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5 "Sleep disorder"
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Original Articles
Inhalation Effects of Aroma Essential Oil on Quality of Sleep for Shift Nurses after Night Work
WonJong Kim, Myung-Haeng Hur
J Korean Acad Nurs 2016;46(6):769-779.   Published online December 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.6.769
AbstractAbstract PDF
Purpose

This study was an experimental study to compare the inhalation effects of aroma essential oil on the quality of sleep (QOS) for shift nurses after working nights.

Methods

The participants were 60 healthy adults who didn't have any disease. As an experimental treatment, the participants in the experimental group were asked to inhale essential oil for 3 minutes at a distance of approximately 10 cm fromt heir nose and then they were asked to sleep with the aroma stone beside their head (within a 30 cm distance). QOS were measured four times on Pretest, Day 1, Day 2, and Day 3 after they slept. To measure QOS, Perceived QOS (Numeric Rating Scale), the Verran & Synder-Halpern (VSH) Sleep Scale were used, and number of awakenings (NoA) was measured by Actigraph.

Results

There were no significant differences in the homogeneity tests for general characteristics and dependent variables prior to the experiments, except for VSH of subjective sleep quality. Also, there was no significant interaction between group and time. The VSH of the experimental group was higher than the control group (F=6.39, p=.002). The NoA between the experimental group and the control group was significantly different after experimental treatment 3rd day (F=13.35, p=.001).

Conclusion

The findings show that the inhalation of aroma essential oil had effects to increase the quality of sleep. Therefore, the inhalation of aroma essential oil could be applied to general nursing interventions to improve the quality of sleep.

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Sleep Disorder Experience in Older Patients with Depression
Seong-Sook Jun, Su-Jung Ha
J Korean Acad Nurs 2014;44(3):270-279.   Published online June 30, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.3.270
AbstractAbstract PDF
Purpose

The purpose of this study was to identify sleep disorder experience in older patients living in the community and acknowledging being depressed.

Methods

For this study, 11 older patients with depression were purposively chosen. Data were collected through in-depth individual interviews from July 2013 to January 2014 and analyzed in terms of by Giorgi's phenomenological methodology.

Results

The study results showed that sleep disorder experience in older patients with depression consisted of sixteen themes and five themes-clusters: 1) exposure of the causes of sleep disorders; 2) life is painful; 3) harassing themselves and their family; 4) difficulty in controlling themselves; 5) trying to deal with the sleep disorder to overcome the situation.

Conclusion

It is necessary to develop educational guidelines for patients with sleep disorders or nursing interventions that anyone can easily provide for elders in the communities. The first priority should be given to efforts to apply diverse methods to improve sleep hygiene and minimize the period of exposure to medication before starting medication for patients with sleep disorders.

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An Explanatory Model for Sleep Disorders in People with Cancer
Hee Sun Kim, Eui Geum Oh
J Korean Acad Nurs 2011;41(4):460-470.   Published online August 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.4.460
AbstractAbstract PDF
Purpose

The aim of this study was to develop and test an explanatory model for sleep disorders in people with cancer. A hypothetical model was constructed on the basis of a review of previous studies, literature, and sleep models, and 10 latent variables were used to construct a hypothetical model.

Methods

Data were collected from April 19 to June 25, 2010, using self-report questionnaires. The sample was 291 outpatients with cancer who visited the oncology cancer center at a university hospital. Collected data were analyzed using SPSS Win 15.0 program for descriptive statistics and correlation analysis and AMOS 7.0 program for covariance structural analysis.

Results

It appeared that overall fit index was good as χ2/df=1.162, GFI=.969, AGFI=.944, SRMR=.052, NFI=.881, NNFI=.969, CFI=.980, RMSEA=.024, CN=337 in the modified model. The explanatory power of this model for sleep disorders in people with cancer was 62%. Further, sleep disorders were influenced directly by cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and past sleep pattern.

Conclusion

Findings suggest that nurses should assess past sleep pattern and consider the development of a comprehensive nursing intervention program to minimize the cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and thus, reduce sleep disorders in people with cancer.

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Quality of Sleep and Serum Lipid Profile in Patients with Restless Legs Syndrome
Yeon-Gyung Bak, Hyoung-Sook Park
J Korean Acad Nurs 2011;41(3):344-353.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.344
AbstractAbstract PDF
Purpose

The purpose of this study was to compare the quality of sleep with the serum lipid profile in patients who have restless legs syndrome (RLS).

Methods

The data were obtained from 116 patients with RLS through questionnaires and blood sampling.

Results

The results of this study showed correlations between lower quality of sleep and serum lipid profile (LDL Cholesterol) in patients with RLS (r=.19, p=.040). There were correlations for scores of quality of sleep from the, Pittsburgh Sleep Quality Index (PSQI) sub-region between lower subjective sleep quality and serum lipid profile (LDL Cholesterol) (r=.20, p=.026), between fewer hours of sleep duration and serum lipid profile (Total Cholesterol) (r=-.21, p=.024), and, between higher daytime dysfunction and serum lipid profile (LDL Cholesterol) (r=.42, p<.001) of patients with RLS.

Conclusion

Patients with RLS have sleep disorders with lower quality of sleep and changes in the serum lipid profile for total cholesterol and LDL cholesterol. That is, patients with RLS have lower quality of sleep and dyslipidemia compared to persons without RLS. Further research is needed to monitor serum the lipid profile in early stage symptoms of midlife adult patients with RLS and especially older women.

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Effects of Eye Protective Device and Ear Protective Device Application on Sleep Disorder with Coronary Disease Patients in CCU
Yoon Jung Koo, Hyo Jung Koh
J Korean Acad Nurs 2008;38(4):582-592.   Published online August 31, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.4.582
AbstractAbstract PDF
Purpose

The purpose of this research was to analyze the effects of an eye protective device and ear protective device application on sleep disorder with coronary disease patients in CCU.

Methods

The research design was set up as a nonequivalent control group non-synchronized design. The subjects were coronary disease patients in the CCU of a tertiary hospital. The subjects were composed of 20 in the group with an eye protective device, 18 in the group with an ear protective device, 17 in the group with an eye protective device and ear protective device and 20 in the control group. The data was analyzed by χ2-test, ANOVA, Repeated measures ANOVA, Sheffe-test, Simple main effect and Time contrast using SPSS Win 12.0.

Results

The hypothesis, 'There are significant differences in sleep quantity among the four groups' was supported (F=1,342.71, p=.000). The hypothesis, 'There are significant differences in the subjective evaluation of the general sleep patterns among the four groups' was supported (F=3,638.73, p=.000). In addition the hypothesis, 'There are significant differences in degree of sleep among the four groups' was supported (F=1,616.61, p=.000).

Conclusion

It is cost effective and a simple eye protective device and ear protective device should be applied to patients according to their preference and characteristics in the clinical setting.

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