한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제8권12호
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  • Pages.179-187
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  • 2017
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  • 2233-4890(pISSN)
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  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
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전립선비대증 환자의 수면장애 융합적 영향요인

Convergence Factors Influencing Sleep Disturbance of Benign Prostate Hyperplasia Patients

  • 안민권 (전북과학대학교 간호학과)
  • 투고 : 2017.08.18
  • 심사 : 2017.12.20
  • 발행 : 2017.12.28
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초록

본 연구의 목적은 국내 전립선비대증 환자의 수면장애 영향요인을 규명하기 위함이다. 훈련된 연구보조원이 J시의 164명 전립선비대증 환자에게 문장을 설명하고 읽어주어 질문지를 작성하였다. 질문지는 전립선비대증상, 불안, 우울, 수면장애로 구성되었다. 수면장애는 소득, 규칙적인 운동 및 질병의 수에 따라 통계적으로 유의한 차이가 있었다. 수면장애와 전립선비대증상(r=.45, p<.001), 불안(r=.59, p<.001), 우울(r=.42, p<.001)간에 통계적으로 유의한 상관관계가 있었다. 수면장애 영향요인은 불안(${\beta}=.41$, p<.001), 소득(${\beta}=-.36$, p<.001), 전립선비대증상(${\beta}=.28$, p=.021)이었다. 이들 변수는 수면장애에 대해 41.2%의 설명력을 보였다. 이와 같은 연구결과는 전립선비대증 환자의 수면장애를 줄이기 위해 전립선비대증상과 불안의 융합적 관련성을 고려한 관리 전략 개발의 기초자료로 활용할 수 있다.

The purpose of this study was to identify factors influencing sleep disturbance among benign prostate hyperplasia (BPH) patients in South Korea. A trained reporter filled out the questionnaire by explaining and reading the sentences to 164 BPH patients in J city. The questionnaire consisted of international prostate symptom score (IPSS), anxiety, depression, sleep disturbance. There was a statistically significant difference in sleep disturbance of participants according to income, regular exercise, and number of disease. There were statistically significant correlations between sleep disturbance and IPSS (r=.45, p<.001), anxiety (r=.59, p<.001), depression (r=.42, p<.001). The influential factors for sleep disturbance were anxiety (${\beta}=.41$, p<.001), income (${\beta}=-.36$, p<.001), IPSS (${\beta}=.28$, p=.021). These factors accounted for 41.2% of the variance in sleep disturbance. The result of this study can be used as a basic data for development of a management strategy considering convergent relationship between IPSS and anxiety in order to decrease sleep disturbance of BPH patients.

키워드

참고문헌

  1. S. J. Hong, "Benign prostatic hyperplasia in community-dwelling elderly in Korea", Journal of Korean Academy of Nursing, Vol. 35, pp. 1508-1518, 2005. https://doi.org/10.4040/jkan.2005.35.8.1508
  2. J. K. Kim, J. B. Kim, M. S. Song, "A Study on Physiological Index, Anxiety and Depression by the Severity of Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia", Journal of Korean Biologic Nursing Science, Vol. 13, No. 3, pp. 127-134, 2016. http://dx.doi.org/10.7586/jkbns.2016.18.3.127
  3. A. S. Salinas-Sanchez, I. Hernandez-Millan, J. G. Lorenzo-Romero, M. Segura-Martin, C. Fernandez-Olano, & J. A. Virseda-Rodriguez, "Quality of life of patients on the waiting list for benign prostatic hyperplasia surgery", Quality of Life Research, Vol. 10, pp. 543-553, 2005.
  4. J. K. Donovan, "The Measurement of Symptoms, Quality of Life and Sexual Function", British Journal of Urology International, Vol. 85, No. 1, pp. 10-19, 2000. https://doi.org/10.1046/j.1464-410X.2000.00010.x
  5. M. S. Choo, J. H. Ku, C. H. Park, Y. S. Lee, K. S. Lee, J. G. Lee, & W. H. Park, "Prevalence of Nocturia in Korean Populatuion Aged 40 to 89 Years", Neurourology and Urodynamics, Vol. 27, pp. 60-64, 2008. https://doi.org/10.1002/nau.20458
  6. J. I. Bae, & J. Y. Kim, "Effects of Physical Diseases Including Nocturia on Sleep Disturbance in the Urban Elderly", The Korean Geriatrics Society, Vol. 14, No. 2, pp. 104-110, 2010. https://doi.org/10.4235/jkgs.2010.14.2.104
  7. P. Jennum, "Sleep and Nocturia. British Journal of Urology International", Vol. 90 No. 3, pp. 21-24, 2002. https://doi.org/10.1046/j.1464-410X.90.s3.6.x
  8. O. S. Cho, J. I. Kim, Y. M. Kim, "A Study on Sleep Quality and Geriatric Depression in the Elderly between Hospital and Senior Welfare Service Center", Journal of the Korean Gerontological Society, Vol. 33, No. 2, 493-507, 2013.
  9. J. S. Lee, S. Y. Lee, "Effects of Cognitive Function and Depression on Anxiety in Elderly People-Convergent approach", Journal of Digital Convergence, Vol. 13, No. 8, pp. 401-408, 2015. https://doi.org/10.14400/JDC.2015.13.8.401
  10. N. R. Lee, K. H. Kim, Y. H. Kwak, & Y. J. Kim, "Effects of the symptoms, anxiety, and depression on the quality of sleep of benign prostate hyperplasia patients", The Journal of the Korea Contents Association, Vol. 15, No. 1, pp. 338-349, 2015. https://doi.org/10.5392/JKCA.2015.15.01.338
  11. N. S. Seo, S. J. Kang, J. H. Kim, & S. J. Kim, "Relationships between Fatigue, Sleep Disturbance, Stress, Self-efficacy and Depression in Hemodialysis Patients", Journal of Korean Clinical Nursing Research, Vol. 19, No. 2, pp. 285-297, 2013. https://doi.org/10.22650/JKCNR.2013.19.2.285
  12. Y. L. Kim, "Hemodialysis Patients' Stress, Anxiety, Family Support, Patient Provider Relationship, and Sleep Disturbance", Journal of the Korean Data Analysis Society, vol. 16, No. 4, pp. 2161-2175, 2014.
  13. S. S. Jun, D. H. Kim, & M. Y. Kim, "Sleep Disturbance in Prostate Cancer Patients", The Journal of Fundamentals of Nursing, Vol. 17, No. 2, pp. 169-176, 2010.
  14. H. J. Choi, S. G. Back, "A Study on Depressive disposition by Convergence approach of Leisure History and Family situation in Elderly Women", Journal of the Korea Convergence Society, Vol. 6, No. 5, pp. 295-302, 2015. https://doi.org/10.15207/JKCS.2015.6.5.295
  15. E. K. Han, "Convergent Study of the Factors Affecting the Quality of Sleep among Elderly Insomnia Patients", Journal of the Korea Convergence Society, Vol. 8, No. 3, pp. 141-150, 2017. https://doi.org/10.15207/JKCS.2017.8.3.141
  16. K. S. Coyne, A. I. Wein, A. Tubaro, C. C. Sexton, C. L. Thompson, Z. C. Kopp, & L. P. Aiyer, "The burden of lower urinary tract symptoms: Evaluating the effect of LUTS on health-related quality of life. Anxiety and depression: EpiLUTS", British Journal of Urology International, Vol. 103, No. 3, pp. 4-11, 2009. https://doi.org/10.1111/j.1464-410X.2009.08371.x
  17. H. J. Yu, T. H. Chen, W. C. Chie, C. Y. Liu, T. H. Tung, & S. W. Huang, "Prevalence and associated factors of nocturia among adult residents of the Matsu area of Taiwan", Journal of the Formosan Medical Association, Vol. 104, pp. 444-447, 2005.
  18. R. Asplund, "Nocturia: consequences for sleep and daytime activities and associated risks", European Urology Supplements, Vol. 3, No. 6, pp. 24-32, 2005. https://doi.org/10.1016/S1569-9056(05)80004-1
  19. K. F. Quek, "Factors Affecting Health-related Quality of Life among Patients with Lower Urinary Tract Symptoms", International Journal of Urology, Vol. 12, No. 12, pp. 1032-1036, 2005. https://doi.org/10.1111/j.1442-2042.2005.01198.x
  20. J. S. Kim, B. N. Moon, "Factors Influencing Health-related Quality of Life in Patients with Benign Prostatic Hyperplasia", Journal of Korean Academy of Nursing, Vol. 40, No. 2, pp. 287-297, 2010. https://doi.org/10.4040/jkan.2010.40.2.287
  21. S. J. Chang, H. O. Ju, Y. S. Song, "Factors Affecting Health-Related Quality of Life of BPH Patients", The Journal of Korean Academic Society of Nursing Education, Vol. 13, No. 1, pp. 74-81, 2007.
  22. K. L. Shin, Y. H. Kang, M. K. Shin, "A Study of Prostate Symptom, Sleep Quality and Quality of Life in the Community-Dwelling Korean Elderly", The Korean Gerontological Society, Vol. 28, No. 4, pp. 1041-1054, 2008.
  23. Y. E. Lee, J. S. Kim, "Convergence study on Effect of Music Therapy in Patients Undergoing Prostatectomy with Spinal Anesthesia", Journal of the Korea Convergence Society, Vol. 8, No. 1, pp. 97-106, 2017. https://doi.org/10.15207/JKCS.2017.8.8.033
  24. X. Liu, M. Uchiyama, K. Kim, M. Okawa, K. Shibui, Y. Kudo, Y. Doi, M. Minowa, R. Ogihara, "Sleep loss and daytime sleepiness in the general adult population of Japan", Psychiatry Research, Vol. 93, No. 1, pp. 1-11, 2000. https://doi.org/10.1016/S0165-1781(99)00119-5