• 성인간호학회지
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• 제27권2호
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• pp.188-197
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• 2015

Purpose: The purpose of this study was to examine fatigue, sleep disturbances, and quality of life (QOL) among patients with breast cancer receiving radiotherapy. Methods: A cross-sectional, descriptive design was used. Data were collected through questionnaires distributed to 201 breast cancer patients in a hospital. The data were analyzed using SPSS 21.0. Results: The fatigue scores showed significant differences depending on exercise and duration since diagnosis. The sleep disturbance scores showed significant differences depending on duration since diagnosis. QOL scores showed significant differences depending on exercise, duration since diagnosis, and treatment site. Fatigue and sleep disturbances (r=.40, p<.001) showed statistically significant positive correlations, while fatigue and QOL (r=-.55, p<.001), and sleep disturbances and QOL (r=-.45, p<.001) showed statistically significant negative correlations. The multiple regression analysis, which was used to determine the variables influencing on QOL after radiotherapy, resulted in a significant regression model (F=23.88, p<.001), which accounted for approximately 45% of the explanatory power. Fatigue (${\beta}=-.39$, p<.001) and sleep disturbances (${\beta}=-.27$, p<.001) were revealed to adversely affect quality of life. Conclusion: The nursing intervention is necessary to reduce fatigue and sleep disturbance and to promote exercise in order to enhance QOL of patients with breast neoplasm while receiving radiotherapy.

• Journal of Korean Biological Nursing Science
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• 제16권2호
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• pp.98-104
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• 2014

Purpose: The purpose of this study was to assess sleep quality and to identify predictors of poor sleep quality in nursing students. Methods: The participants surveyed were 302 individuals at G College located in Kangwon-do. The participants completed the questionnaire including demographic characteristics, health behavior, and the Pittsburgh Sleep Quality Index (PSQI) for sleep quality. The BMI was calculated using height and weight. For the statistical analysis, $X^2$ test, Spearman correlation, and logistic regression were performed using the SAS window (version 9.2) program. Results: From the 302 individuals, 219 (72.5%) had poor sleep quality. The results showed significant correlations between physical activity and sleep quality, as well as between sleep duration and sleep quality. The BMI and sleep quality did not show any significant relationship. The factors affecting sleep quality were sleep latency (OR, 4.167; 95% CI, 1.406-12.344), sleep duration (OR, 6.717; 95% CI, 2.386-18.912), and sedentary hours (OR, 2.971; 95% CI, 1.095-8.064). Conclusion: The study demonstrates that poor sleep quality is common in nursing students, and intervention study is needed to improve sleep quality in nursing students. Additional studies are needed to determine the relationship between BMI and sleep quality.

• Journal of Menopausal Medicine
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• 제24권3호
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• pp.204-209
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• 2018

Objectives: Aim of present study was designed to investigate the soporific effect of fennel among menopausal women. Methods: The present double-blinded and placebo-controlled trial examined the fennel effect on Pittsburgh Sleep Quality Index (PSQI). Total score and relevant 7 components, including sleep duration, sleep latency, use of sleeping medication, subjective sleep quality, sleep disturbances, daytime dysfunction and habitual sleep efficiency among 50 menopausal women compared to control group within a 12-week follow-up. Results: The patients in both groups reported no certain side effects and all subjects completed the study. The mean actual sleep duration was 5 hours and 66 minutes. Intergroup comparison revealed no statistically significant differences in the mean total PSQI score (P = 0.439), subjective sleep quality (P = 0.826), habitual sleep efficiency (P = 0.127), sleep disturbances (P = 0.130), use of sleeping medication (P = 0.52) and daytime dysfunction (P = 0.439). A tendency toward significant between 2 groups was seen concerning the sleep duration (P = 0.059). Intergroup comparison showed significantly borderline levels (P = 0.059). Conclusions: The treatment of 12 weeks with fennel caused a slight effect that did not reach to significant. These findings should be considered cautiously because of small sample size, short-term follow-up and subjective measure of sleep quality.

• 수면정신생리
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• 제4권2호
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• pp.191-200
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• 1997

Objectives : Periodic limb movements during sleep (PLMS) may cause arousals that may lead to non-restorative sleep. PLMS is characterized by long sleep latency, sleep fragmentation, frequent stage shifts, and rarity of stages 3/4 NREM sleep on polysomnography. However, controversies have existed and it still remains to be elaborated whether PLMS actually causes insomnia, since normal persons happen to have PLMS. Clinically, it would be crucial to know factors which might disturb sleep in PLMS. We became interested in Coleman's theory(1980) that invariant periodic movements disturb patients' sleep less. Though, Coleman's study seems to have been confounded by including PLMS patients with various co-morbid sleep disorders. Therefore, we attempted to study in patients only with PLMS the effects of movement patterns on sleep architecture. Methods : In 27 patients diagnosed as having PLMS only with clinical interview and nocturnal polysomnography, we studied the relationship between the movement patterns such as mean duration and variability of periodic limb movement's interval and the sleep architecture variables. Results : The shorter and the more regular the limb movement intervals were, the fewer arousals followed. The movement intervals of the older patients were shorter and more regular than the younger patients. The probability of the accompanying arousal with each limb movement increased as the duration and variance of the movement intervals increased. It decreased as the age and the frequency of limb movements increased. Among these factors the most significant one was the mean duration of the movement intervals. In other words, the shorter the movement intervals were, the less disturbed sleep was. Conclusion : PLMS frequency increases with aging but the probability of the accompanying arousal with each movement decreases with aging. Sleep-disturbing effects of PLMS depends more on the duration and variability of movement intervals than the PLMS frequency.

• International Journal of Advanced Culture Technology
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• 제11권4호
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• pp.216-222
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• 2023

The purpose of this study is to examine the effect of caffeine intake on sleep duration of college students. The data collection period was April 6 to June 30, 2023, and 381 samples were used for final analysis. The general characteristics of the subjects were 38.6% daily water intake of less than 1 liter, caffeine beverage intake was 36.5% once to twice a week, 25.2% three to four times, 13.9% five to six times, 14.7% zero times, and 9.7% more than seven times. The most common purpose of caffeine intake was "to wake up" at 54.6%. factors affecting the subjects' sleep were Caffeine drinks besides coffee and grades. Since this study confirmed that non-coffee caffeine drinks affect sleep duration among caffeine drinks available to students, it is necessary to provide education on caffeine intake control and information that the maximum daily intake is 400 mg for college students.

• 정신신체의학
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• 제26권1호
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• pp.44-50
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• 2018

Objectives : Insufficient sleep could have harmful effects on mental health. We examined the mental health status of Korean adolescents according to daily sleep time and subjective sleep satisfaction using a nationwide representative sample of Korean adolescents. Methods : Data from the 2016 Korean Youth Risk Behavior Web-based Survey was used. Sleep duration on weekdays and subjective sleep satisfaction during the past week were asked. Participants' perceived health, happiness, stress, depressive mood, and suicidality during past 12 months were also investigated. Participants were classified by mean duration of daily sleep time and the level of sleep satisfaction, and the odds of having mental health problems were compared. Results : Compared to adolescents who slept more than 6 hours per day and satisfied with their sleep, adolescents who slept less than 6 hours per day and/or dissatisfied with their sleep were less likely to perceive themselves healthy and happy. They were also more likely to have severe stress, depressive mood, and suicidality, with highest odds ratios among adolescents with both short and dissatisfying sleep. Conclusions : Given the significant associations between sleep insufficiency and mental health problems, attention to the sleep shortage among Korean adolescents is needed. Prospective studies are warranted to elucidate the causal relationships between subjective and objective sleep insufficiency and psychiatric conditions.

• 여성건강간호학회지
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• 제10권3호
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• pp.235-243
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• 2004

Purpose: The purpose of this study was to measure the effects of aroma inhalation on fatigue and quality of sleep of postpartum mothers. Method: The study design was a non-equivalent control group pre-post design. 51 Postpartum mothers were assigned either to a control group or to an experimental group that was exposed to aromas through inhalation for 6 days. Subjects in the experimental group were instructed to wear a necklace filled with Lavender and Eucalyptus oil from 2:00 PM to 8:00 PM every day. Fatigue was measured using the Rhoten Fatigue Scale. Sleep duration, night arousal frequency and sleep satisfaction were used to assess the quality of sleep. Result: There was a significant difference in the score of fatigue following the treatment between the experimental and control groups (t=-2.79 p=.00). However, there was no significant difference in sleep duration, frequency of night arousal and sleep satisfaction following aroma inhalation between two groups. Conclusion: This intervention appears to be effective in reducing the fatigue in postpartum mothers.

• 융합정보논문지
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• 제12권2호
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• pp.94-106
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• 2022

본 연구는 국민건강영양조사 제8기 1차년도(2019) 자료를 이용하여 한국 노인의 노쇠 수준과 수면 시간의 관계를 규명하기 위해 시도되었다. 연구 대상자는 1,690명이었고, SPSS Win 26.0 프로그램을 이용하여 복합표본 빈도 분석, 기술 통계, 교차 분석과 로지스틱 회귀분석을 실시하였다. 주요 결과로 노쇠한 대상자는 8.9%, 수면 시간이 '부적당(<5시간, >9시간)'한 경우는 13.0%였다. 노쇠 수준과 수면 시간만의 관계를 분석하였을 때 '부적당'한 수면을 취하는 경우는 '비 노쇠', '전 노쇠' 수준에서 유의하게 낮았다. 하지만, 인구사회학적 특성과 건강행태·질병 특성을 동시에 보정하였을 때에는 노쇠 수준과 수면 시간은 유의한 관계가 없었으며 수면 시간이 '부적당'한 경우는 연령 '70~74세'에서 유의하게 낮았고, 낮은 교육 수준, 낮은 소득 수준 및 높은 스트레스 인지 시 유의하게 증가하였다. 이상의 결과를 토대로 노인의 노쇠를 예방하고 수면 시간을 개선하기 위해 지속적으로 관심을 가지고 개인과 사회의 노력이 요구된다.

• 성인간호학회지
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• 제27권2호
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• pp.211-222
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• 2015

Purpose: This study was conducted to test the model for sleep in community-dwelling older adults. The hypothetical model based on a senescent sleep model was constructed using the multiple influencing factors of sleep and associated adverse outcomes of changes in sleep in the older adults. Methods: Data were collected from 203 community-dwelling older adults living in Korea, and analyzed using IBM SPSS 21.0 and AMOS 21.0. Results: Increased age and multiple comorbidities were associated with decreased physical activities. Decreased physical activities were associated with smaller social networks, and smaller social networks were associated with higher level of loneliness. Multiple comorbidities, decreased physical activities, larger social networks, and higher level of loneliness were associated with maladaptive sleep hygiene. Decreased physical activities, higher level loneliness, and shorter actual sleep duration were associated with worse sleep quality. Smaller social networks and shorter actual sleep duration were associated with lower cognitive functions. Smaller social networks, higher loneliness, and worse sleep quality were associated with more severe depressive symptoms. Conclusion: These findings suggest that the sleep improvement interventions not only with physical perspectives but psychosocial ones for older adults may improve depressive symptoms as well as sleep quality.

• Perspectives in Nursing Science
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• 제8권1호
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• pp.42-53
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• 2011

Purpose: This study was conducted to investigate the effects of aroma hand massage on anxiety and sleep in cancer patients during hospitalization. Methods: This study used a pre-post non-synchronized quasi-experimental design. Data were collected from 66 participating patients from July to December 2008. The participants were divided into an aroma massage group (n=25), a hand massage group (n=15), and a control group (n=26). The experimental group received aroma hand massage using 1% diluted lavender aroma oil once per day for 3 days. The massage was given by the researcher following the Korea Aromatherapy Health Professional Association massage protocol In contrast control group A received only a hand massage. The state anxiety, sleep condition, sleep satisfaction levels, and sleep duration were measured before and after the intervention trial. Results: The aroma hand massage group experienced in a significant decrease in their state anxiety (F=7.658 p=.001). Moreover, there was a significant increase in their sleep condition (F=18.047, p=.001), sleep satisfaction (F=30.016, p=.001) and sleep duration (F=23.019, p=.001) compared to the other groups according to one-way ANOVA and Scheffe's multiple comparison test. Also, noted was a significant increase in the sleep condition of the hand massage group as in the aroma hand massage group according to the Scheffe test. Conclusion: The study findings indicates that aroma hand massage decreases anxiety and increases the sleep condition, sleep satisfaction, and sleep duration of cancer patients.