Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Sleep Disorder Experience in Older Patients with Depression

우울증 노인의 수면장애 경험

  • Received : 2014.02.21
  • Accepted : 2014.05.07
  • Published : 2014.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify sleep disorder experience in older patients living in the community and acknowledging being depressed. Methods: For this study, 11 older patients with depression were purposively chosen. Data were collected through indepth individual interviews from July 2013 to January 2014 and analyzed in terms of by Giorgi's phenomenological methodology. Results: The study results showed that sleep disorder experience in older patients with depression consisted of sixteen themes and five themes-clusters: 1) exposure of the causes of sleep disorders; 2) life is painful; 3) harassing themselves and their family; 4) difficulty in controlling themselves; 5) trying to deal with the sleep disorder to overcome the situation. Conclusion: It is necessary to develop educational guidelines for patients with sleep disorders or nursing interventions that anyone can easily provide for elders in the communities. The first priority should be given to efforts to apply diverse methods to improve sleep hygiene and minimize the period of exposure to medication before starting medication for patients with sleep disorders.

Keywords

References

  1. Korea Centers for Disease Control & Prevention. Risk factors for depression in older Koreans: Community-based geriatric cohort study, 2006-2007. Public Health Weekly Report. 2009;2(44):737-741.
  2. Park E. Effects of visiting laughter therapy on depression and insomnia among the vulnerable elderly. Journal of Korean Academy of Community Health Nursing. 2013;24(2):205-213. http://dx.doi.org/10.12799/jkachn.2013.24.2.205
  3. Han MJ. The relationship study between sleep and cognitive function, depression of elderly women [master's thesis]. Seoul: Ewha Womans University; 2003.
  4. Choi SW. The rate of increase for nearly four years in bipolar disorder 124%: Medical expense of depression . bipolar disorder for 3.12 million people a year 1.1904 trillion Won: It is urgent to manage depression . bipolar disorder for the female.elderly, indicated by Rep. Shin Yee-Jin. Doctor's News. 2013 October 2;Sect. http://www.doctorsnews.co.kr/news/articleView.html?idxno=91171.
  5. Ohayon MM, Roth T. What are the contributing factors for insomnia in the general population? Journal of Psychosomatic Research. 2001; 51(6):745-755. https://doi.org/10.1016/S0022-3999(01)00285-9
  6. Ancoli-Israel S, Ayalon L. Diagnosis and treatment of sleep disorders in older adults. The American Journal of Geriatric Psychiatry. 2006;14(2):95-103. http://dx.doi.org/10.1097/01.JGP.0000196627.12010.d1
  7. Kamel NS, Gammack JK. Insomnia in the elderly: Cause, approach, and treatment. The American Journal of Medicine. 2006;119(6):463-469. http://dx.doi.org/10.1016/j.amjmed.2005.10.051
  8. Neikrug AB, Ancoli-Israel S. Sleep disorders in the older adult: A minireview. Gerontology. 2010;56(2):181-189. http://dx.doi.org/10.1159/000236900
  9. Crowley K. Sleep and sleep disorders in older adults. Neuropsychology Review. 2011;21(1):41-53. http://dx.doi.org/10.1007/s11065-010-9154-6
  10. Harrington JJ, Lee-Chiong T, Jr. Sleep and older patients. Clinics in Chest Medicine. 2007;28(4):673-684. http://dx.doi.org/10.1016/j.ccm.2007.07.002
  11. Cooke JR, Ancoli-Israel S. Sleep and its disorders in older adults. The Psychiatric Clinics of North America. 2006;29(4):1077-1093. http://dx.doi.org/10.1016/j.psc.2006.08.003
  12. Yang SJ, Kim JS. Factors affecting the quality of sleep among community dwelling elders. Journal of Korean Gerontological Nursing. 2010; 12(2):108-118.
  13. Kang Y, Kim M, Lee G, Jung D, Ma RW. A study of social support, loneliness, sleep quality, and perceived health status among communitydwelling older adults. Journal of Korean Public Health Nursing. 2012;26(2):303-313. http://dx.doi.org/10.5932/JKPHN.2012.26.2.303
  14. Kim SO, Lee GH. Prevalence and risk factors of sleep disturbance among the elderly in the community. Keimyung Journal of Nursing Science. 2005;9(1):111-118.
  15. Kim SM, Oh JJ, Song MS, Park YH. Comparison of sleep and related variables between young and old adults. The Journal of Nurses Academic Society. 1997;27(4):820-830.
  16. Sohn JN. Factors influencing depressive symptoms in community dwelling older people. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2013;22(2):107-116. http://dx.doi.org/10.12934/jkpmhn.2013.22.2.107
  17. Rocha FL, Hara C, Rodrigues CV, Costa MA, Castro e Costa E, Fuzikawa C, et al. Is insomnia a marker for psychiatric disorders in general hospitals? Sleep Medicine. 2005;6(6):549-553. http://dx.doi.org/10.1016/j.sleep.2005.04.008
  18. Quan SF, Katz R, Olson J, Bonekat W, Enright PL, Young T, et al. Factors associated with incidence and persistence of symptoms of disturbed sleep in an elderly cohort: The cardiovascular health study. The American Journal of the Medical Sciences. 2005;329(4):163-172. https://doi.org/10.1097/00000441-200504000-00001
  19. Moller HJ, Barbera J, Kayumov L, Shapiro CM. Psychiatric aspects of late-life insomnia. Sleep Medicine Reviews. 2004;8(1):31-45. http://dx.doi.org/10.1016/s1087-0792(03)00022-4
  20. McCall WV. Sleep in the elderly: Burden, diagnosis, and treatment. Primary Care Companion to the Journal of Clinical Psychiatry. 2004;6(1): 9-20. https://doi.org/10.4088/PCC.v06n0104
  21. Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. Journal of Phenomenological Psychology. 1997;28(2):235-260. http://dx.doi.org/10.1163/156916297X00103
  22. Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park, CA: SAGE Publications; 1985.
  23. Kwon KH, Suh SR. Quality of sleep and its influencing factors in the institutionalized elderly. Journal of Korean Academy of Adult Nursing. 2009;21(1):34-42.
  24. Shim HJ, Kim JS, Kim KH. Factors affecting sleeping patterns among hospitalized elderly. Journal of Korean Academy of Adult Nursing. 2008;20(4):573-587.
  25. Kwon JH. The role of interpersonal processes in depression. The Korean Journal of Clinical Psychology. 2002;21(3):595-607.
  26. Kwon HI, Paik JW, Ham BJ, Suh SY, Kwon JH. Psychosocial functioning in depression. The Korean Journal of Clinical Psychology. 2010;29 (4):1117-1133. https://doi.org/10.15842/kjcp.2010.29.4.011
  27. Bae JY. A experience of the depression: A phenomenological approach. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2003;12(1):36-46.
  28. Chang SJ. Lived experiences of nursing home residents in Korea. Asian Nursing Research. 2013;7(2):83-90. http://dx.doi.org/10.1016/j.anr.2013.04.003
  29. Barthlen GM. Sleep disorders. Obstructive sleep apnea syndrome, restless legs syndrome, and insomnia in geriatric patients. Geriatrics. 2002; 57(11):34-40.
  30. Park C, Park YH. Validity and reliability of Korean version of health empowerment scale (K-HES) for older adults. Asian Nursing Research. 2013;7(3):142-148. http://dx.doi.org/10.1016/j.anr.2013.07.004

Cited by

  1. 수면장애가 있는 중장년 환자에게 적용한 비약물적 중재의 효과: 메타분석 vol.28, pp.1, 2014, https://doi.org/10.7475/kjan.2016.28.1.13
  2. 향기와 조명을 사용한 불면증 완화 시스템 구성의 사례를 통한 공학 교육 실천에 관한 연구 vol.11, pp.1, 2014, https://doi.org/10.14702/jpee.2019.043
  3. Risk Factors of Suicide Ideation in Younger-Old and Older-Old Persons: Using Data from the Korea Health Panel Survey vol.22, pp.4, 2014, https://doi.org/10.17079/jkgn.2020.22.4.281