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The Effects of Sensory Integration Intervention for the Improvement of Sleep Quality in Adults: A Single-Subject Experimental Design

성인의 수면의 질 향상을 위한 감각통합중재의 효과: 단일사례 연구

  • Hong, Cho Rong (Sensory School Children Development Center) ;
  • Yoo, Eun Young (Dept. of Occupational Therapy, College of Health Science, Yonsei University) ;
  • Park, Ji Hyuk (Dept. of Occupational Therapy, College of Health Science, Yonsei University) ;
  • Park, Hae Yean (Dept. of Occupational Therapy, College of Health Science, Yonsei University)
  • 홍초롱 (센소리스쿨아동발달센터) ;
  • 유은영 (연세대학교 보건과학대학 작업치료학과) ;
  • 박지혁 (연세대학교 보건과학대학 작업치료학과) ;
  • 박혜연 (연세대학교 보건과학대학 작업치료학과)
  • Received : 2019.07.29
  • Accepted : 2019.09.20
  • Published : 2019.09.30

Abstract

Objective : The purpose of this study was to investigate the effects of a sensory integration intervention to improve sleep quality in adults. Methods : The subjects of the study were three sleepless adults with sensory defensiveness. This study applied a multiple baseline design out of a single-subject study, with the process comprising 4 basic lines, 7 basic lines, and 14 basic lines. The intervention was conducted 3 times per week for a total of 12 times. Overall sleep time, sleep latency, and the number of times that participants awoke at night were measured during every session. Sleep quality, sensory integration capabilities (including sensory defensiveness), and sleep satisfaction were measured before and after treatment. Results : A visual analysis of total sleep time, sleep latency, and number of waking times during the night as measured daily after the sensory integration intervention was applied showed no noticeable improvement in any of the subjects. Conclusion : This study is meaningful in that it applied a sensory integration intervention to adults and proposed sensory integration therapy as a new method of intervention to treat sleep disorders.

목적 : 본 연구는 감각통합중재가 감각방어가 있는 성인의 수면의 질 향상에 미치는 영향을 알아보고자 하였다. 연구방법 : 감각방어가 있는 비숙면군 성인 3명을 대상으로 연구 설계는 단일대상연구(single subject research)중 다중기초선 설계를 사용하였다. 기초선 기간은 대상자 1은 4회기, 대상자 2는 7회기, 대상자 3은 14회기로 하였고, 중재기간은 총 4주로 주 3회씩 총 12회기 개별 감각통합치료를 제공하였다. 모든 회기에는 총 수면시간, 수면 잠복기, 밤 중 깨기 횟수를 측정하였고 중재 전 후로 수면의 질 변화, 감각방어를 포함한 감각통합능력의 변화와 대상자의 수면 만족도 변화를 알아보았다. 연구결과 : 감각통합중재 적용 후 총 수면시간, 수면잠복기, 밤 중 깨기 횟수를 시각적으로 분석한 결과 모든 대상자에게서 눈에 띄는 향상은 보이지 않았다. 그러나 중재 전 후 평가에서 수면의 질과 대상자가 직접 보고한 수면 만족도가 큰 폭으로 향상되었다. 또한 모든 대상자의 감각통합운동능력은 큰 폭의 향상을 보였다. 그러나 감각처리영역에서 일부 대상자는 눈에 띄는 변화가 없는 것으로 나타났다. 결론 : 본 연구는 성인에게 감각통합중재를 적용했다는 것과 감각통합치료를 수면장애치료를 위한 새로운 중재방법으로 제안했다는 점에서 의의가 있다.

Keywords

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