종합병원의 경피적 관상동맥조영술 후 환자의 수면의 질과 수면방해요인
Sleep Quality and Factors affecting Sleep Disturbance among Percutaneous Coronary Angiography Patients in a General Hospital
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
목적: 본 연구는 종합병원에서 관상동맥조영술 후 입원한 환자의 수면의 질과 수면방해요인을 확인하기 위한 것이다. 방법: 연구 대상자는 B광역시에 위치한 종합병원에서 관상동맥조영술을 받은 101명의 환자이다. 자료는 구조화된 설문지를 이용하여 2013년 11월부터 12월까지에 걸쳐 수집하였고, 서술통계, t-teat, 피어슨 상관관계, ANOVA, 회귀분석을 이용하여 분석하였다. 결과: 대상자들의 수면의 질은 10점 만점에 4.35점, 수면방해요인의 총점은 5.91점이었다. 중환자실과 내과병동 입원자 간에는 수면의 질에 차이가 없었다. 수면의 질에 영향을 미치는 요인은 ‘불편한 침대, 환의, 베개((β=-.279, p=.003), ‘독거여부’(β=-.273, p=.003), and ‘대소변 문제’(β=-.222, p=.016)이었고 이들 요인의 설명력은 21.5%이었다(F=10.03, p<.001). 결론: 물리적 환경보다 개인 특성이 수면의 질에 더 우선적인 영향을 주는 것으로 나타난 본 연구결과는 종합병원 관상동맥조영술을 받은 환자들의 수면의 질 개선을 위한 기초자료로 활용할 수 있을 것이다.
Abstract
Purpose: The purpose of this study was to investigate the variance of sleep quality and factors affecting sleep disturbance among patients with percutaneous coronary angiography in a general hospital. Methods: The subjects of this study was comprised of 101 patients with percutaneous coronary angiography in a general hospital located in B city. Data were collected by a structured questionnaire from November to December 2013. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient and stepwise multiple regression. Results: The levels of the participants’ sleep quality and sleep disturbance were 4.35 and 5.91 in order of each out of the total score, 10. There was no significant difference in the quality of sleep between intensive care unit and internal medicine unit. Factors influencing sleep quality were ‘uncomfortable bed, gown and pillow’(β=-.279, p=.003), ‘living alone’(β=-.273, p=.003), and ‘toilet problem’ (β= -.222, p=.016), which explained 21.5% of the variance (F=10.03, p<.001). Conclusion: The results of this study will provide a basis for improving the sleep quality of patients with percutaneous coronary angiography.
참고문헌 (28)
- 안지연, "관절염 노인의 연령별 우울정도와 위험요인", Journal of Korean Academy of Nursing, 39(1), pp.72~83 (2009), 한국간호과학회
- Berman, A, "Nursing basics for clinical practice" (2011), Pearson
- Bombois, S, "Sleep disorders in aging and dementia. The Journal of Nutrition", Health & Aging, 14, pp.212~217 (2010)
- Choi, Y. H, "The sleep quality and sleep disturbance factor of inpatients in ICU", Master, pp.2005
- Edéll-Gustaffson, U. M, "Insufficient sleep, cognitive anxiety and health transition in men with coronary artery disease: A self-report and polysomnographic study", Journal of Advanced Nursing, 37(5), pp.414~422 (2002)
- Freedman, N. S, "Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit", American Journal of Respiratory and Critical Care Medicine, 59(4 pt 1), pp.1155~1162 (1999)
- Frisk, U, "Patients’ sleep in an intensive care unit : Patients’ and nurses’ perception", Intensive and Critical Care Nursing, 19(6), pp.342~349 (2003)
- Gi, E. J, "A study for discomfort and bleeding complications during absolute bed rest in patients undergoing percutaneous coronary intervention", Master, pp.2001
- Kasper, D, "Harrison’s principles of internal medicine vol. (II)" (2006), McGraw-Hill Korea
- Keeling, A. W, "Postcardiac catheterization time-in-bed study : Enhancing patient comfort through nursing research", Applied Nursing Research, 7(1), pp.14~17 (1994)
- Kim, K. H, "Quality of sleep and sleep disturbance factors of coronary artery disease patients in CCU", pp.2001
- Kim, K. S, "The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal sugical patients", Journal of Korean Academy of Fundamentals of Nursing, 1(1), pp.19~36 (1994)
- 고진강, "중환자실 환자의 수면과 관련요인에 대한 연구", 임상간호연구, 13(2), pp.149~158 (2007), 병원간호사회
- 구윤정, "수면안대와 귀마개 적용이 중환자실 관상동맥질환자의 수면양상에 미치는 효과", Journal of Korean Academy of Nursing, 38(4), pp.582~592 (2008), 한국간호과학회
- Lee, E. J, "A study on perceived discomfort in patients following cardiac catheterization", Journal of Korean Academy of Nursing, 25(1), pp.124~140 (1995)
- Miller, M. A, "Inflammation, sleep, obesity and cardiovascular disease", Current Vascular Pharmacology, 5, pp.93~102 (2007)
- Mullington, J., M, "Cardiovascular, inflammatory and metabolic consequences of sleep deprivation", Progress in Cardiovascular Diseases, 51, pp.294~302 (2009)
- 노원재, "중환자실 환자의 수면양상, 수면장애특성 및 수면장애요인", 기본간호학회지, 12(2), pp.247~254 (2005), 기본간호학회
- Novaes, M. A, "Stressors in ICU : Evaluation", Intensive Care Medicine, 3(12), pp.1282~1285 (1997)
- Paik, Y. N, "Sleep disturbing factors and the relative significance in sleep of hospitalized elderly patients", master, pp.2000
- Parish, J. M, "Cardiovascular effects of sleep disorder", Chest, 97, pp.1220~1226 (1990)
- Picher, J. T, "Sleep quality versis sleep quantity; Relationship between sleep and measure of health well-being and sleepness in college student", Journal of Psychosomatic Research, 42(6), pp.583~596 (1997)
- Reynolds, S, "Patient care after percutaneous transluminal coronary angioplasty", Nursing Management, 32(9), pp.51~54 (2001)
- Ryu, M. J, "The effects of sleep-inducing music on sleep patterns with percutaneous transluminal coronary angiography patients in CCU", Master, pp.2010
- Snyder-Halpern, R, "Instrumentation to describe subjective sleep characteristics in healthy subjects", Research in Nursing & Health, 10(3), pp.155~163 (1987)
- "Cause of death statistics" (2013)[URL]
- Topf, M, "Effects of critical care unit noise on the subjective quality of sleep", Journal of Advanced Nursing, 24, pp.545~551 (1996)
- Weinhouse, G. L, "Sleep in the critically ill patient", Sleep, 29(5), pp.707~716 (2006)