Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
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Factors influencing sleep quality in elderly with degenerative osteoarthritis

퇴행성 골관절염 노인의 수면에 미치는 영향 요인

  • Jeong-Hwa Kum (Department of Nursing, GimcheonUniversity)
  • 금정화 (김천대학교 간호학과)
  • Received : 2024.06.21
  • Accepted : 2024.08.26
  • Published : 2024.08.30
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Abstract

The purpose of this study is a descriptive study to confirm the effects of activities of daily living, pain, depression, self-esteem, and fatigue on sleep quality in elderly with degenerative osteoarthritis. The subjects of this study were 150 elderly people aged 65 years or older who were diagnosed with degenerative osteoarthritis by a specialist in the N urban-rural complex city of Chungcheongnam-do. Data collection was conducted from February 13, 2023, to April 7, 2023. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression analysis with the SPSS/WIN 28.0 program. As a result, sleep quality had a positive correlation with activities of daily living (r=.20, p=.014), pain (r=.45, p<0.01), depression (r=.56, p<0.01), and fatigue (r=.01). 68, p<0.01), and had a negative correlation with self-esteem (r=-.37, p<0.01). Factors affecting sleep quality were fatigue (β=.489, p<.001), pain (β=.207, p=002), and depression (β=.156, p=.046). These variables explained 49.9% of sleep quality. Based on this study results, a program that can comprehensively intervene fatigue, pain, and depression is needed to improve the sleep quality of elderly with degenerative arthritis.

본 연구는 퇴행성 골관절염 노인의 일상생활활동, 통증, 우울, 자아존중감, 피로가 수면의 질에 미치는 영향을 파악하기 위한 서술적 연구이다. 연구대상자는 충청남도 N 도농복합도시에서 전문의로부터 퇴행성 골관절염을 진단받은 65세 이상의 노인 150명을 대상으로 하였다. 자료 수집은 2023년 2월 13일부터 2023년 4월 7일까지 진행되었다. 수집된 자료는 SPSS/WIN 24.0을 이용하여 일반적 특성은 기술통계를 이용하여 구하였고, 일반적 특성에 따른 수면의 질 차이는 T-test, ANOVA와 사후 검정은 Scheffe's test로, 각 변수들의 상관관계 분석은 Pearson correlation coefficient, 수면의 질 영향요인은 다중회귀 분석으로 파악하였다. 연구 결과 수면의 질은 일상생활활동(r=.20, p=.014), 통증(r=.45, p<0.01), 우울(r=.56, p<0.01) 및 피로(r=.68, p<0.01)와 양의 상관관계가 있으며, 자아존중감(r=-.37, p<0.01)은 음의 상관관계가 있었다. 수면의 질에 영향을 미치는 요인은 피로함(β=.489, p<.001), 통증(β=.207, p=002), 우울(β=.156, p=.046) 순으로 나타났으며, 이들 요인은 수면의 질을 49.9% 설명하였다. 이러한 연구 결과를 토대로 퇴행성 골관절염 노인의 수면의 질을 향상시키기 위하여 피로, 통증 및 우울을 복합적으로 중재할 수 있는 프로그램이 필요하다.

Keywords

Acknowledgement

이 논문은 2022년 김천대학교 교내학술연구비지원에 의한 것임(gc22042).

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