성인간호학회지 (Korean Journal of Adult Nursing)

  • 제27권2호
  • /
  • Pages.211-222
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  • 2015
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  • 1225-4886(pISSN)
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  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
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노인수면모델에 근거한 지역사회 노인의 수면에 관한 경로모형

The Path Model based on Senescent Sleep Model for Sleep in Community-dwelling Older Adults

  • 김아린 (청주대학교 간호학과) ;
  • 김옥수 (이화여자대학교 간호학부)
  • Kim, Ahrin (Department of Nursing, Cheongju University) ;
  • Kim, Oksoo (Division of Nursing, Ewha Womans University)
  • 투고 : 2015.01.19
  • 심사 : 2015.04.11
  • 발행 : 2015.04.30
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초록

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.

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참고문헌

  1. Random House Webster's College Dictionary. New York: Random House Reference; 2005
  2. Jung KH, Oh YH, Lee YK, Sohn CK, Park BM, Lee SY, et al. 2011 Korean national survey on older adults. Policy report. Korea: Ministry for Health and Welfare. 2012 April. Report No.: 11-1352000-000672-12.
  3. Jaussent I, Bouyer J, Ancelin ML, Akbaraly T, Peres, K, Ritchie, K, et al. Insomnia and daytime sleepiness are risk factors for depressive symptoms in the elderly. Sleep. 2011;34(8):1103-10. http://dx.doi.org/10.5665/SLEEP.1170
  4. Kang S, Kim JS. Experiences of insomnia of the elderly women in community, Journal of Qualitative Research. 2010;11(1):13-25.
  5. Keage HA, Banks S, Yang KL, Morgan K, Brayne C, Matthews FE. What sleep characteristics predict cognitive decline in the elderly? Sleep Medicine. 2012;13(7):886-92. http://dx.doi.org/10.1016/j.sleep.2012.02.003
  6. Nebes RD, Buysse DJ, Halligan EM, Houck PR, Monk TH. Self-reported sleep quality predicts poor cognitive performance in healthy older adults. Journals of Gerontology Series B: Psychological Sciences & Social Sciences. 2009;64B(2):180-7. http://dx.doi.org/10.1093/geronb/gbn037
  7. Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep. 2004;27(7):1255-73
  8. Holfeld B, Ruthig JC. A longitudinal examination of sleep quality and physical activity in older adults. Journal of Applied Gerontology. 2012. Forthcoming. http://dx.doi.org/10.1177/0733464812455097
  9. Tu X, Cai H, Gao YT, Wu X, Ji BT, Yang G, et al. Sleep duration and its correlates in middle-aged and elderly chinese women: the shanghai women's health study. Sleep Medicine. 2012;13(9):1138-45. http://dx.doi.org/10.1016/j.sleep.2012.06.014
  10. Yao KW, Yu S, Cheng S, Chung I. Relationships between personal, depression, social network factors and sleep quality in community-dwelling older adults. Journal of Nursing Research. 2008;16(2):131-9. https://doi.org/10.1097/01.JNR.0000387298.37419.ff
  11. McHugh JE, Lawlor BA. Perceived stress mediates the relationship between emotional loneliness and sleep quality over time in older adults. British Journal of Health Psychology. 2013;18(3):546-55. http://dx.doi.org/10.1111/j.2044-8287.2012.02101.x
  12. Monk TH, Buysse DJ, Billy BD, Fletcher, ME, Kennedy KS, Schlarb, JE, et al. Circadian type and bed-timing regularity in 654 retired seniors: correlations with subjective sleep measures. Sleep. 2011:34(2),235-9.
  13. vaz Fragoso CA, Gill TM. Sleep complaints in communityliving older persons: a multifactorial geriatric syndrome. Journal of the American Geriatrics Society. 2007;55(11):1853-66. https://doi.org/10.1111/j.1532-5415.2007.01399.x
  14. Ayotte BJ, Margrett JA, Hicks-Patrick J. Physical activity in middle-aged and young-old adults the roles of self-efficacy, barriers, outcome expectancies, self-regulatory behaviors and social support. Journal of Health Psychology. 2010;15(2):173-85. http://dx.doi.org/10.1177/1359105309342283
  15. Yamanaka Y, Hashimoto S, Tanahashi Y, Nishide SY, Honma S, Honma K. Physical exercise accelerates reentrainment of human sleep-wake cycle but not of plasma melatonin rhythm to 8-h phase-advanced sleep schedule. American Journal of Physiology-Regulatory. Integrative and Comparative Physiology. 2010;298(3):R681-91. http://dx.doi.org/10.1152/ajpregu.00345.2009
  16. Milanovic Z, Pantelic S, Trajkovic N, Sporis G, Kostic R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clinical Interventions in Aging. 2013;8:549-56. http://dx.doi.org/10.2147/CIA.S44112
  17. Lieverse R, de Vries R, Hoogendoorn AW, Smit JH, Hoogendijk WJ. Social support and social rhythm regularity in elderly patients with major depressive disorder. The American Journal of Geriatric Psychiatry. 2013;21(11):1144-53. http://dx.doi.org/10.1016/j.jagp.2013.01.052
  18. Theeke LA, Goins RT, Moore J, Campbell HT. Loneliness, depression, social support, and quality of life in older chronically ill appalachians. The Journal of Psychology. 2012;146(1-2):155-71. https://doi.org/10.1080/00223980.2011.609571
  19. Mesas AE, Lopez-Garcia E, Leon-Munoz LM, Graciani A, Guallar-Castillon P, Rodriguez-Artalejo F. The association between habitual sleep duration and sleep quality in older adults according to health status. Age and Ageing. 2011;40(3):318-23. http://dx.doi.org/10.1093/ageing/afr004
  20. Kline RB. Principles and practice of structural equation modeling. 2nd ed. New York: Guilford Press; 2005. p. 20-208.
  21. Montgomery-Downs HE, Insana SP, Bond JA. Movement toward a novel activity monitoring device. Sleep Breath. 2012;16(3):913-7. http://dx.doi.org/10.1007/s11325-011-0585-y
  22. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kuper DJ. The pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  23. Charlson ME, Pompei P, Ales K, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Journal of Chronic Diseases. 1987;40(5):373-83. https://doi.org/10.1016/0021-9681(87)90171-8
  24. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of international physical activity questionnaire (IPAQ) short form. Journal of the Korean Academy of Family Medicine. 2007;28(7):532-41.
  25. Hong M, Casado, BL,, Harrington D. Validation of Korean versions of the lubben social network scales in Korean Americans. Clinical Gerontologists. 2011;34(4):319-34. http://dx.doi.org/10.1080/07317115.2011.572534
  26. Kim OS. Korean version of the revised UCLA loneliness scale: reliability and validity test. Journal of Korean Academy of Nursing. 1997;27(4):871-9.
  27. Mastin DF, Bryson J, Corwyn R. Assessment of sleep hygiene using the sleep hygiene index. Journal of Behavioral Medicine. 2006;29(3):223-7. https://doi.org/10.1007/s10865-006-9047-6
  28. Kwon YC, Park JH. Korean version of Mini-Mental State Examination (MMSE-K) part I: development of the test for the elderly. Journal of Korean Neuropsychiatric Association. 1989;28(1):125-35.
  29. Cho MJ, Bae JN, Suh GH, Hahm BJ, Kim JK, Lee DW, et al. Validation of Geriatric Depression Scale, Korean version (GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1999;38(1):48-62.
  30. Kang YH, Kim MY, Lee GJ, Jung DY, Ma RW. A study of social support, loneliness, sleep quality, and perceived health status among community-dwelling older adults. Journal of Korean Public Health Nursing. 2012;26(2):303-13. http://dx.doi.org/10.5932/JKPHN.2012.26.2.303

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