• 대한간호학회지
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• 제36권5호
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• pp.829-836
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• 2006

Purpose: The purpose of the present study was to identify prevalence of excessive daytime sleepiness(EDS) and its associations with sleep habits, sleep problems, depression, subjective health status and obesity in community dwelling adults. Method: Data was collected from adults aged 20-59 years by random sampling. Subjects completed a questionnaire which was composed of the Epworth Sleepiness Scale, Center for Epidemiologic Studies Depression Scale, and questions that included items about sleep habits, sleep problems, subjective health status and sociodemographic characteristics. Height and weight were measured for calculation of body mass index. The statistical analyses was based on 3,302 adults (51.5% males and 48.5% females). Descriptive statistics, univariate logistic regression and multiple logistic regression were used. Result: The prevalence of EDS was 17.1% Multiple logistic regression showed that the associated factors of EDS were depression, obesity, dissatisfaction with sleep time, irregular sleep, and habitual snoring. Depression was the most significant associated factor(adjusted odds ratio for severe depression=2.27, 95% Confidence Interval=1.73-2.96). Conclusion: EDS is a common symptom in adults. Our finding suggested that persons with a complaint of EDS should be completely assessed for depression and obesity as well as sleep problems.

• 수면정신생리
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• 제10권1호
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• pp.5-11
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• 2003

Sleep apnea syndrome is a common clinical disorder characterized by intermittent cessation of airflow at nose and mouth during sleep. The clinical significance of this syndrome is that it is one of the most common causes of excessive daytime sleepiness. It can also cause neuropsychiatric, cardiovascular, and cerebrovascular complications. The standard for diagnosis of sleep apnea syndrome is nocturnal polysomnography. Because polysomnography is a time-consuming and expensive test, many efforts have been made to replace polysomnography with a simpler system of monitoring, but no method has yet been approved as a definitive investigation method. The goals of treatment for this syndrome are to eliminate excessive daytime sleepiness and to reduce the risk of possible cardiovascular complications. Continuous positive airway pressure is the most definite and widely accepted treatment for achieving these goals. Other treatments such as surgical treatment, oral appliances, and behavioral therapy may be useful for selected patients who are mildly affected.

• 수면정신생리
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• 제2권1호
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• pp.44-54
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• 1995

It is very difficult to evaluate sleep disorders by simple history taking, because which covers very comprehensive areas such as psychobiosocial fields. Although polysomnography is used for the method of final diagnosis, systemic history taking and sleep question-aires are still critically important especially in evaluation of insomnia. Proper informations through sleep questionnaires can provide very precise data for effective treatment as well as exact diagnosis. Sleep questionnaires consist of largely four kinds of questionnaires, which are screening questionnaire of sleep disorders, sleep diary and questionnaire of sleep hygine, diagnostic questionnaire for specific sleep disorder and questionnaire of special symptoms of sleep disorders including insomnia, daytime sleepiness, cognitive function, mental symptom and personality, parasomnia, physical illness and sexual function. However, for more conclusive diagnosis especially in excessive daytime sleepiness nocturnal polysomnography and multiple sleep latency test should be performed.

• Journal of Korean Biological Nursing Science
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• 제11권1호
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• pp.23-31
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• 2009

Purpose: The purpose of the present study was to investigate the prevalence and related factors of sleep-wake disturbance (SWD) in Korean post-stroke patients. This study was the first to address post-stroke SWD in Korea using a structured questionnaire. Method: We investigated the prevalence of SWD and related factors including lesion location, stroke severity, presence of depression and fatigue. We assessed sleep-wake pattern including quality of sleep, sleep latency, wake episodes, wake time after sleep onset, daytime sleep episode and sleep time at daytime. Ninety stroke patients admitted to a university affiliated hospital in Seoul between the period September 2008 and January 2009 were included in the study. Result: Thirty five patients (38.9%) complained insomnia and 32 (35.6%) complained excessive daytime sleepiness (EDS). Quality of sleep (p=.000), sleep latency (p=.000) and total sleep time (p=.001) were significantly poorer in 16 patients with both insomnia and EDS than in the others. The related factors to insomnia were level of education (p=.030), depression (p=.007) and fatigue (p=.034), though related factors to EDS were stroke onset time (p=.049), stroke severity (p=.005), motor dysfunction (p=.035), dysphasia (p=.018), fatigue (p=.001) and lesion location (p=.019). Conclusion: Sleep-wake disturbance is a common problem in Korean stroke patients. Strategies to improve quality of sleep are urgently needed in the post-stroke patients.

• Childhood Kidney Diseases
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• 제20권2호
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• pp.50-56
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• 2016

Purpose: Nocturnal enuresis (NE) is one of the most common problems in childhood. NE has a multifactorial etiology and is influenced by sleep and arousal mechanisms. The aim of the present study was to prospectively evaluate sleep problems and patterns in children with NE compared with normal healthy controls. Methods: Twenty-eight children with NE and 16 healthy controls were included in the study. To evaluate sleep habits and disturbances, parents and children filled out a questionnaire that included items about sleep patterns and sleep-related behaviors prior to treatment for NE. Demographic factors and other data were compared for the two groups based on the responses to the sleep questionnaire. Results: Night awakening, sleepwalking, and periodic limb movements were more prevalent in children with NE, but symptoms of sleep-disordered breathing were not increased in this group. There were statistically significant differences in periodic limb movements and daytime sleepiness between the two groups. Conclusion: Children with NE seemed to have more sleep problems such as night awakening, sleepwalking, and periodic limb movements. In addition, a higher level of daytime sleepiness and hyperactivity in patients with NE suggested a relationship between NE and sleep disorders.

• 한국학교보건학회지
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• 제29권3호
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• pp.245-255
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• 2016

Purpose: This study was aimed to examine the effects of smartphone overuse and individual factors including age, relationship with friends, satisfaction with school life, and time of smartphone usage on perceived cognitive functions, fatigue, and daytime sleepiness among college students. Methods: Three-hundred college students were recruited after confirming the absence of major depressive symptoms. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression. Results: Smartphone overuse commonly explained the variance in perceived cognitive functions, fatigue, and daytime sleepiness, after controlling for individual factors. In addition, satisfaction with school life was significantly related with better effectiveness of cognitive functions while being male, having good relationships with friends and satisfaction with school life were relatively associated with a lower level of fatigue. Conclusion: The findings of this study revealed that the overuse of smartphone can serve as a psycho-cognitive burden leading to ineffective functioning in daily living. Students who are female and have issues regarding school life and friendship may be a high risk group for experiencing psycho-cognitive dysfunction associated with smartphone overuse. Further investigation is needed to develop effective interventions to improve psycho-cognitive health associated with the excessive use of smartphone in young adults.

• 한국콘텐츠학회논문지
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• 제19권4호
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• pp.120-128
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• 2019

본 연구는 폐쇄성 수면무호흡증 환자를 대상으로 수면의 질에 미치는 영향요인을 파악하기 위한 후향적 서술조사연구이다. 2017년부터 2018년까지 일 지역 종합병원에서 수면다원검사를 받은 176명의 폐쇄성 수면무호흡증 환자가 작성한 자가보고 설문지와 전자의무기록을 검토하여 자료를 수집하였다. 자료는 기술통계, t-test, Pearson's correlation, 다중회귀분석으로 통계분석을 시행하였다. 대상자의 평균연령은 49.37세이었고, 94.4%가 수면의 질이 낮은 것으로 나타났다. 수면의 질은 주간 졸음, 우울과 유의한 상관관계를 나타내며, 수면의 질에 영향을 미치는 요인은 우울, 두통, 입마름, 성별 이었으며 설명력은 37.1% 이었다. 폐쇄성 수면무호흡증 환자의 수면의 질을 향상하기 위하여 두통, 입마름, 우울을 감소시키는 중재가 필요하다.

• 동의신경정신과학회지
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• 제31권4호
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• pp.329-336
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• 2020

Objectives: This case report intended to examine how herbal medicine treatment for breathingrelated sleep disorders applied with polysomnography affected the structure of sleep. Methods: From January to November 2019, we retrospectively reviewed the progress records and polysomnography reports of patients who visited Korean medical hospitals in Daejeon and Cheonan. Results: In case 1, the patient complained of daytime sleepiness and snoring and was diagnosed with obstructive sleep apnea disorder and treated with Ukgan-san-gami. There were significant changes in the polysomnographic parameters, such as sleep efficiency, waking after sleep onset, sleep latency, the total arousal index, and the apnea-hypopnea index after herbal treatment. In case 2, the patient complained of frequent waking after sleep onset, daytime sleepiness, and snoring, and was diagnosed with obstructive sleep apnea disorder and treated with Yeoldahanso-tang-gami. There were significant changes in the polysomnographic parameters, such as the total arousal index and the apnea-hypopnea index after herbal treatment. In case 3, the patient complained of daytime sleepiness and was diagnosed with obstructive sleep apnea disorder and treated with Bangpungtongsung-san. There was no significant change in the polysomnographic parameters after herbal treatment. Conclusions: It is meaningful to note that objectively identifying the outcome of treatment for breathing-related sleep disorders is necessary in the clinical practice of Korean medicine.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.148-156
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• 2019

본 연구는 간호대학생의 우울, 불안, 수면의 질과 주간과다졸림의 정도를 확인하고, 주간과다졸림에 영향을 미치는 요인을 파악하여 중재방안 마련을 위한 근거자료를 제공하기 위해 수행되었다. 연구대상자는 일 대학에 재학 중인 간호대학생 213명으로, 2019년 5월 20일부터 5월 30일까지 구조화된 설문지를 통하여 자료 수집하였다. 수집된 자료는 SPSS/WIN 25.0 통계프로그램을 이용하여, 실수, 백분율, 평균, 표준편차, χ² 검정, Paired t-test, Pearson's Correlation, Multiple logistic regression으로 분석하였다. 연구결과 간호대학생의 주간과다졸림 평균 점수는 8.95(±4.56)점이었고 주간과다졸림군은 40.8%이었다. 대상자의 우울 평균 점수는 10.05(±7.85)점, 상태불안 평균점수는 46.09(±9.50)점, 특성불안 평균점수는 46.47(±9.93)점, 수면의 질 평균점수는 6.51(±2.95)점)이었다. 주간과다졸림 유무에 따라 대상자의 우울(t=1.955, p=.024), 상태불안(t=5.446, p<.001), 특성불안(t=1.716, p=.007), 수면의 질(t=2.168, p<.001)의 평균 점수에는 유의한 차이가 있었다. 주간과다졸림에 영향을 미치는 요인으로는 상태불안, 수면의 질로 나타났으며, 주간과다졸림에 대한 상태불안의 오즈비는 1.04(95% Confidence Interval=1.01-1.08), 수면의 질은 1.16(95% Confidence Interval=1.04-1.29)로 나타났다. 이상의 결과를 바탕으로 우선적으로, 간호대학생의 주간과다 졸림에 대한 관심을 높이고, 주간과다졸림을 줄이기 위해 불안완화를 위한 중재방안마련과 수면의 질에 대한 관리가 필요할 것이다.

• 한국응용과학기술학회지
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• 제41권1호
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• pp.96-106
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• 2024

본 연구는 아로마 목걸이를 병용한 비대면 수면 프로그램이 불면증 대학생의 수면의 질, 주간졸림증, 우울 및 스트레스에 미치는 효과를 확인하고자 비동등 대조군 전후 실험설계로 시도되었다. 대상자는 경기도 S시 소재 E대학에 재학중인 대학생 가운데 불면증상을 호소하는 대상자에게 중재 전후에 자가설문으로 구성된 수면의 질, 주간졸림증, 우울, 스트레스를 측정하였다. 아로마목걸이를 병용한 비대면 수면 프로그램은 실험군(n=21)에게 주 1회, 총 6주 동안 적용하였으며 대조군(n=21)에게 수면책자를 제공하였다. 자료분석은 SPSS 24.0 프로그램을 이용하여 기술통계, Chi-square test, Fisher's exact test, Independent t-test를 이용하여 분석하였다. 연구결과, 수면의 질(t=-5.87, p<.001), 주간졸음(t=-4.28, p<.001), 우울(t=-4.40, p<.001)에서는 그룹 간 유의한 차이가 나타났으며 스트레스는 유의하지 않았다. 따라서 아로마목걸이를 병용한 비대면 수면 프로그램이 대학생의 수면의 질, 주간졸림증, 우울 증상을 감소시키는데 유용한 간호중재법으로 활용 가능할 것을 기대된다.