• Journal of Korean Biological Nursing Science
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• 제13권3호
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• pp.211-219
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• 2011

Purpose: The study compared the rest-activity rhythm and sleep pattern of elderly with young group. Methods: The subjects were 22 over than 65 years old and 23 under 65 years old. An actigraph, sleep diary, Pittsburgh Sleep Quality Index and Insomnia Severity Index scale were used as measurement tools for this study. The data were analyzed with $x^2$, Lamda test, t-test and correlation with SPSS 15.0 program. Results: The elderly had lower curve than the young group in rest-activity rhythm on each time zone. In particular, the elderly group had lower rest-activity rhythm curve of 8, 9, 14, 18, 19, 20, 21, 22 and 23 time zone than those of young group. Sleep pattern had statistical difference in the total sleep time, PSQI and insomnia. Total sleep time of elderly had lower score and PSQI and Insomnia had higher score than young group. Age had correlation with rest-activity rhythm, sleep efficiency, PSQI and insomnia. Conclusion: Rest-activity rhythm of the elderly showed an increase in activity in the early morning because of earlier get up than the young group and an decrease in activity in the afternoon because of taking a nap at this time. Elderly sleep was that total sleep time increased but sleep efficiency decreased and insomnia intensified. This sleep pattern was related to age and rest-activity rhythm.

• 대한간호학회지
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• 제39권3호
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• pp.422-432
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• 2009

Purpose: In this study rest-activity rhythm, sleep pattern and quality of life of patients with restless legs syndrome were compared with those of a normal group. Methods: The participants in this study were 36 patients with restless legs syndrome diagnosed by a neurologist and 36 participants in the normal group. An actigraph, sleep diary, Pittsburgh Sleep Quality Index and Insomnia Severity Index scale were used as measurement tools for the study. Chi-square test, Lamda test, t-test and Kendall's correlation with SPSS 12.0 program were used to analyze the data. Results: Patients with restless legs syndrome had a higher rest-activity rhythm curve of Least 5 hr's activity(L5) and Most 10 hr's activity(M10) than those of normal group and sleep problems included decreased sleep efficiency and increased sleep latency, wake time and number of awakenings. The scores for the subscales of quality of life in patients with restless legs syndrome were lower than the normal group for general health, physical functioning, role limitations due to emotional problems, role limitation due to physical problems, social functioning, bodily pain, vitality and mental health. Conclusion: The results suggest that further studies are needed to identify rest-activity rhythm according to symptom severity and to develop nursing interventions which consider rest-activity rhythm.

• 감성과학
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• 제22권3호
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• pp.21-34
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• 2019

이 연구는 노년기 인지기능 및 생리적 건강상태와 관련 있는 정량화 뇌파의 Alpha 고유리듬 피크 위치 및 진폭의 출현 유무가 정신적·육체적 스트레스, 주의집중 등의 뇌파 지표들과 심박변이도 지표 간에 어떠한 관련성과 임상적 의미가 있는지 알아보고자 하였다. 이를 위하여 평균 73세 남녀 노인 76명을 대상으로 전두엽 2채널 뇌파와 1채널 심전도를 동시에 측정 가능한 장치를 이용하여 폐안시 EEG, HRV를 측정하였다. 의미있는 분석 결과는 다음과 같다. 첫 번째, Alpha 고유리듬피크 위치와 상관없이 고유리듬 진폭이 높게 잘 나타난 집단은 낮은 집단에 비해 정신적 스트레스에 대한 저항도는 높고, 육체적 스트레스는 낮게 나타나는 상관성을 보였다. 두 번째, 심박변이도의 HRV index, SDNN, RMSSD 지표는 집단 구분에 상관없이 공통적으로 서로 간 높은 양의 상관성을 보였다. 세 번째, Alpha 고유리듬 진폭이 잘 나타나지 않은 집단에서 좌·우뇌 Alpha 비대칭이 커질수록 육체적 스트레스를 반영하는 Delta/Alpha 비율과 주의집중 저하를 반영하는 Theta/SMR 비율도 커지는 상관성을 보였다. 네 번째, Alpha 고유리듬피크가 느린 리듬쪽에 위치한 집단은 빠른 리듬 쪽에 위치한 집단에 비해 Theta/SMR 비율이 높게 나타나 주의집중도 저하와 관련이 있음을 의미하였다. 따라서 정량화 뇌파의 Alpha 고유리듬 피크 위치 및 진폭의 출현 유무는 노년기 인지기능 및 생리적 건강상태를 반영하는 지표로 활용 가능성이 있음을 시사하였다.

• 말소리와 음성과학
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• 제14권4호
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• pp.25-33
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• 2022

이 논문은 리듬 및 유창성 지수와 한국 대학생이 읽은 영어 발화의 리듬 및 유창성 청취 평가가 어떤 관련성을 가지는지 분석한 연구이다. 이를 위해 대학생 17명이 'The North Wind and the Sun' 문단을 읽고 영어 발음 수업 사전, 사후 두 차례에 걸쳐 녹음한 것을, 대학원에 재학 중인 현직 영어 교사 및 예비 영어 교사 7명이 리듬 및 유창성에 대한 청취 평가를 진행하였다. 또, 선행 연구에서 언급된 리듬 및 유창성 지수 중 14개 지수를 사용해 각 발화 자료의 지수를 추출하여 지수와 청취 평가의 관련성을 분석하였다. 지수를 분석한 결과 %V, VarcoV, nPVIV에서는 선행 연구의 영어 원어민 지수와 거의 비슷한 양상을 보였고, ΔV, ΔC, VarcoC에서는 원어민보다 높았으며, 발화 속도는 원어민보다 느렸다. 한국 대학생들이 일부 리듬 지수에서는 영어 원어민과 비슷한 양상을 보인다고 할 수 있다. 리듬 및 유창성 지수를 사용하여 리듬 평가 점수와 유창성 평가 점수를 예측할 수 있는 최적의 모델을 탐색한 결과, 리듬 및 유창성 평가 모두에서 유창성 지수인 휴지 비율, 조음 속도, 발화 속도 등이 리듬 지수들보다 평가 점수를 예측하는데 더 큰 기여를 하는 것으로 나타났다.

• 한국보건간호학회지
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• 제32권2호
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• pp.263-274
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• 2018

Purpose: This study examined the correlation of insomnia, sleep quality, depression, and circadian rhythm in nursing students. Methods: A total of 213 subjects completed a questionnaire consisting of their general characteristics, Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Center for Epidemiologic Studies Depression (CES-D), and Composite Scale of Morningness (CSM). The collected data were analyzed by descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient using the SPSS 23.0 program. Results: The subjects' mean scores were ISI 7.18; PSQI 11.18; CES-D 16.00; and CSM 30.18. In insomnia, there were significant differences according to caffeine, perceived health status and major satisfaction. In sleep quality, there were significant differences according to perceived health status and major satisfaction. Significant differences in depression were observed according to gender, caffeine, subjective health status, major satisfaction, and circadian rhythm by drinking and exercise. A significant positive correlation was observed among ISI, PSQI, and CES-D. ISI and CES-D were negatively correlated. Conclusion: Tailored health care programs should be developed and applied to prevent and manage sleep-related and emotion-related problems in nursing students by considering the health status, major satisfaction, and gender.

• Safety and Health at Work
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• 제8권3호
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• pp.276-281
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• 2017

Background: The present study was carried out to assess the relationship between sickness absence and occupational stress, sleep quality, and amplitude and stability of circadian rhythm as well as to determine contributing factors of sickness absence. Methods: This cross sectional study was conducted on 400 randomly selected employees of an Iranian gas company. The data were collected using Pittsburgh sleep quality index, Karolinska sleepiness scale, circadian type inventory, and Osipow occupational stress questionnaires. Results: The mean age and job tenure of the participants were $33.18{\pm}5.64years$ and $6.06{\pm}4.99years$, respectively. Also, the participants had been absent from work on average 2.16 days a year. According to the results, 209 participants had no absences, 129 participants had short-term absences, and 62 participants had long-term absences. The results showed a significant relationship between short-term absenteeism and amplitude of circadian rhythm [odds ratio (OR) = 6.13], sleep quality (OR = 14.46), sleepiness (OR = 2.08), role boundary (OR = 6.45), and responsibility (OR = 5.23). Long-term absenteeism was also significantly associated with amplitude of circadian rhythm (OR = 2.42), sleep quality (OR = 21.56), sleepiness (OR = 6.44), role overload (OR = 4.84), role boundary (OR = 4.27), and responsibility (OR = 3.72). Conclusion: The results revealed that poor sleep quality, amplitude of circadian rhythm, and occupational stress were the contributing factors for sickness absence in the study population.

• Journal of Korean Biological Nursing Science
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• 제16권4호
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• pp.309-317
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• 2014

Purpose: The purpose of this study was to understand sleep circadian rhythm and sleep quality between normal-weight and obese group according to Body Mass Index to develop education and nursing intervention programs for the obese. Methods: This study involved 186 subjects who visited at S hospital obesity clinic, K province. They were divided into 2 groups: normal-weight group 91 and obese group 95. Data were collected from October 18th to November 12th in 2013. Data were analyzed with frequency, percentage, ${\chi}^2$-test, Mann-Whitney U test, ANCOVA, t-test and ANOVA with using SPSS version 20.0. Results: The results showed that morning type 1.1%, middle type 91.2% and evening type 7.7% of sleep circadian rhythm in normal-weight group and middle type 92.6% and evening type 7.4% of sleep circadian rhythm in obese group. There were statistically significant results on sleep quality with covariance sex and stress, sleep duration, habitual sleep efficiency and sleep disturbance between normal-weight and obese group. There were statistically significant results on sleep quality, sleep duration, habitual sleep efficiency and sleep disturbance in middle type of sleep circadian rhythm between normal-weight and obese group. Conclusion: Therefore, it is necessary to consider subject's sleep pattern to develop education and nursing intervention programs for the obese.

• Journal of Korean Biological Nursing Science
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• 제19권1호
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• pp.48-54
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• 2017

Purpose: This study was done to identify the influence of severity of drinking problem, circadian rhythm and sleep quality in patients with alcohol use. Methods: A descriptive study design was utilized. Data were collected using self-report questionnaires from 139 patients with alcohol use disorder who were admitted to a psychiatric hospital in D city, Korea. The questionnaires included Alcohol Use Disorders Identification Test (AUDIT), Composite Scale of Morningness (CMS), Pittsburgh Sleep Quality Index (PSQI), and Korea sleep scale A. Data were analyzed using descriptive statistics, Pearson's correlation coefficients, and multiple regressions using the SPSS 20.0 program. Results: There was significant correlations among severity of problem drinking, circadian rhythm, sleep quality and sleep disorder. The significant factors influencing sleep disorder were severity of problem drinking(${\beta}=.12$, p= .042), circadian rhythm(${\beta}=-.14$, p= .039) and sleep quality(${\beta}=.63$, p= < .001). This model explained 56% of variance in sleep disorder(F = 57.34, p= < .001). Conclusion: The results of this study suggest that the development of sleep intervention programs for alcohol use disorder patients needs to consider severity of alcohol use, circadian rhythm and sleep quality, and sleep assessment and intervention are needed the early stage of the treatment and recovery process.

• Journal of Korean Biological Nursing Science
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• 제25권4호
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• pp.306-315
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• 2023

Purpose: This study aimed to evaluate the rest-activity circadian rhythm (RAR) using data obtained from wearable actigraph devices in hospitalized older adults with mild cognitive impairment (MCI), and to investigate its relationship with salivary alpha amylase (sAA). Methods: This secondary data analysis used data from the Hospitalized Older Adults' Cognition and Physical Activity Study. Actigraph data for 3-4 days were analyzed for RAR. RAR indices such as interdaily stability (IS), intradaily variability (IV), activity level during the most active 10-hour period and during the most least active 5-hour period, and relative amplitude (RA) were calculated. Data on sAA collected in the morning and general characteristics, including body mass index (BMI), were analyzed. Results: Data from 92 hospitalized older adults with MCI were analyzed. The IS, IV, RA were 0.23, 0.73, 0.88, respectively. The average level of sAA was 77.02 U/mL, and a higher level of sAA was significantly associated with better IS and RA in the regression analysis, while age, BMI, and cognitive level were not. BMI showed positive correlations with IS and RA. Conclusion: RAR in the hospitalized older adults with MCI was attenuated, showing especially low IS, which implies they failed to maintain regular and repetitive 24-hour RAR. Increased sAA and BMI were associated with robust RAR. Nurses need to pay attention to maintain robust RAR in hospitalized older adults with MCI, and strategies should be developed to improve their RAR.

• 한국식품영양과학회지
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• 제18권4호
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• pp.444-448
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• 1989

세포증식에 관한 개체발생의 일주리듬을 검토하기 위하여 부화직후의 병아리 간장 DNA 합성 리듬 및 간 세포증식의 개체발생에 대해서 검토한 결과 포유류에 있어서 DNA 합성 리듬은 이유기 후기에 출현하는데 비하여 조류(병아리)에 있어서 DNA합성 리듬은 부화 12시간후 바로 출현하였고 간장의 DNA 합성 리듬은 사료섭취에 의해 리듬주기가 유지되었다. 한편 DNA 합성 활성은 절식에 의해 감소되었으며 DNA 합성의 리듬변화는 사료섭취에 의해서도 변화하였지만 빛의 조건에 의해서도 많은 영향을 받았다. 이러한 간 DNA 합성은 12시간 늦은 위상에서 유사분열도 동반하였다.