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Effects of Dan Jeon Breathing on Stress, Sleep Disturbance and Self-esteem of Hemodialysis Patients

단전호흡이 혈액투석환자의 스트레스, 수면장애 및 자아존중감에 미치는 효과

  • 정미현 (군산간호대학교 간호학과) ;
  • 박옥례 (원광대학교 의과대학병원)
  • Received : 2012.08.24
  • Accepted : 2012.12.06
  • Published : 2012.12.31

Abstract

This study was performed to examine the effects of Dan Jeon Breathing on stress, sleep disturbance and self-esteem of hemodialysis patients. This study used the nonequivalent control group pretest-posttest design. Before applying the Dan Jeon Breathing program, the patients were divided into the experimental group and the control group, respectively, and were requested to report their self-ratings to measure their stress, sleep disturbance and self-esteem. The Dan Jeon Breathing program was given to experimental groups for 60 minutes a day and 2 times a week for 12 weeks. The data collected from the program were analyzed by means of ${\chi}^2$ test, Fisher's exact probability test, Shapiro-Wilk and t-test. The analyses revealed that the stress(t=-2.95, p=.006) and sleep disturbance(t=-2.13, p=.041) levels of the experimental group decreased after Dan Jeon Breathing compared to those of the control group. The difference in self-esteem(t=2.44, p=.020) level was statistically significant. From the above results, it was verified that Dan Jeon Breathing could be used as nursing intervention for hemodialysis patients to mitigate their stress, sleep disturbance and to improve their self-esteem.

본 연구는 단전호흡 프로그램이 혈액투석환자의 스트레스, 수면장애 및 자아존중감에 미치는 효과를 규명하여 간호중재로서의 가능성을 검증하고자 시도하였다. 연구는 비동등성 대조군 전-후 설계의 유사실험연구(quasi-experimental design)로, 대상자는 J도에 소재한 2개 의료기관에서 주 1회 이상 혈액투석을 받고 있는 환자로서, 실험군 18명과 대조군 19명을 편의표집하였다. 실험처지는 단전호흡 프로그램을 1회 60분씩, 주 2회, 12주간 실험군에게 적용한 결과, 단전호흡 프로그램을 실험처치한 실험군에서는 대조군보다 스트레스(t=-2.95, p=.006)와 수면장애(t=-2.13, p=.041) 정도가 통계적으로 유의하게 감소하였고, 자아존중감(t=2.44, p=.020) 정도는 통계적으로 유의하게 증가하였다. 따라서 단전호흡 프로그램은 만성질환자인 혈액투석환자의 스트레스와 수면장애를 개선할 수 있고, 자아존중감을 향상시킬 수 있는 간호중재로 활용될 수 있을 것으로 생각된다.

Keywords

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