수면 장애와 관련된 재가노인들의 신체적, 정신적, 기능적 건강
Sleep Disorders among Community-dwelling Elders and Their Physical, Psychological, and Functional Health
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초록
Purpose: To examine sleep disorders among elders living in the community and the relationship of sleep disorders to physical, psychological, and functional health. Methods: An analysis of secondary data from the 2011 National Studies on Elderly People and their Demands for Welfare was used and included 9,526 elders. Tools included Total sleep time, Exercise: type and duration, Number of chronic diseases, Geriatric Depression Scale, Experience and fear of falling, Health status compared to peers, Mini-Mental State Examination, Activity of Daily Living and Instrumental Activity of Daily Living. Results: About 30% of the elders had sleep disorders. Significant differences were noted according to health related variables: Exercise (χ2=13.30, p<.001), Duration of exercise (χ2=16.17, p<.001), Number of chronic diseases (t=66.85, p<.001). Experience of falling (χ2=43.12, p<.001), Fear of falling (t=40.67, p<.001), Depression (t=291.51, p<.001), Subjective health status (t=118.64, p<.001), Health status compared to peers(t=106.26, p<.001), Cognitive ability (t=77.60, p<.001), Activity of Daily Living (t=85.41, p<.001) and Instrumental Activity of Daily Living (t=124.71, p<.001). Conclusion: Sleep Disorder is a factor indicating potential physical, psychological, and functional disturbance among elders. Further, nursing interventions are required to develop strategies to improve the quality of life of elders through early detection and prevention of sleep disorders.
Abstract
Purpose: To examine sleep disorders among elders living in the community and the relationship of sleep disorders to physical, psychological, and functional health. Methods: An analysis of secondary data from the 2011 National Studies on Elderly People and their Demands for Welfare was used and included 9,526 elders. Tools included Total sleep time, Exercise: type and duration, Number of chronic diseases, Geriatric Depression Scale, Experience and fear of falling, Health status compared to peers, Mini-Mental State Examination, Activity of Daily Living and Instrumental Activity of Daily Living. Results: About 30% of the elders had sleep disorders. Significant differences were noted according to health related variables: Exercise (χ2=13.30, p<.001), Duration of exercise (χ2=16.17, p<.001), Number of chronic diseases (t=66.85, p<.001). Experience of falling (χ2=43.12, p<.001), Fear of falling (t=40.67, p<.001), Depression (t=291.51, p<.001), Subjective health status (t=118.64, p<.001), Health status compared to peers(t=106.26, p<.001), Cognitive ability (t=77.60, p<.001), Activity of Daily Living (t=85.41, p<.001) and Instrumental Activity of Daily Living (t=124.71, p<.001). Conclusion: Sleep Disorder is a factor indicating potential physical, psychological, and functional disturbance among elders. Further, nursing interventions are required to develop strategies to improve the quality of life of elders through early detection and prevention of sleep disorders.
참고문헌 (31)
- Ancoli-Israel, S., "Sleep and its disorders in aging populations", Sleep Medicine, 10, pp.S7~S11 (2009)
- Baglionia, C., "Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies", Journal of Affective Disorders, 135, pp.10~19 (2011)
- Byles, J. E., "The experience of insomnia among older women", Sleep, 28(8), pp.972~979 (2005)
- Cho, M. J., "Validation of Geriatric Depression Scale, Korean version (GDS) in the assessment of DSM-Ⅲ-R Major Dep", Journal of The Korean Neuropsychiatric Association, 38(1), pp.48~63 (1999)
- Dealberto, M. J., "Breathing disorders during sleep and cognitive performance in an older community sample: The EVA study", Journal of the American Geriatrics Society, 44(11), pp.1287~1294 (1996)
- Eeles, E., "Sleep and its management in dementia", Reviews in Clinical Gerontology, 16, pp.59~70 (2006)
- Eun, Y., "Introduction of Professional Nursing for Elderly" (2007), Hyunmoonsa
- Ferrie, J. E., "Change in sleep duration and cognitive function: Findings from the Whitehall II Study", Sleep, 34(5), pp.565A~573A (2011)
- Foley, D., "Daytime sleepiness is associated with 3-year incident dementia and cognitive decline in older Japanese- American men", Journal of the American Geriatric Society, 49, pp.1628~1632 (2001)
- Foley, D., "Sleep disturbances and chronic disease in older adults: Results of the 2003 National Sleep Foundation Sleep in America Survey", Journal of Psychosomatic Research, 56, pp.497~502 (2004)
- Hidalgo, J. L., "Functional status in the elderly with insomnia", Quality of Life Research, 16(2), pp.279~286 (2007)
- Hill, E. L., "Sleep disturbances and falls in older people", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 62(1), pp.62~66 (2007)
- Katz, D. A., "The relationship between insomnia and health-related quality of life in patients with chronic illness", The Journal of Family Practice, 51(3), pp.229~235 (2002)
- Kwon, Y. C., "Standardization of Korean Version of the Mini-Mental State Examination for use in the Elderly Part Ⅱ. Diagnostic Validity", Korean Journal of Rehabilitation Nursing, 28(1), pp.508~513 (1989)
- Lee, D. Y., "A normative study of the Mini-Mental State Examination in the Korean elderly", Journal of Korean Neuropsychiatric Association, 41(3), pp.508~525 (2002)
- National survey of the actual living condition of the elderly and welfare need, "Ministry of Health & Welfare", Ministry of Health & Welfare, ~ (2008)
- 문명자, "재가노인의 우울 영향 요인에 관한 연구", Journal of Korean Academy of Nursing, 40(4), pp.542~550 (2010), 한국간호과학회
- Murray, R. B., "The nursing process in later maturity", pp.241~257 (1980), Prentice Hall
- Naismith, S. L., "Sleep disturbance relates to neuro-psychological functioning in late-life depression", Journal of Affective Disorders, 132, pp.139~145 (2011)
- 박연환, "복지관 이용 노인의 신체활동과 수면", Journal of Korean Academy of Nursing, 37(1), pp.5~13 (2007), 한국간호과학회
- Pigeon, W. R., "Is insomnia a perpetuating factor for late-life depression in the IMPACT Cohort", Sleep, 31(4), pp.481~488 (2008)
- 신경림, "재가노인의 수면장애 유무에 따른 우울, 신체형장애 및 삶의 질 비교", 성인간호학회지, 23(4), pp.332~338 (2011), 성인간호학회
- 석소현, "재가 여성노인의 수면에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 40(1), pp.119~126 (2010), 한국간호과학회
- Spira, A. P., "Poor sleep quality and functional decline in older women", Journal of American Geriatric Society, 60(6), pp.1092~1098 (2012)
- Tworoger, S. S., "The association of self-reported sleep duration, difficulty sleeping, and snoring with cognitive function in older women", Alzheimer’s Disease and Associated Disorders, 20(1), pp.41~48 (2006)
- Vitiello, M. V., "Sleep in normal aging", Sleep Medicine Clinics, 1(2), pp.171~176 (2006)
- Won, C. W., "The Development of Korean Activities of Daily Living (K-ADL) and Korean Instrumental Activity of Daily Living Scale (K-IADL)", The Korean Geriatrics Society, 6(2), pp.107~120 (2002)
- Woodward, M., "Sleep in older people", Reviews in Clinical Gerontology, 22(2), pp.130~149 (2012)
- 양수정, "일 지역사회 거주노인의 수면의 질에 영향을 미치는 요인", 노인간호학회지, 12(2), pp.108~118 (2010), 노인간호학회
- Yesavage, J. A., "Development and validation of a geriatric depression screening scale: A preliminary report", Journal of Psychiatric Research, 17(1), pp.37~49 (1983)
- Young, P., "The biology of sleep: Part 2. The CFIDS Chronicle" (2008), The CFIDS Association of America Chronicle
