일부 지역 치위생과 학생의 과민성 장 증후군과 수면의 질에 관한 연구

A Study on Irritable Bowel Syndrome and Sleep Quality of Dental Hygiene Students

  • Kim, Mi-Jeong (Department of Dental Hygiene, Vision University College of Jeonju)
  • 투고 : 2014.01.14
  • 심사 : 2014.02.19
  • 발행 : 2014.03.31

초록

본 연구는 일부 지역 치위생과 학생을 대상으로 IBS와 수면의 질의 관련성을 파악하기 위하여 수행하였다. 연구대상은 전북지역 4개 대학 치위생과 344명을 대상으로 구조화된 설문지를 이용하여 2013년 5월부터 9월까지 수행하였으며 결과는 다음과 같다. 대상자의 IBS의 배변양상유형은 혼합형이 57.6%로 가장 많았고, 변비형 10.5%, 미분류형 7.1%, 설사형 6.1%로 나타났다. 대상자의 일반적 특성에 따른 수면의 질은 3학년 11.45점, 2학년 10.90점, 1학년 9.53점으로 학년이 높을수록 수면의 질이 통계적으로 유의하게 낮았으며, IBS일 경우에서도 수면의 질이 낮아 통계적으로 유의한 차이를 나타냈다. IBS 유무에 따른 수면의 질 차이는 습관적 수면효율성, 수면제 복용, 낮 시간 기능장애가 통계적으로 유의한 차이를 나타내 대조군에 비해 수면의 질이 낮았다. IBS 배변양상유형에 따른 수면의 질 차이는 수면방해에서 혼합형이 6.86점으로 가장 높았고, 습관적 수면효율성은 변비형이 1.00점, 주관적 수면의 질은 변비형이 1.42점, 수면제 복용은 미분류형이 0.15점으로 가장 높았으나 통계적으로 유의하지는 않았지만, 낮 시간 기능장애에서는 변비형이 2.61점으로 가장 높아 통계적으로 유의한 차이를 보였다(p=0.012). 수면의 질 하위요인간의 상관관계는 양의 상관관계가 있는 것으로 나타났다. 이상의 연구결과를 바탕으로 IBS의 경우와 학년이 높을수록 수면의 질이 낮다는 것을 알 수 있었고, IBS의 경우 낮은 수면의 질로 인하여 낮 시간 동안의 기능장애가 있는 것으로 나타나, 과민성장증후군의 증상에 대해 교육하고 증상을 완화시킬 수 있는 적절한 스트레스 관리법과 올바른 식습관에 관한 교육 및 예방프로그램 개발을 통해 수면의 질을 높일 수 있도록 해야 할 것이다.

This research aimed to understand the relevance between irritable bowel syndrome (IBS) and sleep quality for dental hygiene students in certain areas. It was conducted on 344 students from four universities in Jeollabuk-do from May to September 2013 using a structured questionnaire. The following are the results. 57.6% of the IBS bowel movement conditions were mixed type, 10.5% constipation type, 7.6% uncategorized, and 6.1% diarrhea type. For sleep quality based on the subjects' general characteristics, third years were 11.45, second years 10.90, and first years 9.53 (p=0.034). The sleep quality was statistically significantly lower as the years increased, and even for IBS (p=0.026), it was low and showed a significant difference. For difference in sleep quality based on IBS presence, habitual sleep efficiency, sleeping pill dosage (p=0.043), and day time functional disorder (p=0.007) showed statistically significant differences and lower sleep quality than the control group. For difference in sleep quality based on IBS bowel movement condition, mixed type was the highest for sleep disturbance at 6.86, constipation type was 1.00 for habitual sleep efficiency, constipation type was 1.42 for subjective sleep quality, uncategorized type was 0.15 for sleeping pill dosage but not statistically significant. In day time functional disorder, constipation type was the highest at 2.61 and showed a significant difference (p=0.012). The correlation between the sub-factors of sleep quality was positive. Based on the above study results, we learned that for IBS, sleep quality becomes lower as the year increases, and functional disorder was observed during day time due to low sleep quality. Education on IBS symptoms is needed, adequate stress management method to alleviate symptoms and prevention programs for correct diet must be developed to enhance sleep quality.

키워드

참고문헌

  1. Kang HW, Jung HK: Pathophysiology and diagnosis of irritable bowel syndrome. Korean J Med 5: 491-498, 2011.
  2. Park HJ, Lim SY: Frequency of irritable bowel syndrome, entrance examination, stress, mental health, and quality of life among adolescent women. J Korean Acad Fundam Nnurs 2: 171-180, 2009.
  3. Hwang SY, Choi CH, Rhie SY, et al.: The frequency and related factors of irritable bowel syndrome in health check up subjects. JNM 2: 136-143, 2006.
  4. Pace F, Molteni P, Bollani S, et al.: Inflammatory bowel disease versus irritable bowel syndrome: a hospital-based, case-control study of disease impact on quality of life. Scand J Gastroenterol 10: 1031-1038, 2003.
  5. Ji SW, Park HJ, Choi JP, Lee TH, Lee DY, Lee SI: Validation of Rome II criteria for functional gastrointestinal disorders in Kn patients. Korean J Gastroenterol 3: 183-189, 2003.
  6. Min SH, Oh HS, Kim JH: Dietary behaviors and perceived stress of university students. Korean J Food Culture 2: 158-169, 2004.
  7. Kim KH: The relation between life stress and nutrient intake satus in female university students. Korean J Food Culture 4: 387-397, 2000.
  8. Korea National Health Nutrition Examination Survey. Retrieved February 2012, from http://www.stat.mw.go.kr (2011).
  9. Moon IO, Kim YH, Lim HJ: Relationships between variables related with stress and psychological variables of female university students in Seoul. Korean Public Health Res 1: 79-84, 2004.
  10. Jung EJ, Yoon MS, Youn HJ: A study on stressors among dental hygiene students. J Dent Hyg Sci 2: 131-137, 2012.
  11. Youn JH: A study on IBS stress perceived by college women and their dietary habit and sleeping quality. Unpublished master's thesis, Ewha Womans University, Seoul, 2005.
  12. Lee YS: Explorative study on anxiety, depression and sleep disturbance in women with irritable bowel syndrome (IBS). Unpublished master's thesis, Kyung Hee University, Seoul, 2002.
  13. Kwon SS, Moon HJ: A study of the psychosomatic selfreported symptom of dental hygiene students. J Dent Hyg Sci 12: 413-421, 2012.
  14. Lee JM: Relationship between symptom severity, sleep quality, and quality of life in patients with irritable bowel syndrome. Unpublished master's thesis, Keimyung University, Daegu, 2002.
  15. Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC: Functional bowel disorders. Gastroenterology 5: 1480-1491, 2006.
  16. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ: The pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 28: 193-213, 1989. https://doi.org/10.1016/0165-1781(89)90047-4
  17. Park MJ, Choe MA, Kim KS, et al.: The review on characteristics, pathophysiology and risk factors of irritable bowel syndrome. Korean J Rehabil Nurs 2: 129-138, 2005.
  18. Heitkemper MM, Cain KC, Shulman R, Burr RL, Poppe A, Jarrett ME: Subtypes of irritable bowel syndrome based on abdominalpain/discomfort severity and bowel pattern. Dig Dis Sci 7: 2050-2058, 2011.
  19. Lee SH: The prevalence of characteristics of irritable bowel syndrome in Korean population. Unpublished doctoral dissertation, Hanyang University, Seoul, 2003.
  20. Fass R, Fullerton S, Tung S, Mayer EA: Sleep disturbances in clinic patients with functional bowel disorders. Am J Gastroenterol 5: 1195-2000, 2000.
  21. Tsai LL, Li SP: Sleep patterns in college students, gender and grade differences. J Psychosom Res 2: 231-237, 2004.
  22. Elsenbruch S, Thompson JJ, Jamish MJ, Exton MS, Orr WC: Behavioral and physiological sleep characteristics in women with irritable bowel syndrome. Am J Gastroenterol 9: 2306-2314, 2002.
  23. Burr RL, Jarrett ME, Cain KC, Jun SE, Heitkemper MM: Catecholamine and cortisollevels during sleep in women with irritable bowel syndrome. Neurogastroenterol Motil 11: 1148-1197, 2009.