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Convergent Study of the Factors Affecting the Quality of Sleep among Elderly Insomnia Patients

노인 불면증 환자의 수면의 질에 영향을 미치는 요인에 관한 융합연구

  • Received : 2017.02.13
  • Accepted : 2017.03.20
  • Published : 2017.03.28

Abstract

The purpose of this study was to identify relationship among the depression, social support and quality of sleep in elderly insomnia patients. A total of 143 patients with insomnia diagnosed according to DSM-IV criteria. Quality of sleep, depression, and social support were measured using a self structured questionnaire and participant's medical records were reviewed for obtaining their clinical information. Quality of sleep was positively associated with depression(r=.255, p<.05), and negative correlation with social support(r=-.270, p<.001). The significant factors for quality of sleep were information support(${\beta}=-0.406$, p<.05) and affectionate support(${\beta}=-0.525$, p<.05). These factors explained 13.2% of the variance in quality of sleep. The elderly patients suffering the insomnia need the nursing interventions considering information support and affectionate support in order to improve sleep quality.

본 연구의 목적은 노인 불면증 환자를 대상으로 우울 및 사회적 지지가 수면의 질에 미치는 영향요인을 규명하기 위함이다. 연구방법은 DSM-IV 진단기준에 의거하여 진단받은 불면증 환자 143명을 대상으로 하였다. 대상자들은 구조화된 설문지를 통해서 수면의 질, 우울, 사회적 지지를 측정하였고, 대상자의 의무기록을 검토하여 질병특성에 대한 정보를 수집하였다. 연구결과 수면의 질은 우울정도가 높을수록(r=.255, p<.05), 사회적 지지가 낮을수록(r=-.270, p<.001) 저하되었다. 수면의 질에 영향을 미치는 예측요인은 정보적지지(${\beta}=-0.406$, p<.05)와 정서적지지(${\beta}=-0.525$, p<.05)로 나타났으며, 모형 설명력은 13.2%이었다. 이와 같은 연구결과를 바탕으로 노인 불면증 환자들의 수면의 질을 향상시키기 위해서 정보적 지지와 정서적 지지를 고려한 간호중재가 개발되어야 할 것이다.

Keywords

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