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관상동맥조영술을 받는 흉통 환자의 스트레스, 불안, 우울이 수면의 질에 미치는 영향

Influence of Stress, Anxiety, and Depression on the Quality of Sleep in Patients with Chest Pain Undergoing a Coronary Angiography

이혜진|서지민|최성현
간호과학연구소 (Research Institute of Nursing Science)|2020.01|글로벌 건강과 간호 (Global Health and Nursing)|제10권 제1호|pp. 23-32|DOI 10.35144/ghn.2020.10.1.23

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참고문헌

키워드

스트레스우울DepressionStress불안Anxiety수면의 질Sleep hygiene흉통Chest pain
주제분류간호학

초록

Purpose: This study aimed to investigate the influence of stress, anxiety, and depression on the quality of sleep in patients with chest pain. Methods: A descriptive correlation design was used. Eighty-eight patients with chest pain who were admitted to the cardiology department at the P National University Hospital to undergo coronary angiography were recruited as participants. The data were collected using the Visual Analog Scale (VAS), the Canadian Cardiovascular Society Classification (CCSC), the Perceived Stress Scale (PSS), the State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory (BDI), and the Pittsburgh Sleep Quality Index (PSQI). The date were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression using the SPSS 23.0 program. Results: There were significant correlations between quality of sleep and total cholesterol (r=.24, p=.029), and low-density cholesterol (r=.26, p=.020). There were significant positive correlations between quality of sleep and stress (r=.40, p<.001), anxiety (r=.29, p=.007), and depression (r=.38, p<.001). The factor affecting the quality of sleep was stress (β=.38, p=.011), which explained 22.6% of the variance. The quality of sleep was significantly worse when reported stress levels was higher. Conclusion: When developing a sleep management program for patients with chest pain, it is necessary to consider the stress levels of the patient.

Abstract

Purpose: This study aimed to investigate the influence of stress, anxiety, and depression on the quality of sleep in patients with chest pain. Methods: A descriptive correlation design was used. Eighty-eight patients with chest pain who were admitted to the cardiology department at the P National University Hospital to undergo coronary angiography were recruited as participants. The data were collected using the Visual Analog Scale (VAS), the Canadian Cardiovascular Society Classification (CCSC), the Perceived Stress Scale (PSS), the State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory (BDI), and the Pittsburgh Sleep Quality Index (PSQI). The date were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression using the SPSS 23.0 program. Results: There were significant correlations between quality of sleep and total cholesterol (r=.24, p=.029), and low-density cholesterol (r=.26, p=.020). There were significant positive correlations between quality of sleep and stress (r=.40, p<.001), anxiety (r=.29, p=.007), and depression (r=.38, p<.001). The factor affecting the quality of sleep was stress (β=.38, p=.011), which explained 22.6% of the variance. The quality of sleep was significantly worse when reported stress levels was higher. Conclusion: When developing a sleep management program for patients with chest pain, it is necessary to consider the stress levels of the patient.

참고문헌 (46)

  1. Claude Lenfant, "Chest pain of cardiac and noncardiac origin", Metabolism, 59, pp.S41~S46 (2010), Elsevier BV[DOI]
  2. 정명호, "흉통의 진단적 접근", 대한내과학회지, 79(4), pp.374~378 (2010), 대한내과학회
  3. E ASBURY, "Distinct psychosocial differences between women with coronary heart disease and cardiac syndrome X", European Heart Journal, 25(19), pp.1695~1701 (2004), Oxford University Press (OUP)[DOI]
  4. Margaretha Jerlock, "Coping strategies, stress, physical activity and sleep in patients with unexplained chest pain", BMC Nursing, 5(1) (2006), Springer Science and Business Media LLC[DOI]
  5. King CR, "Short Sleep Duration and Incident Coronary Artery Calcification", JAMA, 300(24), pp.2859~ (2008), American Medical Association (AMA)[DOI]
  6. Lars E. Laugsand, "Insomnia and the Risk of Acute Myocardial Infarction", Circulation, 124(19), pp.2073~2081 (2011), Ovid Technologies (Wolters Kluwer Health)[DOI]
  7. Laura K. Barger, "Short Sleep Duration, Obstructive Sleep Apnea, Shiftwork, and the Risk of Adverse Cardiovascular Events in Patients After an Acute Coronary Syndrome", Journal of the American Heart Association, 6(10) (2017), Ovid Technologies (Wolters Kluwer Health)[DOI]
  8. Toril Dammen, "Psychological factors, pain attribution and medical morbidity in chest-pain patients with and without coronary artery disease", General Hospital Psychiatry, 26(6), pp.463~469 (2004), Elsevier BV[DOI]
  9. Marian Christoph, "Mental symptoms in patients with cardiac symptoms and normal coronary arteries", Open Heart, 1(1), pp.e000093~ (2014), BMJ[DOI]
  10. Marina Taloyan, "Depression and gender differences among younger immigrant patients on sick leave due to chronic back pain: a primary care study", Primary Health Care Research & Development, 15(01), pp.5~14 (2014), Cambridge University Press (CUP)[DOI]
  11. Steve Goodacre, "Psychologic morbidity and health-related quality of life of patients assessed in a chest pain observation unit", Annals of Emergency Medicine, 38(4), pp.369~376 (2001), Elsevier BV[DOI]
  12. Kamila S. White, "Anxiety and hypervigilance to cardiopulmonary sensations in non-cardiac chest pain patients with and without psychiatric disorders", Behaviour Research and Therapy, 48(5), pp.394~401 (2010), Elsevier BV[DOI]
  13. Martica Hall, "Acute Stress Affects Heart Rate Variability During Sleep", Psychosomatic Medicine, 66(1), pp.56~62 (2004), Ovid Technologies (Wolters Kluwer Health)[DOI]
  14. D. Bluestein, "Psychosocial Correlates of Insomnia Severity in Primary Care", The Journal of the American Board of Family Medicine, 23(2), pp.204~211 (2010), American Board of Family Medicine (ABFM)[DOI]
  15. Maurice M Ohayon, "What are the contributing factors for insomnia in the general population?", Journal of Psychosomatic Research, 51(6), pp.745~755 (2001), Elsevier BV[DOI]
  16. 최연선, "의사 대상 불면증 치료 현황 조사 연구", 수면정신생리, 23(2), pp.77~83 (2016), 대한수면의학회
  17. Kim SH, "Sleeping time and subjective oral health, health related quality of life of patients with coronary artery disease", master, pp.2016
  18. 김소현, "폐쇄수면무호흡증과 심혈관 질환 관련성 연구", 대한신경과학회지, 27(3), pp.223~228 (2009), 대한신경과학회
  19. Kim KH, "Quality of sleep and sleep disturbance factors of coronary artery disease patients in CCU", master, pp.2001
  20. Kim YJ, "A study on nausea, vomiting, anorexia and sleep quality in patients undergone CABG", master, pp.2005
  21. L Campeau, "Letter: Grading of angina pectoris.", Circulation, 54(3), pp.522~523 (1976), Ovid Technologies (Wolters Kluwer Health)[DOI]
  22. Hong GR, "Stable angina", Proceedings of the 63rd Korean association of internal medicine fall conference, pp.240~242 (2012), Korean association of internal medicine
  23. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, "Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)", JAMA: The Journal of the American Medical Association, 285(19), pp.2486~2497 (2001), American Medical Association (AMA)[DOI]
  24. Daniel J. Buysse, "The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research", Psychiatry Research, 28(2), pp.193~213 (1989), Elsevier BV[DOI]
  25. 조용원, "투석 받는 말기 신질환 환자의 수면장애", 대한신경과학회지, 21(5), pp.8~497 (2003), 대한신경과학회
  26. Sheldon Cohen, "A Global Measure of Perceived Stress", Journal of Health and Social Behavior, 24(4), pp.385~ (1983), SAGE Publications[DOI]
  27. 이종하, "한글판 스트레스 자각척도의 신뢰도와 타당도 연구", 정신신체의학, 20(2), pp.127~134 (2012), 한국정신신체의학회
  28. Spielberger CD, "Anxiety on emotional state. Current trends in theory and reach", pp.488~493 (1975), Academic Press
  29. Kim JT, "A study on Korean standardization of S.T.A.I", New Medical Journal, 21(11), pp.69~75 (1978)
  30. A. T. BECK, "An Inventory for Measuring Depression", Archives of General Psychiatry, 4(6), pp.561~ (1961), American Medical Association (AMA)[DOI]
  31. Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean Journal of Clinical Psychology, 10(1), pp.98~113 (1991)
  32. Leigheb M, "Prospective analysis of pain and pain management in an emergency department", Acta bio-medica : Atenei Parmensis, 88(S4), pp.19~30 (2017)
  33. 손창남, "Sleep quality in rheumatoid arthritis, and its association with disease activity in a Korean population", The Korean Journal of Internal Medicine, 30(3), pp.384~390 (2015), 대한내과학회[DOI]
  34. Jessica M Suna, "The effect of a supervised exercise training programme on sleep quality in recently discharged heart failure patients", European Journal of Cardiovascular Nursing, 14(3), pp.198~205 (2015), Oxford University Press (OUP)[DOI]
  35. Kim MJ, "Related-factors of sleep quality among some adults", Korean Journal of Family Practice, 5(3, suppl.2), pp.895~900 (2015)
  36. Mariam Kashani, "Perceived stress correlates with disturbed sleep: A link connecting stress and cardiovascular disease", Stress, 15(1), pp.45~51 (2011), Informa UK Limited[DOI]
  37. Nancy Jo Wesensten, "Does sleep fragmentation impact recuperation?A review and reanalysis", Journal of Sleep Research, 8(4), pp.237~245 (1999), Wiley[DOI]
  38. S E Martin, "The effect of nonvisible sleep fragmentation on daytime function.", American Journal of Respiratory and Critical Care Medicine, 155(5), pp.1596~1601 (1997), American Thoracic Society[DOI]
  39. 박경, "한국형 마음챙김 명상기반 스트레스 완화 프로그램(K-MBSR)이 유방암 환자의 심리적 증상, 수면 및 삶의 질에 미치는 효과", 스트레스 硏究, 21(3), pp.249~262 (2013), 대한스트레스학회
  40. Arthur M. Nezu, "Social Problem Solving and Noncardiac Chest Pain", Psychosomatic Medicine, 69(9), pp.944~951 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  41. Abdullah S Alhurani, "Examination of the potential association of stress with morbidity and mortality outcomes in patient with heart failure", SAGE Open Medicine, 2, pp.205031211455209~ (2014), SAGE Publications[DOI]
  42. Ralph Michael Peace, "Stress and Gene Expression of Individuals With Chronic Abdominal Pain", Biological Research For Nursing, 14(4), pp.405~411 (2012), SAGE Publications[DOI]
  43. 신미희, "우울과 불안이 흉통 환자의 삶의 질에 미치는 영향", 대한불안의학회지, 7(2), pp.79~84 (2011), 대한불안의학회
  44. Geneviève Belleville, "Insomnia in Patients With Unexplained Chest Pain", Psychosomatics, 55(5), pp.458~468 (2014), Elsevier BV[DOI]
  45. Anna Johansson, "Sleep, arousal and health-related quality of life in men and women with coronary artery disease", Journal of Clinical Nursing, 20(19-20), pp.2787~2801 (2011), Wiley[DOI]
  46. Lee JS, "Sleep and pain", Sleep Medicine and Psychophysiology, 19(2), pp.63~67 (2012)

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