severity (measured by stress rating score) and frequency of stressors with sleep quality and examined the influence of police work characteristics including workload, police rank, prior military experience, and shift work on the associations. Participants were 356 police officers (256 men and 100 women) enrolled in the Buffalo Cardio-Metabolic Occupational Police Stress Study from 2004 to 2009. A mean stress rating score and mean frequency of stressors occurring in the past month were computed for each participant from the Spielberger Police Stress Survey data. Sleep quality was assessed using the global score derived from the Pittsburgh Sleep Quality Index survey. Linear associations of the stress rating score and frequency of stressors with sleep quality (Pittsburgh Sleep Quality Index global score) were tested. Age, sex, race/ethnicity, and smoking status were selected as potential confounders. Results: The stress rating score was positively and independently associated with poor sleep quality (${\beta}=0.17$, p = 0.002). Only workload significantly modified this association (${\beta}=0.23$, p = 0.001 for high workload group; p-interaction = 0.109). The frequency of stressors was positively and independently associated with poor sleep quality (${\beta}=0.13$, p = 0.025). Only police rank significantly modified the association (${\beta}=0.007$, p = 0.004 for detectives/other executives; p-interaction = 0.076). Conclusion: Both police officers' perception of stress severity and the frequency of stressors are associated with poor sleep quality. Stress coping or sleep promotion regimens may be more beneficial among police officers reporting high workloads.

• 한국치위생학회지
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• 제14권3호
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• pp.371-379
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• 2014

Objectives : The purpose of this study is to investigate the correlation between quality of sleep and dental fear in implant surgery patients. Methods : A self-reported questionnaire was filled out by 153 implant patients from December 2012 to February 2013 in dental clinics and hospitals in Busan and Changwon. Data were analyzed by descriptive analysis, t-test, ANOVA and multiple regression analysis using SAS version 9.20. Results : The quality of sleep in the implant patients was $41.0{\pm}6.0$. The systemic diseases influenced on the quality of sleep and dental fear also affected the quality of sleep. Conclusions : The results of the analysis of a relationship between the fear perception of dental implant surgery patients and the quality of their sleep showed that the patients with systemic diseases, the patients with a fear by the physical stimulation relating to implant treatment showed the low quality of sleep.

• Clinical and Experimental Emergency Medicine
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• 제5권4호
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• pp.240-248
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• 2018

Objective Determine differences between faculty, residents, and nurses regarding night shift preparation, performance, recovery, and perception of emotional and physical health effects. Methods Survey study performed at an urban university medical center emergency department with an accredited residency program in emergency medicine. Results Forty-seven faculty, 37 residents, and 90 nurses completed the survey. There was no difference in use of physical sleep aids between groups, except nurses utilized blackout curtains more (69%) than residents (60%) and faculty (45%). Bedroom temperature preference was similar. The routine use of pharmacologic sleep aids differed: nurses and residents (both 38%) compared to faculty (13%). Residents routinely used melatonin more (79%) than did faculty (33%) and nurses (38%). Faculty preferred not to eat (45%), whereas residents (24%) preferred a full meal. The majority (>72%) in all groups drank coffee before their night shift and reported feeling tired despite their routine, with 4:00 a.m. as median nadir. Faculty reported a higher rate (41%) of falling asleep while driving compared to residents (14%) and nurses (32%), but the accident rate (3% to 6%) did not differ significantly. All had similar opinions regarding night shift-associated health effects. However, faculty reported lower level of satisfaction working night shifts, whereas nurses agreed less than the other groups regarding increased risk of drug and alcohol dependence. Conclusion Faculty, residents, and nurses shared many characteristics. Faculty tended to not use pharmacologic sleep aids, not eat before their shift, fall asleep at a higher rate while driving home, and enjoy night shift work less.

• 한국가정과교육학회지
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• 제30권4호
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• pp.1-14
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• 2018

본 연구는 우리나라 중·고등학생의 수면시간의 특성과 정신건강 문제, 영양섭취 상태의 관련성을 조사하였다. 이를 위해 2007~2016년 국민건강영양조사 원시자료를 바탕으로 총 5,489명(중학생 2,795명, 고등학생 2,694명)을 대상으로 분석하였다. 수면시간과 정신건강과의 연관성은 로지스틱 회기분석을 사용하여 분석하였고, 수면시간과 영양 섭취량의 연관성은 일반선형모델로 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 수면시간을 분석한 결과, 중학생이 고등학생보다 평균 수면시간이 더 많았다(P<0.0001). 둘째, 수면시간과 정신건강 문제의 관련성은 중학생의 경우 수면시간이 증가할수록 스트레스 인지율(P<0.0001)과 자살생각 여부(P=0.0005)는 유의적으로 더 낮게 나타났다. 고등학생은 수면시간이 6-7시간인 그룹이 6시간 미만인 그룹에 비해 자살생각이 53% 더 적었고, 7-8시간인 그룹이 6시간 미만인 그룹에 비해 자살생각이 37% 더 적었다. 수면시간에 따른 스트레스 인지 여부의 연관성은 중학생과 고등학생 간에 통계적으로 유의한 차이가 있었다(P for interaction=0.02). 셋째, 수면시간에 따른 주요 영양소 1일 섭취량은 고등학생의 경우 수면시간이 9시간 이상인 그룹에서 비타민C의 섭취량이 높은 것으로 나타났다(P=0.003). 넷째, 수면시간에 따른 영양소 섭취상태는 고등학생의 경우 수면시간이 길수록, 인, 리보플라빈, 나이아신, 비타민C가 영양소 적정비와 평균영양소 적정비가 증가하였다. 청소년의 수면시간과 스트레스 인지와 자살생각 그리고 영양소 섭취상태는 연관성이 있음을 알 수 있었으며 이러한 결과는 청소년기 수면이 가지는 정신적 중요성을 강조하고, 영양교육의 기초자료로 이용될 수 있을 것이다.