바이오피드백을 이용한 holistic breathing이 혈액투석 환자의 피로, 우울, 수면장애에 미치는 효과
The Effects of Holistic Breathing Using Biofeedback on Hemodialysis Patients’ Fatigue, Depression, and Sleep Disorders
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Purpose: 이 연구는 혈액투석 환자에게 바이오피드백을 이용한 holistic breathing을 적용하여 피로, 우울, 수면장애에 미치는 효과를 규명하기 위해 시행되었다. Methods: 이 연구는 유사실험연구로 비동등성 대조군 전후 시차 설계이며 자료 수집은 2012년 8월 20일부터 2013년 4월 6일까지 시행하였다. 실험군 25명, 대조군 25명을 배정하였다. 바이오피드백을 이용한 holistic breathing을 5주간 주 2회 혈액투석을 하는 동안 시행하였고 병원에 내원하지 않는 날은 집에서 하루 2회 10분간 시행하였다. 수집된 자료는 SPSS 18.0을 이용하여 카이제곱, t-test, paired t-test로 분석하였다. Results: 바이오피드백을 이용한 holistic breathing은 혈액투석 환자의 피로(t=2.612, p=.012), 우울(t=3.390, p=.001), 수면장애(t=2.016, p=.049)에 효과가 있었다. Conclusion: 바이오피드백을 이용한 holistic breathing은 혈액투석 환자의 피로, 우울, 수면장애에 도움이 되는 것을 확인할 수 있고, 이를 완화하기 위한 간호중재 개발에 기초자료를 제시하였다.
Abstract
Purpose: The study was conducted to identify the effects of holistic breathing using biofeedback on fatigue, depression, and sleep disorders of hemodialysis patients. Methods: A quasi-experimental study was conducted with a nonequivalent control group non-synchronized design and pre-post tests. Data were collected from August 20, 2012 to April 6, 2013. Twenty-five patients were assigned to an experimental group and twenty-five patients were assigned to a control group. Holistic breathing using biofeedback was applied during hemodialysis in a hospital with a frequency of twice a week for five weeks. Patients practiced 10 minutes of the holistic breathing twice daily for while at home. Chi-square and t-test were utilized for analyzing the data using SPSS 18.0. Results: Hemodialysis patients who practiced the holistic breathing using biofeedback experienced significantly lower levels of fatigue (t=2.612, p=.012), depression (t=3.390, p=.001), and sleep disorders (t=2.016, p=.049) when compared to the control group. Conclusion: The results indicate that the holistic breathing using biofeedback is an effective nursing intervention for patients receiving hemodialysis for the management of fatigue, depression, and sleep disorders.
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