• 수면정신생리
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• 제1권2호
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• pp.125-144
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• 1994

수면의학에서 사용되는 여러 설문지 검사중 과도한 주간졸음과 일주기리듬의 평가를 위한 것들을 소개하고 그 장단점과 특성을 검토하였다. 임상수면의학, 산업의학, 혹은 역학조사에서 이러한 지필척도의 활용이 요구되고 있으나 아직 객관적 타당성이 충분히 검토되지 못했으므로 추후연구가 요구된다. 타당성을 제고할 임상, 혹은 교대근무상황에서의 연구가 더욱 확장되어야 할 것이다.

• 기본간호학회지
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• 제19권4호
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• pp.425-433
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• 2012

Purpose: The purpose of this study was to investigate sleep patterns and predictors of excessive daytime sleepiness (EDS) in university students. Methods: Participants were 120 university students who were attending two universities in S-city and C-city. Data were collected from May 20 to June 15, 2012 using self-report questionnaires which included Johns' Epworth Sleepiness Scale, Yi's Sleep Quality Scale, and Beck Depression Inventory. Data were digitalized and analyzed using frequency, percentages, means and standard deviations, Wilcoxon rank sum test, Chi-square test, Fisher's exact test, and multiple logistic regression with SAS 9.0. Results: Mean total sleep time was 6.6 hours on weekdays, 8.1 hours on weekends. Mean sleep latency was 19.1 minutes and the score for mean sleep quality was 22.6. Prevalence of EDS was 12.5%. Depression was significantly different between EDS and Non-EDS students (t=2.17, p=.030). Multiple logistic regression showed that the only factor associated with EDS was depression (adjusted odds ratio of depression=5.33, 95% Confidence Interval=1.49-19.04). Conclusion: Results of this study indicate that university students experience short sleep time, low sleep quality, and common EDS with depression, suggesting that students with complaints of EDS should be completely assessed for depression as well as sleep problems.

• Journal of Korean Biological Nursing Science
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• 제20권1호
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• pp.30-37
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• 2018

Purpose: The purpose of this study was to examine the relationship between sleep quality and stress among nursing students. Methods: A cross-sectional study was conducted with 94 nursing students from a University in Seoul. Participants completed questionnaires and the data were analyzed using t-test, ANOVA, and Pearson correlation coefficients. Results: The mean score of sleep quality was $6.93{\pm}2.66$ among nursing students and 81.9% had a sleep problem. The mean score of stress was $18.61{\pm}4.84$. Sleep quality was significantly different by clinical practice days per week, subjective physical health status, and subjective mental health status. Stress levels were significantly different by subjective physical health status, subjective mental health status, social relationship satisfaction, and satisfaction levels of nursing major and university. A significant relationship between sleep quality and stress (r= .45, p< .001) was found, meaning that a lower quality of sleep was significantly correlated with higher stress level. Conclusion: The results indicated that most nursing students had sleep problems and stress. Therefore, interventions are needed to be developed to lower the level of stress and increase the quality of sleep among nursing students.

• 대한치과의사협회지
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• 제53권4호
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• pp.238-248
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• 2015

Sleep related breathing disorders(SRBDs) are a group of diseases accompanied by difficulties in respiration and ventilation during sleep. Central sleep apnea, obstructive sleep apnea(OSA), sleep-related hypoventilation, and hypoxemia disorder are included in this disease entity. OSA is known to be the most common SRBDs and studies show its significant correlation with general health problems including hypertension, arrhythmia, diabetes, and metabolic syndrome. The diagnostic process of OSA is composed of physical examinations of the head and neck area and also the oral cavity. Radiologic studies including cephalography, CT, MRI, and fluoroscopy assist in identifying the site of obstruction. However, polysomnography(PSG) is still considered the gold standard for the diagnosis of OSA since it offers both qualitative and quantitative recording of the events during a whole night's sleep. The dentist who is trained in sleep medicine can easily identify patients with the risk of OSA starting from simple questions and screening questionnaires. Diagnosis is the first step to treatment and considering the high rate of under-diagnosis for OSA the dentist may play a substantial role in the diagnosis and treatment of OSA which will eventually lead to the well-being of the patient as a whole person. So the objective of this article is to assist dental professionals in gaining knowledge and insight of the diagnostic measures for OSA including PSG.

• The Korean Journal of Pain
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• 제34권3호
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• pp.288-303
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• 2021

Background: Complex regional pain syndrome (CRPS) is an intractable pain disease with various symptoms. Here, we investigated the disease status, work life, sleep problems, medical insurance, economic status, psychological problems, and quality of life (QOL) of CRPS patients. Methods: CRPS patients from 37 university hospitals in South Korea were surveyed. The survey questionnaire consisted of 24 questions on the following aspects of CRPS patients: sex, age, occupation, cause of injury, activities of daily living (ADL), pain severity, sleep disturbance, level of education, economic status, therapeutic effect, and suicidal ideation. Additionally, the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, consisting of 26 questions, was used to identify the status of QOL. Results: A total of 251 patients completed the questionnaire. According to the survey, 54.2% patients could not perform ADL on their own. Over the previous week, the mean pain score was 7.15 ± 1.78 (out of a total of 10 points); 92.1% of patients had sleep disorders and 80.5% had suicidal ideation, with most patients suffering from psychological problems. The average for each domain of WHOQOL-BREF was as follows: 21.74 ± 14.77 for physical, 25.22 ± 17.66 for psychological, 32.02 ± 22.36 for social relationship, and 30.69 ± 15.83 for environmental (out of a total of 100 points each). Occupation, ADL, sleep time, therapeutic effect, and suicidal ideation were statistically correlated with multiple domains. Conclusions: Most patients had moderate to severe pain, economic problems, limitations of their ADL, sleep problems, psychological problems, and a low QOL score.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제30권1호
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• pp.9-16
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• 2019

Objectives: The purpose of this study was to analyze the discriminant validity and the clinical cut off scores of the Child Behavior Checklist 1.5-5 (CBCL 1.5-5) in the diagnosis of autism spectrum disorder (ASD) and non-ASD. Methods: In total, 104 ASD and 441 non-ASD infants were included in the study. T-test, discriminant analysis, receiver operating characteristic (ROC) curve analysis, and odds ratio analysis were performed on the data. Results: The discriminant validity was confirmed by mean differences and discriminant analysis on the subscales of Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, and Total problems, along with the Diagnostic and Statistical Manual of Mental Disorders (DSM)-oriented scales between the two groups. ROC analysis showed that the following subscales significantly separated ASD from normal infants: Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Moreover, the clinical cut off score criteria adopted in the Korean-CBCL 1.5-5 were shown to be valid for the subscales Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Conclusion: The subscales of Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems significantly discriminated infants with ASD.

• 지역사회간호학회지
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• 제18권2호
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• pp.223-231
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• 2007

Purpose: This study was to compare differences in and correlation among depression. sleep and fatigue between younger and older elders. Method: A total of 370 subjects aged between 65 and 88 were selected through convenient sampling. Data were collected using a self report questionnaire from March to December, 2005. Results: Younger elders showed lower levels of depression and fatigue than older ones. The level of sleep satisfaction was higher in older elders than in younger ones. In both groups, fatigue was positively correlated to depression, and depression and fatigue were negatively correlated to sleep satisfaction. In addition, fatigue was affected by depression, the number of persons in household and sleep satisfaction. Conclusion: Older elders showed more serious health problems than younger ones. It is necessary to develop comprehensive intervention programs in order to promote healthy lifestyle for older elders.

• 여성건강간호학회지
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• 제13권3호
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• pp.201-210
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• 2007

Purpose: The purposes of this study were to (a) explore the prevalence of sleep patterns of middle-aged women; (b) identify the relationship between subjective sleep quality and its related variables; and (c) predict the possible explanations of how the related factors affect subjective sleep quality of middle-aged women. Methods: A total of 256 women aged 40-60 years were purposely sampled and given self-administered questionnaires in a cross-sectional, correlation coefficient design. The data was analysed using t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: The results were as follows; (a) a total of 40% of the women were poor sleepers as defined by a global PSQI score >5; (b) there were significant differences in quality of sleep related to type of family, number of present illnesses, and use of medication; (c) health promoting behaviors, family functioning, depression, and climacteric symptoms were significantly related to subjective sleep quality; and (d) 34% of variance in subjective sleep quality can be explained by climacteric symptoms, depression, type of family, and spouse. Conclusions: Our findings suggested a high proportion of poor sleeping in middle-aged women. Poor sleeping appeared to have poor health promoting behaviors, lower family functioning, worse depression, and higher climacteric symptoms. Climacteric symptoms, depression, type of family, and spouse were independent risk factors for poor sleeping. Nurse professionals should screen for sleep problems in middle-aged women with a biopsychosocial and behavioral aspect.

• 대한소아치과학회지
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• 제49권4호
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• pp.357-367
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• 2022

수면호흡장애(sleep disordered breathing, SDB)는 상기도의 완전한 또는 부분적 폐쇄로 인해 수면 중 반복적인 저호흡과 무호흡이 나타나는 것을 특징으로 하는 질환이다. 소아 SDB 유병률은 대략 12 - 15%이며, 호발 연령은 주로 3 - 5세의 미취학 어린이이다. 어린이는 코골이와 잦은 각성부터 야뇨증, 과잉행동에 이르기까지 다양한 증상을 보인다. 어린이에서 SDB의 주원인은 편도 및 아데노이드 비대로 인한 상기도의 폐쇄이다. SDB를 치료하지 않으면 학습 장애, 인지 장애, 행동 문제, 심혈관 질환, 대사 증후군, 저성장 등과 같은 합병증을 초래할 수 있다. 소아치과 의사는 SDB의 위험이 있는 소아를 감별하는 특별한 위치에 있다. 소아치과 의사는 SDB와 관련 있는 임상 양상을 인지하고, 소아 수면설문지, 측 모두부계측 방사선사진, 휴대용 간이수면검사 등을 이용하여 SDB를 선별하여 전문가에게 의뢰할 수 있어야 한다. 소아치과에서는 치료를 위해 상악궁 확장, 하악 전방 유도장치, 설소대 절제술 등을 시행할 수 있다. 소아치과 의사는 장기간의 구호흡과 저위설, 설소대단축증 등이 비정상적인 안면골격 성장 및 수면 문제를 일으킬 수 있음을 인지하고, 이러한 문제점들을 예방할 수 있도록 조기에 개입할 수 있어야 할 것이다.

• Journal of Korean Biological Nursing Science
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• 제24권2호
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• pp.131-139
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• 2022

Purpose: This study aimed to examine the changes in stress, occupational stress, and subjective health problems of novice female nurses within the first 18 months of work. Methods: This was a longitudinal study conducted with a secondary data analysis based on the Shift Work Nurse's Health and Turnover (SWNHT) study. The participants were 178 female novice nurses who participated in all 3 data collection activities (on the first day of orientation before ward placement [T0], 6 months after work [T1], and 18 months after work [T2]). The stress, occupational stress, 8 subjective health problems (upper musculoskeletal pain, leg/foot discomfort, depression, anxiety or emotional disorder, sleep disturbance, headache, gastrointestinal disorder, menstrual disorder, and others), and the greatest health problem during the study period were measured, respectively. Data were analyzed using SPSS 26.0 to obtain descriptive statistics. Results: The subjective health of novice female nurses were found to be poor at T1 compared to T0 on both physical (upper musculoskeletal pain, leg/foot discomfort, and sleep disturbance) and psychological health problems (depression and stress). However, the psychological health problems of the participants were alleviated at T2 whereas; physical health problems persisted until T2. Conclusion: Novice nurses had poor health problems 6 months after work. Sleep disturbance and musculoskeletal pain persisted although other health problems such as depression and stress were alleviated over the period. Strategies to prevent and manage different health problems of novice female nurses at different work duration are urgently needed.