빛 요법이 중년여성의 스트레스, 우울, 수면의 질 및 삶의 질에 미치는 효과: 무작위 대조군 연구
Effects of Light Therapy on Stress, Depression, Quality of Sleep and Quality of Life in Middle-Aged Women: A Randomized Controlled Trial
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구는 빛 요법이 중년여성의 스트레스, 우울, 수면의 질 및 삶의 질에 미치는 효과를 비교하기 위한 무작위 대조군 연구이다. 본 연구의 대상은 I시 소재 일기관에 근무하는 중년여성 56명이며 자료수집 기간은 대조군은 2019년 8월 26일부터 9월 13일까지 실험군은 9월 16일부터 10월 4일까지 각 3주간 이루어졌다. 중년여성의 주관적 스트레스, 우울, 수면의 질 및 삶의 질은 스트레스 측정도구(NRS), 우울 측정도구(CES-D), 수면 측정도구(VHS), 삶의 질 측정도구(WHOQOL-BREF)로 측정하였으며 객관적 스트레스 지수는 Canopy9 RSA (IEMBIO, Gangwondo, Korea) 장비를 이용하여 측정하였다. 자료 분석은 IBM SPSS Statistics version 25.0을 이용하여 평균과 표준편차, 실수와 백분율, χ²-test, t-test, repeated measures ANOVA, ANCOVA로 분석하였다. 연구결과는 빛 요법을 적용한 실험군은 대조군에 비해 주관적 스트레스(F=6.30, p<.001)가 유의하게 낮았고, 삶의 질 (F=2.80, p=.049)이 유의하게 높았다. 객관적 스트레스 지수, 우울, 수면의 질에는 차이가 없는 것으로 나타났다. 결과적으로 빛 요법은 중년여성의 주관적 스트레스, 삶의 질에 부분적으로 효과를 보이고 있어 빛 노출이 제한된 직무환경에서 근무하는 중년여성을 대상으로 한 반복연구가 필요하다고 본다.
Abstract
This study is a randomized controlled trial to compare the effects of light therapy on stress, depression, sleep quality and quality of life in middle-aged women. The participants of this study were 56 middle-aged women who worked at the same office. Data collection period was from August 26 to September 13 for the control group and from September 16 to October 4 for the experimental group. Subjective stress, depression, quality of sleep and quality of life in middle-aged women were measured by Numeric Rating Scale (NRS), Center for Epidemiology studies of scale (CES-D), Verran & Synder-Halpern Sleep scale (VHS) and WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF). Stress index was measured using a Canopy9 RSA (IEMBIO, Gangwondo, Korea) equipment. The data were analyzed by mean, standard deviation, real number and percentage, χ²-test, t-test, repeated measures ANOVA and ANCOVA using IBM SPSS Statistics version 25.0. The results showed that the experimental group applying light therapy had significantly lower subjective stress (F=6.30, p<.001) and higher quality of life (F=2.80, p=.049) than the control group, There was no difference in objective stress index, depression, and sleep quality. As a result, light therapy is partially effective in subjective stress and quality of life for middle-aged women, and further research is needed on middle-aged women working in work environments with limited light exposure.
참고문헌 (37)
- A report on the korea health panel survey of 2014(II) : chronic disease, morbidity, health behaviour and health status, "N. Kim", Korea Institute for Health and Social Affairs, ~ (2016)
- 장혜경, "중년의 건강관련 삶의 질에 영향을 미치는 요인", 성인간호학회지, 24(4), pp.339~347 (2012), 한국성인간호학회
- 박영례, "성인여성의 생애주기별 외모만족도, 자아존중감, 우울,스트레스 및 건강관련 삶의 질 간의 관계", 기본간호학회지, 16(3), pp.353~361 (2009), 기본간호학회
- O. Chung, "Theories of life-span development" (2015), Hakjisa
- M. F. R. Sowers, "The menopause transition and the aging process: A population perspective", Aging Clinical and Experimental Research, 12(2), pp.85~92 (2000), Springer Science and Business Media LLC[DOI]
- H. S. Seo & Y. H. Han., "Effects of health-related indexes on life satisfaction for the elderly people", Korean Journal of Research in Gerontology, 15, pp.159~170 (2006)
- 신경일, "성인여성의 노화불안 : 자기효능감의 조절효과", 한국심리학회지:여성, 20(3), pp.329~346 (2015), 한국여성심리학회[DOI]
- Joan L.F. Shaver, "Review: Sleep Disturbance in Menopause", Journal of Women's Health & Gender-Based Medicine, 9(2), pp.109~118 (2000), Mary Ann Liebert Inc[DOI]
- A. L. Chesson, "Practice parameters for the use of light therapy in the treatment of sleep disorders", Sleep, 22(5), pp.641~660 (1999)[DOI]
- Yun-Fang Tsai, "The effects of light therapy on depressed elders", International Journal of Geriatric Psychiatry, 19(6), pp.545~548 (2004), Wiley[DOI]
- Philip D. Sloane, "High-Intensity Environmental Light in Dementia: Effect on Sleep and Activity", Journal of the American Geriatrics Society, 55(10), pp.1524~1533 (2007), Wiley[DOI]
- The effect of bright light therapy (BLT) on sleep in institutionalized elderly (Application of blue and white light), "H. J. Kim", The Korean Gerontological Society, 195~199 (2017)
- I. Akyar, "The effect of light therapy on the sleep quality of the elderly : An intervention study", Australian Journal of Advanced Nursing, 31(2), pp.31~38 (2013)
- Michael Royer, "Light Therapy for Seniors in Long Term Care", Journal of the American Medical Directors Association, 13(2), pp.100~102 (2012), Elsevier BV[DOI]
- Mann‐Chian Wu, "The effects of light therapy on depression and sleep disruption in older adults in a long‐term care facility", International Journal of Nursing Practice, 21(5), pp.653~659 (2015), Wiley[DOI]
- Michael Terman, "Light Therapy for Seasonal and Nonseasonal Depression: Efficacy, Protocol, Safety, and Side Effects", CNS Spectrums, 10(8), pp.647~663 (2005), Cambridge University Press (CUP)[DOI]
- 주은연, "일주기리듬의 신경생물학", Journal of sleep medicine, 3(1), pp.1~5 (2006), 대한수면연구학회
- Michael Royer, "Light Therapy for Seniors in Long Term Care", Journal of the American Medical Directors Association, 13(2), pp.100~102 (2012), Elsevier BV[DOI]
- Leah Friedman, "Scheduled Bright Light for Treatment of Insomnia in Older Adults", Journal of the American Geriatrics Society, 57(3), pp.441~452 (2009), Wiley[DOI]
- S. O. Kim., "A study on the effect of light therapy on agitated behavior & sleep disturbance of demented elderly", Journal of Korean Academy of Psychiatric Mental Health Nursing, 10(3), pp.303~316 (2001)
- S. M. Kim., "The effect of bright light on sleep of female demented elderly in a Community care facility", Journal of Korean Academy of Psychiatric Mental Health Nursing, 8(2), pp.225~236 (1999)
- H. Y. Jang, "Effects of light therapy on sleep and depression among elderly with dementia in a long-term care hospital", Doctor, pp.2018
- 손기훈, "생체리듬과 신경내분비 시스템", Endocrinology and Metabolism, 25(4), pp.249~257 (2010), 대한내분비학회
- 한선정, "일주기 리듬 수면장애", Journal of sleep medicine, 5(2), pp.74~81 (2008), 대한수면연구학회
- Shuk Ching Ho, "Nonpharmacologic sleep promotion: bright light exposure", Complementary Therapies in Nursing and Midwifery, 8(3), pp.130~135 (2002), Elsevier BV[DOI]
- R. W. Lam, "A clinician's guide to using light therapy" (2009), Cambridge University Press
- Lenore Sawyer Radloff, "The CES-D Scale", Applied Psychological Measurement, 1(3), pp.385~401 (1977), SAGE Publications[DOI]
- K. K Chon, "Integrated adaptation of CES-D in Korea", Korean journal of health psychology, 6(1), pp.59~76 (2001)
- Rita Snyder-Halpern, "Instrumentation to describe subjective sleep characteristics in healthy subjects", Research in Nursing & Health, 10(3), pp.155~163 (1987), Wiley[DOI]
- K. S. Kim, "The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal surgical patients", Journal of Korean Academy of Fundamentals of Nursing, 1(1), pp.19~35 (1994)
- S. K. Min, "Development of korean version of WHO quality of life scale abbreviated version(WHOQOL-BREF)", Journal of The Korean Neuropsychiatric Association, 39(3), pp.571~579 (2000)
- Annette van Maanen, "The effects of light therapy on sleep problems: A systematic review and meta-analysis", Sleep Medicine Reviews, 29, pp.52~62 (2016), Elsevier BV[DOI]
- 김윤아, "빛 요법이 갱년기 여성의 수면장애와 우울에 미치는 효과", 여성건강간호학회지, 21(3), pp.197~206 (2015), 한국여성건강간호학회
- Y. M. Choi., "A study of the Clinic Space interior design based on the Light by Sensibility a elements-focusing on the laser eye clinic space-", master, pp.2008
- 윤성훈, "건축공간에서의 환경의 질(EQ)에 관한 이론적 고찰", KIEAE Journal, 13(1), pp.3~8 (2013), 한국생태환경건축학회
- W. Preoser, "Design intervention toward humance architecture" (1991), Vam Nortrand Reinhold