• 수면정신생리
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• 제2권1호
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• pp.82-90
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• 1995

Objectives : Insomnia is significantly influenced by the pre-sleep arousal, self efficacy, sleep hygiene, depression and anxiety. The authors tried to explore how these factors are related with the clinical features of sleep. Methods : Fifty three patients diagnosed as insomnia by DSM-IV criteria were studied. They filled up the pre-sleep arousal scale(PSAS), sleep efficacy scale(SES), sleep hygiene awareness and practice scale, BDI, and state and trait anxiety scales. Results: 1) The mean values of sleep-related variables were as follows : Sleep latency,136.89 minutes ; frequences of awakening during a night, 2.28 ; minutes to get back to sleep, 42.70 ; total sleep time, 180.19 minutes ; duration of illness, 72.00 months. 2) The mean scores of scales were as follows : PSAS(cognitive), 22.40 ; PSAS(somatic), 17.32 ; SES, 20.16 ; sleep hygiene knowledge, 25.96 ; caffein knowledge, 59.78 ; sleep hygiene practice, 42.12 ; BDI. 18.2 ; state anxiety, 41.24 ; trait anxiety ; 44.50. 3) In the subjects with superimposed depression, the mean frequency of awakening during a night and the mean pre-sleep arousal scale score were higher than in those without depression. 4) Frequency of awakening were correlated positively with a PSAS(a tight tense feeling in your muscle) and sleep hygiene awareness. PSAS(cognitive) were correlated positively with a PSAS(somatic). BDI correlated positively with a PSAS item(a jittery, nervous feeling in your body)and a SES item (not allow a poor night's sleep to interfere with daily activities). Anxiety scales were correlated positively with sleep hygiene practice scale sleep, and PSAS were correlated negatively with SES. Conclusions : The mean scores of PSAS, SES, sleep hygiene awareness and practice scale, BDI, state and trait anxiety scales of insomniacs were correlated either positively or negatively in insomnia patients. These factors seem to contribute to the development and maintainence of insomnia.

• 한국컴퓨터정보학회논문지
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• 제25권10호
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• pp.169-177
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• 2020

본 연구는 간호대학생의 임상실습 중 스트레스와 수면의 질이 우울에 미치는 영향을 파악하기 위해 시도되었다. 연구대상은 일 지역 C 대학교 간호학과 재학생 중 임상실습을 한 학기 이상 경험한 3, 4학년이었으며, 총 107명의 설문자료를 분석하였다. 간호대학생 대부분이 임상실습 중 중정도 이상의 스트레스, 경도우울 이상의 우울을 경험하였으며, 수면의 질이 낮은 것으로 나타났다. 임상실습 중 간호대학생의 스트레스는 수면의 질(r=.393, p<.001)과 약한 상관관계를 보였고, 우울은 스트레스(r=.588, p<.001), 수면의 질(r=.591, p<.001)과 강한 순 상관관계를 보였다. 임상실습 중 우울에 영향을 미치는 요인은 스트레스와 수면의 질이었으며, 이 변인들에 의한 설명력은 49.9%였다. 따라서 임상실습 중 간호대학생의 스트레스를 완화시키고 수면의 질을 높일 수 있는 효율적인 관리방법 및 우울을 예방할 수 있는 적극적인 간호전략이 모색되어야 할 것이다.

• 한국산학기술학회논문지
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• 제21권5호
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• pp.121-130
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• 2020

간호 대학생의 실습 전, 후 임상실습 스트레스, 수면의 질, 주간 졸림증 차이와 관계를 확인하는데 목적이 있다. 연구대상은 간호학과 3학년 학생 130명이다. 연구결과 연구 대상자의 임상실습 스트레스는 총점 5점 만점 중 평균점수 3.15점으로 나타났다. 임상실습 스트레스의 외부조정 요인 중 과제물에 대한 점수가 3.64로 가장 높았고, 성별(t=-3.88, p<.001), 주관적 건강상태(F=5.78, p=.004), 거주형태(F=3.20, p=.026)에 유의한 차이가 있는 것으로 나타났다. 간호대학생은 수면의 질이 낮고(실습 전 80.0%, 실습 후 70.0%), 주간 졸림증이 있는 대상이(실습 전 26.9%, 실습 후 42.3%) 일반 대학생에 비해 많음을 확인 할 수 있었다. 임상실습 전, 후 수면의 질은(χ²=4.06, p=.004), 주간 졸림증은(χ²=6.08, p=.009)로 유의한 차이가 있었다. 또한 주간 졸림증과 수면의 질은 음의 상관관계(r=-.259, p<0.01)가 있는 것으로 나타났다. 따라서 간호 대학생들의 신체적 건강 및 정신적 건강을 위하여 임상실습 스트레스를 줄이고 수면의 질을 높일 수 있는 전략 개발이 필요하며, 변화하는 간호 교육현장에서 임상실습 적응에 도움이 되도록 하여 추후 간호의 질을 향상시킬 수 있도록 해야겠다.

• Journal of Korean Biological Nursing Science
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• 제18권4호
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• pp.203-212
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• 2016

Purpose: The purpose of this study was to identify the sleep patterns of nursing students using self-report questionnaire and physiologic measurement, to examine the factors influencing sleep patterns in based on Spielman's model. Methods: Participants were 119 nursing students who were in the clinical practice period. Self-report questionnaires and actigraphy were used to collect the data. Data were analyzed using descriptive statistics, correlation and regression by the SPSS/WIN 21.0 programs. Results: When sleep was measured by self-report questionnaire, 84 students (70.6%) showed poor sleep quality. The mean sleep efficiency was 82.6%, and 67 students(56.3%) showed low sleep efficiency (less than 85.0%). The factors affecting subjective sleep pattern measured by KMLSEQ were circadian sleep type (${\beta}=.28$, ${\rho}=.003$) and alcohol (${\beta}=.20$, ${\rho}=.031$). The factors affecting total sleep time were sedentary behavior (${\beta}=-.27$, ${\rho}=.003$) and daytime sleepiness (${\beta}=-.33$, ${\rho}$<.001). Conclusion: Many nursing students in their clinical practice period expressed sleep disturbance. Factors affecting the perceived sleep measured by the self-report questionnaire and objective sleep evaluated by physiologic measures were different. The evening type of students perceived poor sleep quality, however, sedentary life style and daytime sleepiness resulted in short sleep time. Therefore, more studies measuring the objective sleep characteristics are needed using subjective and objective characteristics.

• 수면정신생리
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• 제9권2호
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• pp.86-95
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• 2002

Various sleep-related problems are common in pregnant women. Sleep disorders may result in intrauterine growth restriction as well as harm to pregnant women. Pharmacotherapy of sleep disorders in pregnancy require cautious judgement. All physicians managing sleep-related problems of pregnant women in clinical practice need to understand sleep-related problems and their management in pregnancy. Therefore, I have reviewed the literature on normal sleep, sleep disorders and their management in pregnancy.

• 재활간호학회지
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• 제15권1호
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• pp.1-10
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• 2012

Purpose: To identify Korean versions of self-reported sleep questionnaires for cross-cultural research and practice on sleep disturbance, we searched self-reported sleep questionnaires which have been developed to measure general sleep patterns. They should be qualitative, easy to take permission, do not obligate to pay, do not need any skill or professional help for scoring and have been reported high reliability and validity. Methods: General Sleep Disturbance Scale (GSDS), Leeds Sleep Evaluation Questionnaire (LSEQ), and Pittsburgh Sleep Quality Index (PSQI) were identified based on all criteria. Korean version of GSDS, LSEQ, and PSQI were developed according to the methods combined the guidelines for the process of cross-cultural adaptation of self-reported measures with decentering method. Results: Three Korean versions of self-reported sleep questionnaires were suitable for epidemiological study. They are not full length and easy to read. It requires less than 10 minutes for each subject to complete as well as for researchers to score. Conclusion: Psychometric analysis study is necessary to evaluate the reliability and validity of those Korean versions of self-reported sleep questionnaires.

• 수면정신생리
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• 제15권1호
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• pp.12-16
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• 2008

Light therapy (also called light treatment or phototherapy) involves scheduled exposure to bright artificial light. Evidence-based treatments for sleep disorders especially for circadian rhythm sleep disorders include light therapy and pharmacotherapy. In clinical practice, many of patients with sleep problems tend to impair circadian rhythmicity. Considering that light is the most potent entraining agent of circadian rhythm, careful use of light therapy can be recommended for patients with several kinds of sleep disorders. I briefly review the possible therapeutic mechanisms and clinical applications of light therapy, focusing on circadian sleep disorders.

• 수면정신생리
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• 제4권2호
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• pp.156-163
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• 1997

연구배경: 불면증을 경험한 적이 있는 일반인들을 대상으로 어떤 수면위생 수칙들을 얼마나 실행하고 있으며 또 실행했을 때 수면에 얼마나 도움이 되는지를 살펴보고자 하였다. 특히, 실행이 많이 되고 있지는 않지만 수면에 특이하게 도움이 된다고 보고된 항목들이 있다면, 불면증 치료 프로그램을 계획 적용하기 전에 그에 대한 경험적, 이론적 근거를 확립하고 이를 실제 임상에서 적극적으로 적용할 수 있을 것이다. 방 법: 불면증을 경험한 적이 있는 만 18세 이상의 성인 226명을 대상으로, 인구통계학적 변인, 불면증 경험, 수면위생 수칙에 대한 실행과 효과를 평가하는 항목들로 구성된 질문지를 실시하였다. 조사원이 일대일로 면담을 실시하여 질문지에 답하도록 하였다. 결 과: 잠자리에서의 각성과 관련된 수면위생 수칙은 비교적 많이 실행되고 또 수면에 효과가 있는 것으로 보고되었다. '매일 규칙적인 운동을 한다'. '잠자기 전에 뜨거운 물에 목욕을 한다'와 같은 수면의 항상성 추동과 관련된 수면위생 수칙들과 '잠자기 전 긴장을 풀어준다'와 같은 항목들은 평상시 실행도는 낮으나, 불면증이 있을 때 실행을 하면 매우 효과적이라 평가되었다. 결 론: 본 연구의 결과, 좀 더 강조해서 교육해야 하고 실행하도록 지도해야 할 필요가 있는 항목들을 발견할 수 있었다. 따라서, 불면증의 치료 프로그램에 이러한 수면위생 수칙에 대한 교육을 포함시키고 좀 더 실제적인 실행을 할 수 있도록 항목별로 자세하게 주지시킬 필요가 있겠다. 특히, 평소에 실행도는 낮지만 실행하였을 때 효과적이라고 평가된 세가지 항목들에 대해서는, 임상실제에서 불면증환자들을 대상으로 개별 항목별 치료효과를 측정하는 후속 연구가 시도될 만 하다고 사료된다.

• 수면정신생리
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• 제6권2호
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• pp.102-109
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• 1999

Headaches and sleep problems are common complaints in clinical practice. The relationship of sleep and headache has been extensively studied. Brain systems involved in the regualtion of sleep may also play a role in the initiation of vascular headache. Some of the physiological alterations in sleep, particularly REM sleep, are similar to those described in vascular headache. Clinical studies have documented an association between vascular headache and sleep, and headache is a common symptom of sleep disorders. Sleep and headache are known to be interrelated in several ways. It can be summarized as follows: 1) sleep-related headaches, 2) sleep phase-related headaches, 3) length of sleep(excess, lack, and disruption) and headaches, 4) headache related to sleep associated behavior, 5) sleep disorders and headaches, 6) effects of headaches on sleep, and 7) dreams and headaches. Several mechanisms can be proposed to explain the relationship between sleep and headaches.

• 수면정신생리
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• 제29권1호
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• pp.9-14
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• 2022

Dental sleep medicine is an up-and-coming discipline of dentistry, more specifically an offshoot of oral medicine. It traditionally focuses on sleep-related breathing disorders, such as snoring and obstructive sleep apnea. However, everyday practice shows that also other sleep disorders touch on dentistry, including orofacial pain, xerostomia, and bruxism. Therefore, a new definition has been formulated for dental sleep medicine as following; 'Dental sleep medicine is the discipline concerned with the study of the oral and maxillofacial causes and consequences of sleep-related problems'. It is this article's aim to further introduce the emerging discipline of dental sleep medicine to all professionals working in sleep medicine. This article briefly describes the different dental sleep disorders with special focus on the more remarkable associations between orofacial pain and sleep.