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액티그래프로 측정한 요양시설 입소 노인의 수면 특성: 재가방문요양서비스를 받는 노인, 지역사회 거주 노인과의 비교

Sleep patterns of older residents in long-term-care facilities: a comparison with older adults in home-care services and community-dwelling older adults

황은희
한국노인간호학회 (Korean Gerontological Nursing Society)|2021.02|노인간호학회지 (Journal of Korean Gerontological Nursing)|제23권 제1호|pp. 75-84|DOI http://doi.org/10.17079/jkgn.2021.23.1.75

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참고문헌

키워드

노인수면AgedSleep노인요양시설Long-term care
주제분류간호학

초록

Purpose: This study aimed to characterize the sleep patterns of older residents in long-term-care facilities and compare them with those of older recipients in home-care services and community-dwelling older adults. Methods: The subjects of this study were 31 older residents in four long-term-care facilities, 30 older recipients in home-care services, and 28 community-dwelling older adults. Their sleep patterns were measured using an Actigraph ™ (wGT3X-BT), which measures sleep latency, total sleep time, number of awakenings during sleep, total awakening time, and sleep efficiency. Results: The following variables were statistically significant among the sleep characteristics: sleep efficiency, total time in bed, wake after sleep onset, and average wake time. The sleep efficiency was lower for older residents in long-term-care facilities (F=2.69, p=.047) and the total time in bed (F=3.92, p=.024), wake after sleep onset (F=3.53, p=0.34), and average wake time (F=6.15, p=.003) were longer. Conclusions: Older residents in long-term-care facilities showed more morbidity, lower cognitive function, and more significant depression than community-dwelling older adults. Additionally, their sleep efficiency was lower, and their wake time after sleep onset was longer. Based on the results, it is necessary to develop individualized and customized sleep-improvement plans that reflect the specific disease-related characteristics of older residents in long-term-care facilities. There is also a need to adjust the facility environment to improve their sleep.

Abstract

Purpose: This study aimed to characterize the sleep patterns of older residents in long-term-care facilities and compare them with those of older recipients in home-care services and community-dwelling older adults. Methods: The subjects of this study were 31 older residents in four long-term-care facilities, 30 older recipients in home-care services, and 28 community-dwelling older adults. Their sleep patterns were measured using an Actigraph ™ (wGT3X-BT), which measures sleep latency, total sleep time, number of awakenings during sleep, total awakening time, and sleep efficiency. Results: The following variables were statistically significant among the sleep characteristics: sleep efficiency, total time in bed, wake after sleep onset, and average wake time. The sleep efficiency was lower for older residents in long-term-care facilities (F=2.69, p=.047) and the total time in bed (F=3.92, p=.024), wake after sleep onset (F=3.53, p=0.34), and average wake time (F=6.15, p=.003) were longer. Conclusions: Older residents in long-term-care facilities showed more morbidity, lower cognitive function, and more significant depression than community-dwelling older adults. Additionally, their sleep efficiency was lower, and their wake time after sleep onset was longer. Based on the results, it is necessary to develop individualized and customized sleep-improvement plans that reflect the specific disease-related characteristics of older residents in long-term-care facilities. There is also a need to adjust the facility environment to improve their sleep.

참고문헌 (30)

  1. 한은정, "장기요양 급여이용행태별 가족부양자 부양특성 비교", 한국사회정책, 26(3), pp.93~116 (2019), 한국사회정책학회[DOI]
  2. 하석철, "노인의 돌봄 유형 선호에 영향을 미치는 요인 -가족 돌봄, 재가 돌봄, 시설 돌봄을 중심으로-", 사회복지정책, 46(2), pp.27~55 (2019), 한국사회복지정책학회[DOI]
  3. Foley DJ, "Sleep complaints among elderly persons : an epidemiologic study of three communities", Sleep, 18(6), pp.425~432 (1995)[DOI]
  4. 김정임, "한지를 이용한 집단미술치료가 뇌졸중 노인환자 삶의 질 향상에 미치는 영향", 한국노년학, 32(1), pp.87~102 (2012), 한국노년학회
  5. Fetveit A, "Sleep disturbances among nursing home residents", International Journal of Geriatric Psychiatry, 17(7), pp.604~609 (2002)[DOI]
  6. Dew MA, "Healthy older adults' sleep predicts all-cause mortality at 4 to 19 years of follow-up", Psychosomatic Medicine, 65(1), pp.63~73 (2003)[DOI]
  7. 김종임, "노인요양시설 노인의 건강상태, 신체적, 정신적 기능, 사회적 지지에 따른 삶의 질 예측요인 - D 광역시를 중심으로 -", 한국산학기술학회논문지, 16(7), pp.4656~4667 (2015), 한국산학기술학회[DOI]
  8. 전보민, "재가노인의 수면 관련요인", 성인간호학회지, 29(3), pp.235~245 (2017), 한국성인간호학회[DOI]
  9. Meadows R, "An actigraphic study comparing community dwelling poor sleepers with non-demented care home residents", Chronobiology International, 27(4), pp.842~854 (2010)[DOI]
  10. 서영미, "수면의 질 영향 요인: 전기노인과 후기노인 비교", 한국산학기술학회논문지, 20(6), pp.332~341 (2019), 한국산학기술학회[DOI]
  11. Alessi CA, "Randomized, controlled trail of a nonpharmacological intervention to improve abnormal sleep", wake patterns in nursing home residents, 2005, pp.53(5), 803~810
  12. Bliwise DL, "Sleep in normal aging and dementia", Sleep, 16(1), pp.40~81 (1993)[DOI]
  13. 황은희, "노인요양시설 입소노인의 수면 체험", 질적연구, 16(1), pp.12~20 (2015), 질적연구학회[DOI]
  14. Ellers T, "Factors affecting residents' sleep in care homes", Nursing Older People, 25(8), pp.29~32 (2013)
  15. Kim DE, "Factors influencing sleep among Korean long-term care residents", pp.2018
  16. 최영옥, "재가노인복지서비스의 현황 및 발전방향", 예술인문사회 융합 멀티미디어 논문지, 9(7), pp.845~854 (2019), 사단법인 인문사회과학기술융합학회[DOI]
  17. Martin JL, "Sleep in assisted living facility residents versus home-dwelling older adults", The Journal of Gerontology Series A : Biological Sciences and Medical Sciences, 63(12), pp.1407~1409 (2008)[DOI]
  18. Lichstein KL, "Actigraphy validation with insomnia", Sleep, 29(2), pp.232~239 (2006)[DOI]
  19. 장효열, "요양병원 입원 노인의 수면 양상 및 영향요인", 한국데이터정보과학회지, 27(3), pp.773~789 (2016), 한국데이터정보과학회[DOI]
  20. 권경희, "시설노인과 재가노인의 수면양상과 영향요인", 노인간호학회지, 12(2), pp.131~141 (2010), 한국노인간호학회
  21. Folstein MF, "Mini-mental state. A practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, 12, pp.189~198 (1975)
  22. Kwon YC, "Korean version of mini-mental the test for the elderly", Journal of Korean neuropsychiatric Association, 28(1), pp.125~131 (1999)
  23. Sheikh JI, "9", Geriatric depression scale (GDS)recent evidence and development of a shorter version, 1986, pp.5(1-2), 165~173
  24. Greenberg SA, "The geriatric depression scale (GDS)", American Journal of Nursing, 107(10), pp.60~70 (2007)[DOI]
  25. Kee BS, "A preliminary study for the standardization of geriatric depression scale short form-Korea version", Journal of Korean Neuropsychiatric Association, 35(2), pp.298~307 (1996)
  26. Littner M, "Practice parameters for the role of actigraphy in the study of sleep and circadian rhythms : an update for 2002", Sleep, 26(3), pp.337~341 (2003)[DOI]
  27. Chae KY, "Evaluation of immobility time for sleep latency in actigraphy", Sleep Medicine, 10(6), pp.621~625 (2009)[DOI]
  28. Shimada H, "Depressive symptoms and cognitive performance in older adults", Journal of Psychiatric Research, 57, pp.52~59 (2014)[DOI]
  29. 김연옥, "경도인지장애 노인의 인지기능, 도구적 일상생활수행능력, 우울 및 삶의 질 관계", 한국보건간호학회지, 29(2), pp.219~230 (2015), 한국보건간호학회
  30. Schaakxs R, "Age-related variability in the presentation of symptoms of major depressive disorder", Psychological Medicine, 47(3), pp.1~10 (2017)[DOI]

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