Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Rest-Activity Rhythm, Sleep Pattern and Quality of Life in Patients with Restless Legs Syndrome

하지불안증후군 환자의 휴식.활동 리듬, 수면 양상 및 삶의 질에 대한 연구

  • Lee, Eun-Ju (Department of Nursing, Andong Science College)
  • Published : 2009.06.26
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Abstract

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.

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References

  1. Abetz, L., Allen, R., Follet, A., Washburn, T., Earley, C., Kirsch, J., et al. (2004). Evaluating the quality of life of patients with restless legs syndrome. Clinical Therapeutics, 26, 925-935 https://doi.org/10.1016/S0149-2918(04)90136-1
  2. Allen, R. P., Picchietti, D., Hening, W. A., Trenkwalder, C., Walters, A. S., & Montplaisi, J. (2003). Restless legs syndrome: Diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Medicine, 4, 101-119 https://doi.org/10.1016/S1389-9457(03)00010-8
  3. Barriere, G., Cazalets, J. R., Bioulac, B., Tison, F., & Ghorayeb, I. (2005). The restless legs syndrome. Progress in Neurobiology, 77, 139-165 https://doi.org/10.1016/j.pneurobio.2005.10.007
  4. Bastien, B. H., Vallieres, C., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome for insomnia research. Sleep Medicine, 2, 297-307 https://doi.org/10.1016/S1389-9457(00)00065-4
  5. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kuper, D. J. (1998). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193-213 https://doi.org/10.1016/0165-1781(89)90047-4
  6. Cho, Y. W., Lee, H., Lee, J. W., Han, S. Y., & Lee, M. Y. (2003). Sleep disorders in maintenance dialysis patients with end-stage renal disease. Journal of the Korean Neurological Association, 21, 492-498
  7. Cho, Y. W., Yun, C. H., Shin, Y. C., & Hong, S. B. (2006, April). Prevalence of restless legs syndrome. Paper presented at the annual meeting of the Korean Sleep Research Society, Seoul
  8. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159 https://doi.org/10.1037/0033-2909.112.1.155
  9. Ekbom, K. A. (1945). Restless legs. Journal of Internal Medicine, 158, 121-123
  10. Ekbom, K. A. (1960). Restless legs syndrome. Neurology, 10, 868-874 https://doi.org/10.1212/WNL.10.9.868
  11. Enomoto, M., Li, L., Aritake, S., Nagase, Y., Kaji, T., Tagaya, H., et al. (2006). Restless legs syndrome and its correlation with other sleep problem in the general adult population of Japan. Sleep and biological rhythm, 4, 153-159 https://doi.org/10.1111/j.1479-8425.2006.00220.x
  12. Fichten, C. S., Creti, L., Amsel, R., Brender, W., Weinstein, N., & Libman, E. (1995). Poor sleepers who do not complain of insomnia: Myths and realities about psychological and lifestyle characteristics of older good and poor sleepers. Journal of Behavioral Medicine, 18, 189-223 https://doi.org/10.1007/BF01857869
  13. Fossey, M., Libman, E., Bailes, S., Baltzan, M., Schondorf, R., Amsel, R., et al. (2004). Sleep quality and psychological adjustment in chronic fatigue syndrome. Journal of Behavioral Medicine, 27, 581-603 https://doi.org/10.1007/s10865-004-0004-y
  14. Garcia-Borreguero, D., Larrosa, O., Llave, Y. D., Granizo, J. J., & Allen, R. (2004). Correlation between rating scales and sleep laboratory measurements in restless legs syndrome. Sleep Medicine, 5, 561-565 https://doi.org/10.1016/j.sleep.2004.08.003
  15. Hening, W. A., Walters, A. S., Wagner, M., Rosen, R., Chen, V., Kim, S., et al. (1999). Circadian rhythm of motor restlessness and sensory symptoms in the idiopathic restless legs syndrome. Sleep, 22, 901-912
  16. Huang, Y. L., Liu, R. Y., Wang, Q. S., Van Someren, E. J., Xu, H., & Zhou, J. N. (2002). Age-associated difference in circadian sleepwake and rest-activity rhythms. Physiology & Behavior, 76, 597-603 https://doi.org/10.1016/S0031-9384(02)00733-3
  17. Jean-Louis, G., Zizi, F., Von Gizycki, H., & Hauri, P. (1999). Actigraphic assessment of sleep in insomnia: Application of the Actigraph Data Analysis Software (ADAS). Physiology & Behavior, 65, 659-663 https://doi.org/10.1016/S0031-9384(98)00213-3
  18. Kim, J., Choi, C., Shin, K., Yi, H., Park, M., Cho, N., et al. (2005). Prevalence of restless legs syndrome and associated factors in the Korean adult population: The Korean health and genome study. Psychiatry and Clinical Neurosciences, 59, 350-353 https://doi.org/10.1111/j.1440-1819.2005.01381.x
  19. Kim, O. S., Kim, A. J., Kim, S. W., Baik, S. H., & Yang, K. M. (2003). Fatigue, depression and sleep in young adult and middle-aged. Journal of Korean Academy of Nursing, 33, 618-624
  20. Kim, S. M., Oh, J. J., Song, M. S., & Park, Y. H. (1997). Comparison of sleep and related variables between young and old adults. Journal of Korean Academy of Nursing, 27, 820-830
  21. Koh, S. B., Chang, S. J., Kang, M. G., Cha, B. S., & Park, J. K. (1997). Reliability and validity on measurement instrument for health status assessment in occupational workers. Journal of Preventive Medicine and Public Health, 30, 251-265
  22. Kushida, C. A., Allen, R. P., & Atkinson, M. J. (2004). Modeling the causal relationships between symptoms associated with restless legs syndrome and the patient-reported impact of RLS. Sleep Medicine, 5, 485-488 https://doi.org/10.1016/j.sleep.2004.04.004
  23. Lee, J. Y. (2006). Sleep patterns of patients with restless legs syndrome measured by actigraph. Unpublished master's thesis, Keimyung University, Daegu
  24. Michaud, M., Dumont, M., Selmaoui, B., Paquet, J., Fantini, M. L., & Montplaisir, J. (2004). Circadian rhythm of restless legs syndrome: Relationship with biological markers. Annals of Neurology 55, 372-380 https://doi.org/10.1002/ana.10843
  25. Nicolas, A., Michaud, M., Lavigne, G., & Montplaisir, J. (1999). The influence of sex, age and sleep/wake state on characteristics of periodic leg movements in restless legs syndrome patients. Clinical Neurophysiology, 110, 1168-1174 https://doi.org/10.1016/S1388-2457(99)00033-4
  26. Sforza, E., Jouny, C., & Ibanez, V. (2003). Time course of arousal response during periodic leg movements in patients with periodic leg movements and restless legs syndrome. Clinical Neurophysiology, 114, 1116-1124 https://doi.org/10.1016/S1388-2457(03)00077-4
  27. Shin, K. R., Yi, H. R., Kim, J. Y., & Shin, C. (2006). Prevalence and associated factors of excessive daytime sleepiness in adults. Journal of Korean Academy of Nursing, 36, 829-836
  28. Tryon, W. W. (2004). Issues of validity in actigraphic sleep assessment. Sleep, 27, 158-165
  29. Van Someren, E. J., Swaab, D. F., Colenda, C. C., Cohen, W., Mc-Call, W. V., & Rosenquist, P. B. (1999). Bright light therapy: Improved sensitivity to its effects on rest-activity rhythms in Alzheimer patients by application of nonparametric methods. Chronobiology International, 16, 505-518 https://doi.org/10.3109/07420529908998724
  30. Ware, J. J., & Sherboume, C. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473-483 https://doi.org/10.1097/00005650-199206000-00002

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