퇴행성 무릎 관절염 노인의 우울과 지각된 수면의 질
Depression and Perceived Quality of Sleep in Older Adults with Knee Osteoarthritis
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Purpose: Pain can increase depression and reduce quality of sleep in older adults. The purpose of this study was to identify level of depression and perceived quality of sleep in older adults with knee osteoarthritis and to examine the relationship between depression and quality of sleep. Methods: Participants were adults with knee osteoarthritis who were over 65 years of age and registered at an orthopedic surgery clinic. Collected data were analyzed using frequencies, percentages, mean and standard deviation, chi-square test, t-test, ANOVA, and partial correlation with SPSS/WIN 20.0 program. Results: There were significant differences in the depression group according to subjective health condition, severity of knee pain and comorbidity. There was a significant positive correlation between depression and perceived quality of sleep composed of sleep efficiency, recognized quality of sleep and daily disturbance. There were also significant differences in perceived quality of sleep in participants who were women, who did not have a job, who viewed their health condition as poor, who had severe knee pain, and other diseases but no abdominal-obesity. Conclusion: Results of this study suggest that attention be given to nursing interventions for perceived quality of sleep and depression especially for older adults with knee osteoarthritis.
Abstract
Purpose: Pain can increase depression and reduce quality of sleep in older adults. The purpose of this study was to identify level of depression and perceived quality of sleep in older adults with knee osteoarthritis and to examine the relationship between depression and quality of sleep. Methods: Participants were adults with knee osteoarthritis who were over 65 years of age and registered at an orthopedic surgery clinic. Collected data were analyzed using frequencies, percentages, mean and standard deviation, chi-square test, t-test, ANOVA, and partial correlation with SPSS/WIN 20.0 program. Results: There were significant differences in the depression group according to subjective health condition, severity of knee pain and comorbidity. There was a significant positive correlation between depression and perceived quality of sleep composed of sleep efficiency, recognized quality of sleep and daily disturbance. There were also significant differences in perceived quality of sleep in participants who were women, who did not have a job, who viewed their health condition as poor, who had severe knee pain, and other diseases but no abdominal-obesity. Conclusion: Results of this study suggest that attention be given to nursing interventions for perceived quality of sleep and depression especially for older adults with knee osteoarthritis.
참고문헌 (28)
- Community health survey 2008-2015, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~, pp.11-1352159-000033-10 (2016)
- Korean Orthopaedic Association, "Orthopaedics", Choesin a Bachelor of Medicine, 321~ (2013)
- Susan L. Murphy, "Association between pain, radiographic severity, and centrally-mediated symptoms in women with knee osteoarthritis", Arthritis Care & Research, 63(11), pp.1543~1549 (2011), Wiley-Blackwell[DOI]
- 이윤정, "골관절염 여성노인의 통증, 수면양상, 생활만족도가 우울에 미치는 영향", 한국노년학, 31(2), pp.211~222 (2011), 한국노년학회
- 김용숙, "만성질환 노인의 통증이 기억기능, 일상신체활동, 수면장애에미치는 영향: 우울을 매개로 한 경우", 노인간호학회지, 16(1), pp.59~67 (2014), 노인간호학회
- Lucy Leigh, "Sleep Difficulty and Disease in a Cohort of Very Old Women", Journal of Aging and Health, 28(6), pp.1090~1104 (2016), SAGE Publications[DOI]
- Geraldine S. Perry, "Addressing Mental Health Promotion in Chronic Disease Prevention and Health Promotion", American Journal of Public Health, 100(12), pp.2337~2339 (2010), American Public Health Association[DOI]
- Holla JF, "The association of body-mass index and depressed mood with knee pain and activity limitations in knee osteoarthritis: results from the Amsterdam osteoarthritis cohort", BMC Musculoskeletal Disorders, 2(1), pp.296~302 (2013)
- G.A. Hawker, "The multidimensionality of sleep quality and its relationship to fatigue in older adults with painful osteoarthritis", Osteoarthritis and Cartilage, 18(11), pp.1365~1371 (2010), Elsevier BV[DOI]
- 김혜령, "관절염을 가진 한국노인의 우울 유병률과 위험요인", 한국노년학, 34(1), pp.133~149 (2014), 한국노년학회
- 안지연, "관절염 노인의 연령별 우울정도와 위험요인", Journal of Korean Academy of Nursing, 39(1), pp.72~83 (2009), 한국간호과학회
- Ching-Ju Chen, "Subjective and Objective Sleep Quality in Individuals with Osteoarthritis in Taiwan", Musculoskeletal Care, 13(3), pp.148~159 (2015), Wiley-Blackwell[DOI]
- Kellgren JH, "Radiological assessment of osteoarthrosis", Annals of the Rheumatic Diseases, 16(4), pp.494~502 (1957)
- "Cancer pain management guideline" (2015)[URL]
- 장경오, "일개 시 노인대학 노인들의 지각된 건강상태, 수면, 우울이 삶의 질에 미치는 영향", 근관절건강학회지, 19(3), pp.329~339 (2012), 대한근관절건강학회[DOI]
- "Diagnosis and evaluation guide for the obesity" (2012)[URL]
- Yesavage JA, "Geriatric depression scale (GDS) recent evidence and development of a shorter version", Clinical Gerontologist, 5(1), pp.165~173 (1986)
- Kee BS, "A preliminary study for the standardization of geriatric depression scale short form-Korea version", Journal Korean Neuropsychiatric Association, 35(2), pp.298~307 (1996)
- Buysse DJ, "The Pittsburgh Sleep Quality Index : a new instrument for psychiatric practice and research", Psychiatry Research, 28(2), pp.193~213 (1989)
- Cole JC, "Validation of a 3-factor scoring model for the Pittsburgh Sleep Quality Index in older adults", Sleep, 29(1), pp.112~116 (2006)
- Seung Il Sohn, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep and Breathing, 16(3), pp.803~812 (2012), Springer Nature[DOI]
- Ki Jung Chang, "Perceived sleep quality is associated with depression in a Korean elderly population", Archives of Gerontology and Geriatrics, 59(2), pp.468~473 (2014), Elsevier BV[DOI]
- 안소현, "일 도시 지역사회 노인들의 불면증 유병률 및 위험인자", 노인정신의학, 19(1), pp.32~39 (2015), 대한노인정신의학회
- Jihui Zhang, "Insomnia, sleep quality, pain, and somatic symptoms: Sex differences and shared genetic components", Pain, 153(3), pp.666~673 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Eiji Sasaki, "Nocturnal Knee Pain Increases With the Severity of Knee Osteoarthritis, Disturbing Patient Sleep Quality", Arthritis Care & Research, 66(7), pp.1027~1032 (2014), Wiley-Blackwell[DOI]
- 이혜상, "우리나라 65세 이상 노인의 골관절염 유병률과 관련요인: 제5기 국민건강영양조사자료 분석, 2010∼2012", 대한영양사협회 학술지, 20(2), pp.99~109 (2014), 대한영양사협회[DOI]
- 오정은, "습관적 코골이와 관련된 요인", Korean Journal of Health Promotion, 11(1), pp.18~24 (2011), 대한임상건강증진학회
- Patricia A. Parmelee, "Sleep Disturbance in Osteoarthritis: Linkages With Pain, Disability, and Depressive Symptoms", Arthritis Care & Research, 67(3), pp.358~365 (2015), Wiley-Blackwell[DOI]
