임부의 수면장애에 미치는 영향요인
Influencing Factors of Sleep Disturbance in Pregnant Women
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초록
본 연구는 임부를 대상으로 수면장애에 미치는 영향을 파악하여 임부의 수면증진을 위한 간호중재의 개발에 기초자료를 제공하였다. 본 연구결과, 대상자의 수면장애는 21점 만점에 평균 7.97점, 비숙면인이 72.5%이었으며, 비숙면인에 미치는 영향요인은 임부의 불편감과 산전 우울이었다. 따라서 임부의 수면장애를 완화하기 위해서는 임부의 불편감에 대한 간호중재를 제공해야 하며, 산전 우울을 산전관리 대상 항목에 포함시켜 이를 파악하고, 완화하기 위한 중재 프로그램이 요구된다. 그러나 본 연구는 정상 임부를 대상으로 하였으므로 이 결과를 전체 임부에게 일반화시키는 것은 제한된다.
Abstract
Purpose: This study was to identify the incidence of sleep disturbance and factors influencing their sleep disturbance in pregnant women. Methods: Data were collected from 131 pregnant women among outpatients who visited two obstetric clinics, one public health center, and P national university hospital to receive prenatal care from July until to September, 2015. Data were analyzed using descriptive statistics, t-test, ANOVA, χ2-test, and logistic multiple regression with PASW/WIN 22.0. Results: The mean score was 7.97 out of 21 points for sleep disturbance, 42.89 out of 96 points for pregnancy related discomforts, 7.02 out of 30 points for prenatal depression, and 68.65 out of 165 points for childbirth fear. Prevalence of poor sleeper group with more higher 5 out of 21 sleep disturbance points was 72.5%. Factors influencing sleep disturbance were pregnancy related discomforts (OR=1.11; 95% CI: 1.04~1.19), and prenatal depression (OR=1.17; 95% CI: 1.02~1.35). Conclusion: This study shows that pregnancy related discomforts and prenatal depression affect sleep disturbance in pregnant women. Therefore, to improve sleep disturbance during pregnancy, we need to pay attention to relieving discomforts as well as prenatal depression.
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