• 대한상한금궤의학회지
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• 제11권1호
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• pp.153-167
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• 2019

Objective : To explore the meaning of Eumyangyeokchahunobok-byung (陰陽易差後勞復病) through two cases and finding the relationship with the DSM-5 sleep-wake disorder. Methods : Following a disease pattern identification diagnostic system based on Shanghanlun provisions (DPIDS), we analyzed cases with chronic fatigue and diplopia caused after sleep disorders. The patients were treated with the Soshiho-tang and Yijoong-tang. Results : The two herbal medicines showed remarkable improvement in the patients. The sleep disorders and the secondary pathologies were rapidly relieved within a month. Conclusions : The patterns of sleep disorders of the two patients were found to be very similar to the circadian rhythm sleep-wake disorders, as described in DSM-5. Although the etymology of the Chinese characters has not been clearly known yet, it was possible to present the original hypotheses on 更and 了due to clinical inference.

• 근관절건강학회지
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• 제23권1호
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• pp.61-69
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• 2016

Purpose: The purpose of this study was to determine the effect of the Tai Chi exercise program (Sun style 31 forms) on fatigue, anxiety, and sleep patterns in nursing students. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Nursing students who participated in this study were assigned to an experimental group (n=24), and a control group (n=26). The experimental group participated in Tai Chi exercise program for 60 minutes per session, and 3 times a week for 7 weeks. The Tai Chi exercise program consisted of 10 minutes for warm-up, 45 minutes for main session, and 5 minutes for cooling down exercises. The data were collected prior and after the intervention using self-administered questionnaires. Data were analyzed using descriptive statistics, $x^2$-test, Fisher's exact probability, t -test, and the general linear model. Results: After the application of the program, the experimental group showed a significant difference in fatigue (F=20.62, p<.001), anxiety (F=16.96, p<.001), and sleep pattern (F=15.70, p<.001) scores. Conclusion: These findings show that the Tai Chi exercise program can be an effective nursing intervention to improve sleep pattern and to reduce fatigue and anxiety in nursing students.

• 한국주거학회논문집
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• 제20권1호
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• pp.37-44
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• 2009

Sleep has big influence on our life, for example productivity, character formation of babies, mortality and the people who suffered from sleep problem are also diverse. Therefore, indoor environmental supports for good sleep, might be different with the situation and need of respective person. The objectives of this study are: 1) to investigate the current bedroom condition, sleep problem, and life pattern of Korean. 2) to classify Korean into several groups and explain their characteristics relevant to sleep, in order to understand Korean's need for good sleep. The questionnaire was sent out to Seoul and its environs in Jan.$\sim$Feb. 2008, and total of 702 questionnaires were collected. The research on the bedroom condition was conducted around perceived influence of environmental factors, opening and closing of the door, cooling and heating strategy, clo value during sleep, bedding type, lighting, sharing bedroom. People are divided into 6 groups by 8 factors, and 5 groups could be seen that they need some management for good sleep because of their sleep problem.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2008년도 춘계학술발표대회 논문집
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• pp.291-296
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• 2008

This paper reports on the results of a questionnaire survey on actual conditions of sleep environment, sleep problems and sleep patterns in bedroom of house. The objectives of survey are: 1) classifying Korean people into several groups by sleep environment condition, sleep problem and life pattern, 2) describing the characteristics of user groups, and 3) searching needs of support for each user group. Despite of several studies about sleep condition that researched in advance, they weren't considered about user's respective characters. So it seems necessary for more studies about users' needs, and segment users to grasp their each detail needs. Therefore, this study conducted questionnaire survey gathering relevant information to classify user groups and to investigate the current bedroom condition. In the result, 702 respondents were divided into six clusters by extracted eight factors. Four clusters of them had some problems for sleep, so it could be seen that they need environmental solution for their good sleep. As the further objective, it will be connected to develop the good sleep system.

• 기본간호학회지
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• 제6권2호
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• pp.198-210
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• 1999

This study is to investigate sleep patterns of rheumatoid arthritis patients through a survey research. The subjects for this study were 97 patients registered in Hanyang University Hospital Rheumatoid Arthritis Center, and the period of data collection was from July 15, 1998 to August 30, 1998. The research instruments used in this study were the measures of sleep, pain, and fatigue, and SPSSWIN 8.0 Program was used for data analysis. The research results are as follows ; The patients went to bed between 11 and 12 p.m., but many of them found difficulty in falling asleep within 5 minutes. They woke up quite early at around 4 to 6 o'clock in the morning and remained in bed about 1 hour. Only 39 percent of the subjects reported satisfaction with their sleep. Fifty six percent of the subjects took a nap, generally did in the afternoon and 22.7 percent of them napped for half an hour. They suffered sleep disturbance, but their sleep environments were calm and comfortable, and they turn off the light when they went to sleep. As for the quality of sleep, over 50 percent of the subjects reported not being able to sleep deeply, 30 percent of the subjects woke up frequently during sleep, 60 percent experienced frequent arousal after sleep onset. Over 90 subjects slept for 6 to 8 hours. This shows that even though they had rheumatoid arthritis, the patients remained in bed for a sufficient period of time. They also reported waking up or turning frequently during sleep. The sense of fatigue from sleep disturbance scored a relatively high 35.84 points on average against the possible score of 64 points. Behavior for sleep promotion was very active. Sleep disturbance occurred in proportion to the sense of fatigue and pain, and was negatively correlated with quality of sleep. The pain had positive correlations with the illness duration, sleep disturbance and had a negative correlation with the quality of sleep.

• 부모자녀건강학회지
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• 제3권1호
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• pp.60-72
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• 2000

Studies are needed to determine the standard norms for sleep/activity patterns in new born baby and there have been no established reports of discrepancy of sleep/activity patterns in new born baby among various races. The purpose of this study is to determine whether the NCASA(Nursing Child Assessment Sleep Activity Record) would be suitable to evaluate and to provide the basic resources for a Korean model of sleep/activity patterns during the new born baby, and to provide a basis for nursing intervention for mothers of new born baby. The subjects of this study were 38 normal new born baby who visited the postpartum care center and two general hospitals located in pusan from January 1 to April 28, 2000. They all agreed to participate in this study. The method of data collection was through convenient sampling. Data were collected through questionnaires including demographic data, birth hi story, and general informations concerning the infant, mother and family. The instrument of this study was the NCASA translated by the Korean parent Child Health Academic Association. The collected data were analysed by mean. standard deviation, frequency, and percentage by use of SPSS/PC. The conclusions obtained from this study are summarized as follows: 1. The mean amount of daytime sleep was 10.23 hours. The mean amount of nighttime sleep was 5.53 hours. The mean amount of total daily sleep was 15.77 hours. The mean of the longest sleep period was 4.49 hours. The mean regularity of daytime sleep was 49.69%. The mean regularity of nighttime sleep was 66.98%. The mean regularity of total daily sleep was 55.81%. The mean frequency of nighttime wakenings was 3.09 times. 2. The mean amount of daytime awake periods was 6.12 hours. The mean amount of nighttime awake periods was 2.11 hours. The mean amount of daily total awake periods was 8.23 hours. The mean of the longest awake periods was 3.76 hours. 3. The mean frequency of daytime feeding was 5.71 times. The mean frequency of nighttime feeding was 2.65 times. The mean frequency of total daily feeding was 8.36 times. The mean frequency regularity of feeding was 62.50%. 4. The mean amount of a mother's day time was 16.36 hours. The mean amount of a mother's night time was 7.64 hours. In conclusion, The new born baby slept more during the daytime compare than nighttime and more active during the daytime. On the other hand. although nighttime sleeping the length of the mother was normal, but sleep was interrupted by the infant over 3 times on average. Therefore this research study will contribute to nursing practice and nursing research by its implication through postnatal educational nursing programs at hospital and nursing intervention programs that would help individual caring of early infant mothers at home.

• Journal of Oral Medicine and Pain
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• 제43권2호
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• pp.27-33
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• 2018

Purpose: Many researchers have established a connection between sleep disturbances and the symptoms of temporomandibular disorder (TMD) in adults, but there are a few studies targeted at adolescents with TMD. The aim of this study was to analyze the sleep pattern of adolescents with TMD and to determine the effect of poor sleep quality on their clinical symptoms. Methods: The subjects were composed of 47 adolescents with TMD. The sleep pattern and preliminary information of patients were measured by self-reported questionnaires; Pittsburgh Sleep Quality Index (PSQI) and Questionnaire for TMD analysis. TMD pain was scored using the Numerical Rating Scale. The Kruskal-Wallis test, Mann-Whitney U test, Fisher's exact test and logistic regression were used for statistical analysis. Results: The poor sleeping group had statistically more females (25.00% males, 75.00% females) than the good sleeping group. As compared with that of good sleepers, sleep quality of poor sleepers was significantly worse in the items of subjective sleep quality, sleep latency, sleep duration, sleep disturbances, daytime dysfunction and global PSQI score. The sleep time of adolescents was much longer during vacation ($7.20{\pm}1.38hours$) than during school days ($6.10{\pm}1.26hours$). Poor sleep of patients was associated with the pain in the ear or in front of the ear, in the face, jaw, throat or temple and in neck or back. Adolescents with pain in those areas had significantly higher proportion of poor sleepers than adolescents with no pain in those areas. Conclusions: The high ratio of girls in poor sleeping group could reflect the greater prevalence of TMD in women than in men. Pain in peri-temporomandibular joint areas, neck or back could negatively influence sleep quality of adolescents with TMD.

• 고령자･치매작업치료학회지
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• 제12권2호
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• pp.47-55
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• 2018

목적 본 연구는 요양병원 노인에서 수면의 질에 따른 손 기능 변화와 수면의 질과 손 기능, 수면 장애 요인간의 상관관계를 알아보고자 하였다. 연구방법 2017년 11월부터 2018년 1월까지 6개월 이상 입원중인 23명의 환자를 대상으로 수면 측정도구 A를 사용하여 수면의 질, 악력계를 이용하여 악력을 평가 하였고 BBT, 9-Hole Peg test를 사용하여 협응력을 평가 하였다. 수집된 자료는 SPSS 21.0 통계 프로그램을 사용하여 대응 표본 t-검정, 피어슨 상관분석을 실시하였다. 연구결과 수면 점수 '상' 집단에서는 수면의 질과 BBT 간에, 악력과 BBT 간에 상관관계를 보였고 '중' 집단에서는 악력과 BBT 간에 상관관계를 보였다. 두군 모두에서 수면의 질과 수면 양상 간의 유의미한 높은 상관관계를 보였다. 결론 요양병원에 입소한 노인 중 수면 장애의 질적 차이를 보일 때 BBT와 악력 향상을 위한 치료의 병행은 수면의 질을 향상시킬 수 있으며 수면 양상 중재는 수면의 질을 개선하는데 효과적일 것으로 생각 된다.

• The Korean Journal of Physiology and Pharmacology
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• 제14권5호
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• pp.291-297
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• 2010

The sleep homeostatic response significantly affects the state of anesthesia. In addition, sleep recovery may occur during anesthesia, either via a natural sleep-like process to occur or via a direct restorative effect. Little is known about the effects of isoflurane anesthesia on sleep homeostasis. We investigated whether 1) isoflurane anesthesia could provide a sleep-like process, and 2) the depth of anesthesia could differently affect the post-anesthesia sleep response. Nine rats were treated for 2 hours with $ad$ $libitum$ sleep (Control), sleep deprivation (SD), and isoflurane anesthesia with delta-wave- predominant state (ISO-1) or burst suppression pattern-predominant state (ISO-2) with at least a 1-week interval. Electroencephalogram and electromyogram were recorded and sleep-wake architecture was evaluated for 4 hours after each treatment. In the post-treatment period, the duration of transition to slow-wave-sleep decreased but slow wave sleep (SWS) increased in the SD group, but no sleep stages were significantly changed in ISO-1 and ISO-2 groups compared to Control. Different levels of anesthesia did not significantly affect the post-anesthesia sleep responses, but the deep level of anesthesia significantly delayed the latency to sleep compared to Control. The present results indicate that a natural sleep-like process likely occurs during isoflurane anesthesia and that the post-anesthesia sleep response occurs irrespective to the level of anesthesia.

• 수면정신생리
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• 제6권1호
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• pp.19-25
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• 1999

Sleep alters both breathing pattern and the ventilatory responses to external stimuli. These changes during sleep permit the development or aggravation of sleep-related hypoxemia in patients with respiratory disease and contribute to the pathogenesis of apneas in patients with the sleep apnea syndrome. Fundamental effects of sleep on the ventilatory control system are 1) removal of wakefulness input to the upper airway leading to the increase in upper airway resistance, 2) loss of wakefulness drive to the respiratory pump, 3) compromise of protective respiratory reflexes, and 4) additional sleep-induced compromise of ventilatory control initiated by reduced functional residual capacity on supine position assumed in sleep, decreased $CO_2$ production during sleep, and increased cerebral blood flow in especially rapid eye movement(REM) sleep. These effects resulted in periodic breathing during unsteady non-rapid eye movement(NREM) sleep even in normal subjects, regular but low ventilation during steady NREM sleep, and irregular breathing during REM sleep. Sleep-induced breathing instabilities are divided due primarily to transient increase in upper airway resistance and those that involve overshoots and undershoots in neural feedback mechanisms regulating the timing and/or amplitude of respiratory output. Following ventilatory overshoots, breathing stability will be maintained if excitatory short-term potentiation is the prevailing influence. On the other hand, apnea and hypopnea will occur if inhibitory mechanisms dominate following the ventilatory overshoot. These inhibitory mechanisms include 1) hypocapnia, 2) inhibitory effect from lung stretch, 3) baroreceptor stimulation, 4) upper airway mechanoreceptor reflexes, 5) central depression by hypoxia, and 6) central system inertia. While the respiratory control system functions well during wakefulness, the control of breathing is commonly disrupted during sleep. These changes in respiratory control resulting in breathing instability during sleep are related with the pathophysiologic mechanisms of obstructive and/or central apnea, and have the therapeutic implications for nocturnal hypoventilation in patients with chronic obstructive pulmonary disease or alveolar hypoventilation syndrome.