• 수면정신생리
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• 제28권1호
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• pp.34-42
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• 2021

Objectives: This study investigated sleep quality in female full-time homemakers and evaluated the relationship of sleep disturbance with psychological and socio-environmental factors. Methods: This cross-sectional study adopted a structured survey and sequential recruitment method for randomized participation of community-dwelling full-time female homemakers. Sleep quality and mental health were measured using the Korean version of the Pittsburgh Sleep Quality Index (K-PSQI), Korean version of the Beck Depression Inventory-II (K-BDI-II), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Beck Hopelessness Scale (K-BHS). The willingness-to-pay (WTP) method was selected to measure the self-evaluated monetary value of household service work. The relationship among the main relevant factors was statistically analyzed through a mediation model. Results: A total of 166 participants were analyzed and classified having poor versus good sleep quality (poor : 24.1%, n = 40 ; good : 75.9%, n = 126 ; cut-off point = 9 on the K-PSQI). Significant between-group differences were observed in mental health status (K-BDI-II, p < 0.001 ; K-BAI, p < 0.001 ; K-BHS, p = 0.003). The moderated mediation model was verified, indicating that depression may mediate the association between nurturing burden and sleep disturbance. The path from nurturing burden to depression may be moderated by average monthly household income. Conclusion: A relatively high portion of full-time female homemakers may suffer from sleep disturbance and interactions between psychological and socio-environmental factors might determine sleep quality, suggesting the need for public health policies targeting improvement of sleep quality and mental health among full-time homemakers.

• 정신신체의학
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• 제18권1호
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• pp.30-39
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• 2010

연구목적 : 임상현장에서 주로 환자나 간호사의 주관적인 수면보고에 의존하여 수면을 평가하고 있다. 본 연구에서는 주관적 수면평가와 활동기록을 이용한 수면평가를 비교하고자 한다. 방 법 : 32명의 정신과 입원 환자를 대상으로 하였고, 대상자들에게 활동기록기를 이용한 수면평가, 수면일지, 주관적인 수면의 질에 대한 시각적 증상 정도 평가, BDI, STAI를 시행하였다. 간호사도 3일 동안 한 시간마다 환자의 수면을 평가하였다. 결 과 : 환자의 보고와 활동기록기를 이용한 수면측정상 입면잠복시간에서 유의한 차이를 보였다. 환자는 간호사보다 자고 있음에도 깨어있었다고 더 많이 보고하였다. 주관적 수면평가와 활동기록 수면평가의 차이는 불안, 우울과 상관관계를 보였다. 결 론 : 주관적으로 수면의 질을 낮게 평가하는 환자일수록 활동기록기로 측정한 입면잠복시간과 더 큰 차이를 보였고, 우울, 불안 증상이 심한 환자의 수면보고는 활동기록 측정값과 큰 차이를 보였다. 이런 환자들에게 수면의 질에 대한 질문만으로는 정확한 수면평가가 어려우므로 객관적인 수면평가가 필요하겠다.

• 성인간호학회지
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• 제26권2호
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• pp.214-222
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• 2014

Purpose: This study was to identify factors predicting the occurrence of depression among patients with hepatitis C treated with Peg-interferon. Methods: The subjects were 134 patients treated with Peg-interferon after the diagnosis with hepatitis C at the D University Hospital and 3 hospitals located in Busan, South Korea. The predictors of depression were identified by measuring the general characteristics of the subjects and their disease-related characteristics, social support, sleep disorders, and degree of side effects by interferon. The data were analyzed with a t-test, ANOVA, and logistic regression using the SPSS/WIN 18.0 program. Results: Sixty-six point four percent of the subjects suffered from mild to more severe depression. Fatigue, hair loss, itching, and sleep disorders turned out to be significant predictors. In addition, the explanatory power of these variables for the occurrence of depression was 70%. Conclusion: Sleep disorders and drug side effects were determined to have significant influence on the development of depression in hepatitis C patients treated with Peg-interferon. Therefore, the development of nursing intervention programs aimed to prevent depression by effectively managing sleep disorders and side effects is mandated in future to help the given population.

• 기본간호학회지
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• 제18권2호
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• pp.186-194
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• 2011

Purpose: The purpose of this study was to investigate factors of sleep disturbance and sleep patterns of elderly hospitalized women patients between young-old (65-74 years), old (76-84 years) and old-old (85 years and above). Methods: The questionnaire included the environmental disturbance factors (Paik, 2000), degree of pain (Wang & Kim,1995), disease symptoms (Paik, 2000), depression (Kee, 1996) and sleep patterns (Oh, Song, & Kim, 1998). Data were analyzed using frequencies, means, ${\chi}^2$-test, t-test, ANOVA, Scheffe, Pearson correlation coefficients and multiple regression (SPSS 14.0). Results: The middle, and oldest group's environmental disturbance factors of degree of pain, disease symptoms, depression and sleep patterns were higher than those of the younger group. The younger, middle, and oldest group's sleep pattern had a significant negative correlation with environmental disturbance factors, degree of pain, disease symptoms and depression. The model including variables related to environmental, physical and psychological disturbance factors, explained the following variances in sleep pattern: 26.8% for the youngest group, 27.6% for the middle group and 40.7% for the oldest group. Conclusion: The result of this study offer basic data for the development of nursing intervention programs to improve sleep patterns for hospitalized women patients according to age differences.

• 임상간호연구
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• 제23권2호
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• pp.258-266
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• 2017

Purpose: The study aimed to examine quality of sleep in hemodialysis patients and explore physical, physiological, and psychological factors determining sleep quality. Methods: The survey was conducted among 165 patients on maintenance hemodialysis at a university hospital. Data were collected from July to October in 2015. The sleep quality and its related factors were assessed by standardized questionnaires, anthropometric measures, and lab tests after obtaining a written consent from the participant. Results: The mean age of the participants was 62.58 years old, and 67.9% of the participants experienced sleep disorders such as 'not falling asleep within 30 minutes' or 'frequently waking up at night'. Pain (t=-3.29, p=.007) and depression (t=-6.028, p<.001) were significantly different between the group with sleep disorder and the other without. The demographic factors (age, shared room, sleep during the day), physical factors (pain and symptom), and psychological factors (depression and trait and status anxiety) together explained 20.0% of variance in sleep quality. Conclusion: Sleep disorder was frequently experienced among the patients on maintenance hemodialysis. The effective nursing strategies should focus on sleep environment, pain and depression management. Further study is warranted to explore the effect of physiological factors related to the disease on sleep disorder in this population.

• 한국산학기술학회논문지
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• 제21권5호
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• pp.372-383
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• 2020

본 연구는 우리나라 성인의 수면시간이 정신증상, 자살생각 및 자살시도에 미치는 영향에 대해 성별차이를 중심으로 분석했다. 이를 위하여 지역사회건강조사 2017년 자료를 이용하였으며, 총 228,381명을 대상으로 하였다. 성인남성과 여성으로 나누어서 로지스틱 회귀분석을 수행하였으며, 주요 분석결과는 다음과 같다. 첫째, 여성은 남성에 비해 더 짧거나 긴 수면을 하는 비율이 높았다. 둘째, 5시간 이하의 짧은 수면인 경우에 스트레스, 우울, 자살생각의 비율이 높았다. 반면 자살시도는 9시간 이상 긴 수면을 취하는 경우에 더 높게 나타났다. 셋째, 성인 남성의 경우 6~8시간의 수면시간을 기준으로 했을 때, 짧은 수면을 하는 사람의 스트레스가 1.84배 높았고, 1.98배 우울증상이 높았으며, 1.88배 자살생각이 높았고, 2.38배 자살시도가 높았다. 9시간 이상의 긴 수면을 하는 사람의 우울증상은 1.79배, 자살생각은 1.60배, 자살시도는 2.39배 높았다. 넷째, 성인 여성의 경우 6~8시간의 수면시간을 기준으로 했을 때, 짧은 수면을 하는 사람의 스트레스가 2.09배 높았고, 우울증상은 1.94배, 자살생각은 1.96배, 자살시도는 2.90배 높았다. 긴 수면을 하는 사람의 우울증상은 1.49배, 자살생각은 1.45배, 자살시도는 1.71배 높았다. 다섯째, 긴 수면을 하는 사람의 스트레스는 남녀모두 6~8시간 수면하는 사람보다 높게 나타났지만, 통계적으로 유의하지 않았다. 향후 연구에서는 특정한 수면장애들이 자살생각 및 자살시도에 어떠한 영향을 주는지에 대한 전향적 연구가 필요하다.

• 여성건강간호학회지
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• 제20권1호
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• pp.29-37
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• 2014

Purpose: This study aimed to examine the factors associated with postpartum depression and its influence on maternal identity of postpartum women. Methods: Research design was a cross sectional descriptive study with a total of 89 women within the six month postpartum period. Associations of eating habits, overall sleep quality and other factors with postpartum depression utilizing the Korean Beck Depression Inventory (K-BDI) were done. The influence of postpartum depression on maternal identity was analyzed. Variables yielding significant associations (p<.05) were included in an adjusted logistic regression and a stepwise multiple regression. Results: Mean scores of postpartum depression was $9.42{\pm}6.08$ and 31.5% (n=28) for mild depression, 11.2% (n=10) was moderate and 4.5% (n=4) was severe depression on the K-BDI scale. Perceived health status and overall sleep quality were predictors of postpartum depression. Postpartum depression and the husband's love were predictors of maternal identity. Conclusion: Awareness of poor health perception and sleep quality will be helpful to detect for postpartum depression. Strategies to increase maternal identity during the postpartum period would be tailored by level of depression.

• 재활간호학회지
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• 제15권1호
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• pp.47-53
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• 2012

Purpose: To identify the feasibility and provide the direction for future studies regarding hand massage, studies on hand massage published in Korea were analyzed. Methods: Using the key word of hand massage, 23 studies which identified the effects on sleep, pain, anxiety and depression were found. They were analyzed on research tendency and effects. Research tendency was analyzed in terms of published year, methods, study design, sample characteristics, and outcome variables. Effects were analyzed with hypothesis testing and effect size. Results: Among 23 studies, 60%(14 studies) were about hand massage and others (9 studies) were about aroma hand massage. The most prominent outcome variables were physiological and cognitive/emotional ones. To improve sleep, hand massage over 60 minutes was necessary while pain and anxiety were improved in the studies which less than 10 minutes hand massage was applied. Aroma hand massage was more effective than hand massage. Effect size for anxiety and depression was larger than those of sleep and pain. Conclusion: Hand massage and aroma hand massage are recommended to improve anxiety and depression as an independent nursing intervention. More randomized clinical trials are necessary to increase the validity and identify the effects of hand massage on sleep, pain, anxiety and depression.

• 대한지역사회작업치료학회지
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• 제9권1호
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• pp.15-24
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• 2019

목적 : 본 연구는 여가활동을 통한 수면장애노인의 여가경험, 여가정체성, 우울, 자존감의 관계를 규명하고 이에 미치는 영향을 알아보는데 목적이 있다. 연구방법 : 2018년 3월부터 동년 7월까지 수면장애가 있는 노인을 대상으로 여가활동을 4주 이상을 적용하였다. 여가활동 적용 전과 후의 우울, 자존감, 수면의 질은 대응표본 t검정을 실시하였고 여가활동에서 여가경험, 여가정체성 그리고 변화는 확인적요인분석을 통한 구조방적식모델분석(SEM)을 실시하였다. 결과 : 본 연구의 결과는 다음과 같다. 첫째, 여가활동 전, 후의 우울 수준은 유의미한 차이가 있었다(p=.000). 둘째, 여가활동 전, 후의 자존감은 유의미한 차이가 없었다(p=.182). 셋째, 여가활동 전, 후의 수면의 질은 유의미한 차이가 있었다(p=.000). 넷째, 여가활동에서 여가경험, 여가정체성, 변화에 대한 영향은 여가경험이 여가정체성과 변화에는 영향을 주는 것으로 나타났다. 그러나 여가정체성은 변화의 요인 중 우울과 수면의 질에 영향을 주는 것으로 나타났다. 결론 : 노인에게서 나타날 수 있는 수면의 질 저하는 삶의 질에 영향을 줄 수 있다. 수면장애를 가진 노인들의 여가활동적용이 노인의 우울 수준과 자존감 그리고 수면의 질에서 긍정적 변화를 가져올 수 있음을 실험을 통하여 알 수 있었다.

• 문화기술의 융합
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• 제6권4호
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• pp.323-329
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• 2020

본 연구의 목적은 병원근무 여성 간호사의 우울 정도를 확인하고, 순환 교대근무와 수면의 질이 우울에 미치는 영향을 규명하기 위한 것이다. 연구대상자는 서울지역 2개 대학병원에 근무하는 총 295명의 간호사로 수집된 자료는 기술통계 및 다중회귀분석을 이용하여 분석하였다. 연구결과 참여자의 71.2%가 우울한 것으로 응답했으며(CES-D 총점 ≥ 16), 간호사 우울의 유의한 영향요인으로는 수면의 질, 순환 교대근무, 근무기간(1-2.9년, 10년 이상)으로 나타났다. 본 연구결과를 바탕으로 여성 간호사들의 우울을 감소시키기 위해서는 수면의 질과 순환 교대근무의 부정적 영향을 개선 시킬 수 있는 중재가 마련되어야 할 것으로 고려된다.