• Title/Summary/Keyword: Sleep care

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Sleep Problems in Autism Spectrum Disorder (자폐스펙트럼장애에서의 수면문제)

  • Yang, Young-Hui;Kim, Ji-Hoon;Lee, Jin-Seong
    • Sleep Medicine and Psychophysiology
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    • v.20 no.2
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    • pp.53-58
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    • 2013
  • Autism Spectrum Disorder (ASD) is characterized by persistent deficits in social communication and restricted, repetitive patterns of behavior and interest. Sleep problems are not uncommon in children with autism spectrum disorders. Symptoms of insomnia are the most frequent sleep problems in individuals with ASD. Sleep problems can cause significant difficulties in the daily life of children with ASD and their families. Genetic factor, deregulations of melatonin synthesis, extraneous environmental stimuli and psychiatric and medical conditions may cause sleep problems. The first line treatment of sleep problems in ASD includes managements for potential contributing factors and parent education about sleep hygiene care for child and behavioral therapy. Supplementation with melatonin may be effective before considering other medications, such as risperidone, clonidine, and mirtazapine.

Relation of Lower Urinary Tract Symptoms, Daily Life Inconvenience, and Sleep Quality in Community Elderly Women (재가 여성노인의 하부요로증상, 일상생활불편감 및 수면의 질과의 관계)

  • Song, Min Sun;Choi, Chan Hun;Yang, Nam Young
    • Journal of Home Health Care Nursing
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    • v.25 no.1
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    • pp.58-66
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    • 2018
  • Purpose: The purpose of this study was to find out lower urinary tract symptoms, daily life inconvenience, and sleep quality in elderly community woman. Methods: Participants were 140 elderly women. Data collection was conducted from September 1 to October 30, 2017. Data were analyzed using descriptive statistics and t-test with the SPSS program. Results: The rate of urge incontinence was 25.0%, stress incontinence 36.4%, unexplained incontinence 15.7%, and nocturnal incontinence 9.3%. Those participants with urge incontinence presented significantly higher daily life inconvenience scores; urge incontinence, stress incontinence, and unexplained incontinence were significantly associated with lower sleep quality scores. Furthermore, frequent urination, nocturia, and incomplete emptying were significantly higher daily life inconvenience scores; and frequent urination, nocturia, hesitancy, straining, intermittent stream, burning, incomplete emptying, bladder pain, and abnormal strength of stream were significantly related to lower sleep quality scores. Conclusion: It is necessary to develop intervention strategies considering incontinence and urination symptoms to reduce daily life inconvenience caused by lower urinary tract symptoms and improve sleep quality in elderly women.

The Effects of White Noise on Sleep Quality, Depression and Stress in University Students (백색소음이 대학생의 수면의 질, 우울 및 스트레스에 미치는 영향)

  • Kim, Geun Myun;Kim, Eun Joo
    • Journal of Home Health Care Nursing
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    • v.24 no.3
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    • pp.316-324
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    • 2017
  • Purpose: This study was conducted to investigate the effect of white noise on sleep quality, depression, and stress in college students. Method: This study was designed a randomized controlled design to measure the effect of white noise on college students' sleep quality, depression, and stress. Data collection was conducted from May 15, 2017 to June 5, 2017. The subjects were randomly assigned to 27 college students and 28 control volunteers. Data analysis was done using SPSS 23.0 Windows program. Results: The experimental and control groups were homogeneous in general characteristics and study variables. The white noise group showed statistically significant effects on stress(t=-2.25, p=.015) and sleep quality(t=0.65, p<.001). Conclusion: This study confirms that white noise has a positive effect on stress and sleep of college students. Based on these results, it is expected that further research will be conducted on systematic and differentiated white noise mediation.

Effects of Aroma Inhalation Method on Subjective Quality of Sleep, State Anxiety, and Depression in Mothers Following Cesarean Section Delivery (향기흡입법이 제왕절개술 산모의 주관적 수면의 질, 상태불안 및 우울에 미치는 효과)

  • Lee, Sun-Ok;Hwang, Jin-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.1
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    • pp.54-62
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    • 2011
  • Purpose: The purpose of this study was to test the effects of aroma inhalation on subjective quality of sleep, state anxiety, and depression of mothers who underwent a Cesarean section delivery. Methods: This study was designed as a nonequivalent control group quasi-experimental study based upon data acquired through a pre-post test. The experimental group (n=33) was given general obstetric nursing care plus dry inhalation method using lavender essential oil, in which each mother put one drop on a tissue and breathe near it for 5 minutes before going to bed. Then they put 1~2 drops on their pillow for 6 nights. The control group (n=34) was only given general obstetric nursing care. Data were collected using a questionnaire for measures of subjective quality of sleep, state anxiety, and depression by self-report. ${\chi}^2$-test, Fisher's exact test, t-test, and ANCOVA with SPSS/Win12.0 were used to analyze the data. Results: There were significant differences in subjective quality of sleep (p<.001), state anxiety (p=.049) and depression (p=.029). Conclusion: The results suggest that aroma inhalation method can be an effective nursing intervention to improve quality of sleep and decrease anxiety and depression in postpartum mothers suffering from stress related to a Cesarean section delivery.

Comparative Study on the Sleep Patterns, Satisfaction of Sleep, and Sleep Enhancement Behaviors between Hospitalized and Non-hospitalized Elderly (입원노인과 재가노인의 수면양상, 수면만족도 및 수면증진행위 비교연구)

  • Kim, Kwuy-Bun;Yun, Jung-Sook;Sok, So-Hyune R.
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.685-693
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    • 2008
  • Purpose: This study was to compare and analyze sleep patterns, satisfaction of sleep, and sleep enhancement behaviors between hospitalized and non-hospitalized elderly. Methods: Subjects were 201 older adults, who were hospitalized patients or living in U-city, Gyung-gi province. Data was collected from June 10 to August 25, 2007, and was analyzed by the SAS program. Results: 1) Non-hospitalized elderly had better sleep patterns than hospitalized elderly patients. 2) There was a strong positive correlation between sleep patterns and satisfaction of sleep in both groups. 3) In hospitalized elderly, there were significant differences in sleep patterns and satisfaction of sleep by month. 4) In non-hospitalized elderly, there was a significant difference in sleep patterns by presence or absence of spouses. There was a significant difference in satisfaction of sleep by those living with others. There were significant differences in sleep enhancement behaviors by age, religion, length of time, and sponsors. Conclusion: To relieve sleep disturbances of elderly, comprehension of sleep of the aged by nursing care givers should be obtained. Also, improving environments and elder's self-esteem with religious consideration and preparation of financial conditions are needed to promote the sleep of hospitalized and non-hospitalized elderly.

The Usefulness of the Berlin Questionnaire as a Screening for Obstructive Sleep Apnea in a Sleep Clinic Population (수면 클리닉을 내원한 환자에서 폐쇄성수면무호흡의 선별을 위한 베를린 설문의 유용성)

  • Kang, Hyeon-Hui;Kang, Ji-Young;Lee, Sang-Haak;Moon, Hwa-Sik
    • Sleep Medicine and Psychophysiology
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    • v.18 no.2
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    • pp.82-86
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    • 2011
  • Objectives: The Berlin Questionnaire (BQ) has been used to help identify patients at high risk of having sleep apnea in primary care. But it has not been validated in a sleep clinic for Korean patients. The aim of this study is to evaluate the usefulness of the BQ as a screening tool for obstructive sleep apnea (OSA) for Korean patients in a sleep clinic. Methods: The BQ was prospectively applied to 121 subjects with OSA suspicion who visited to our sleep clinic. All subjects performed overnight polysomnography. OSA was defined as an apnea-hypopnea index (AHI) ${\geq}5$. We investigated the sensitivity, specificity, positive and negative predictive values of the BQ according to severity by AHI. Results: In 121 subjects, 73.6% were males, with a mean age of $48.8{\pm}13.0$ years. Twenty-five (20.6%) patients did not have OSA (AHI<5), 30 (25%) patients had mild OSA ($AHI{\geq}5$ and <15), 26 (21.4%) had moderate ($AHI{\geq}15$ and <30), and 40 (33%) had severe OSA ($AHI{\geq}30$). The BQ identified 69.4% of the patients as being at high risk for having OSA. The sensitivity and specificity of the BQ were 71.9% and 40%, for $AHI{\geq}5$, 75.8% and 38.2% for $AHI{\geq}15$, 77.5% and 34.6% for $AHI{\geq}30$, respectively. The positive and negative predictive values of the BQ were 82.1% and 27.0% for $AHI{\geq}5$, respectively. Positive and negative likelihood ratios were 1.2 and 0.7, and the overall diagnostic accuracy of the BQ was 65.3%, using an AHI cut-off of 5. Conclusion: Due to modest sensitivity and low specificity, the BQ does not seem to be an appropriate tool for identifying patients with obstructive sleep apnea in a sleep clinic population.

Comparative Analysis of Sleep Stage according to Number of EEG Channels (뇌파 채널 개수 변화에 따른 수면단계 분석 비교)

  • Han, Heygyeong;Lee, Byung Mun
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.140-147
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    • 2021
  • EEG(electroencephalogram) are measured to accurately determine the level of sleep in various sleep examinations. In general, measurements are more accurate as the number of sensor channels increases. EEG can interfere with sleep by attaching electrodes to the skin when measuring. It is necessary for self sleep care to select the minimum number of EEG channels that take into account both the user's discomfort and the accuracy of the measurement data. In this paper, we proposed a sleep stage analysis model based on machine learning and conducted experiments for using from one channel to four channels. We obtained estimation accuracy for sleep stage as following 82.28% for one channel, 85.77% for two channels, 80.33% for three channels and 68.87% for four channels. Although the measurement location is limited, the results of this study compare the accuracy according to the number of channels and provide information on the selection of channel numbers in the EEG sleep analysis.

Realtime Individual Identification based on EOG Algorithm for Customized Sleep Care Service (맞춤형 수면케어 서비스를 위한 EOG 기반의 실시간 개인식별 알고리즘)

  • Hong, Ki Hyeon;Lee, Byung Mun;Park, Yang Jae
    • Journal of Convergence for Information Technology
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    • v.9 no.12
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    • pp.8-16
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    • 2019
  • Customized sleep care service needs to be provided differently for individuals since individual has different degree of sleep disorder. Because the brainwave data shows unique waveform characteristics for each person, this characteristic can be used to identify individuals. Personal identification provides an important role in enabling customized services. When you blink, you can obtain brain wave characteristics by measuring the area of the frontal lobe. Therefore, a real-time personal identification algorithm based on blinking EOG for customized sleep care service is proposed in this paper. For evaluation, 10 individuals were tested for personal identification accuracy. The results of the experiment confirmed that a maximum accuracy of 93% were taken. Algorithms can be developed by reflecting characteristics such as changes in the external environment in the future.

Customized Eyelid Warming Control Technique Using EEG Data in a Warming Mask for Sleep Induction (수면유도용 온열안대를 위한 뇌파기반의 맞춤형 온열제어 기법)

  • Han, Hyegyeong;Lee, Byung Mun
    • Journal of Korea Multimedia Society
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    • v.24 no.8
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    • pp.1149-1160
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    • 2021
  • Lack of sleep time increases risks of fatigue, hypomnesis, decreased emotional stability, indigestion, and dementia. The risks can be reduced by providing eyelid-warming, inducing sleep and improving sleep quality. However, effective warming temperature to an person varies depending on physical condition and the individual. The various types of frequencies can be identified in brain wave from a person and amount of frequencies is also changed continuously before and after sleep. Therefore we can identify the user's sleep stage with brain wave, namely EEG. Effective sleep induction is possible if warming temperature to a person is controlled based on EEG. In this paper, we propose customized warming control techniques based on EEG for a efficient and effective sleep induction. As an experiment, sleep induction effects of standard sleep mask and customized temperature control techniques sleep mask are compared. EEG data and warming temperature were measured in 100 experiments. At customized warming control techniques, experiments showed that the ratio of alpha and theta waves increased by 3.21%p and the time to sleep decreased by 85 seconds. It will contribute to effective sleep induction and performance verification methods in customized sleep mask systems.