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Original Article
Rest-Activity Rhythm, Sleep Pattern and Quality of Life in Patients with Restless Legs Syndrome
Eun Ju Lee
Journal of Korean Academy of Nursing 2009;39(3):422-432.
DOI: https://doi.org/10.4040/jkan.2009.39.3.422
Published online: June 29, 2009

Associate Professor, Department of Nursing, Andong Science College, Andong, Korea.

Address reprint requests to: Lee, Eun Ju. Department of Nursing, Andong Science College, 496 Gyo-ri, Seohu-myeon, Andong 760-709, Korea. Tel: 82-54-851-3551, Fax: 82-54-851-3530, vinuslee@kmu.ac.kr
• Received: July 24, 2008   • Accepted: June 2, 2009

Copyright © 2009 Korean Society of Nursing Science

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  • Purpose
    In this study rest-activity rhythm, sleep pattern and quality of life of patients with restless legs syndrome were compared with those of a normal group.
  • Methods
    The participants in this study were 36 patients with restless legs syndrome diagnosed by a neurologist and 36 participants in the normal group. An actigraph, sleep diary, Pittsburgh Sleep Quality Index and Insomnia Severity Index scale were used as measurement tools for the study. Chi-square test, Lamda test, t-test and Kendall's correlation with SPSS 12.0 program were used to analyze the data.
  • Results
    Patients with restless legs syndrome had a higher rest-activity rhythm curve of Least 5 hr's activity (L5) and Most 10 hr's activity (M10) than those of normal group and sleep problems included decreased sleep efficiency and increased sleep latency, wake time and number of awakenings. The scores for the subscales of quality of life in patients with restless legs syndrome were lower than the normal group for general health, physical functioning, role limitations due to emotional problems, role limitation due to physical problems, social functioning, bodily pain, vitality and mental health.
  • Conclusion
    The results suggest that further studies are needed to identify rest-activity rhythm according to symptom severity and to develop nursing interventions which consider rest-activity rhythm.
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Figure 1
Rest-activity rhythm of patient and control group.
jkan-39-422-g001.jpg
Figure 2
Comparison of quality of life between patient and control group.
*p<.05.
PF=physical functioning; SF=social functioning; BP=bodily pain; VT=vitality; MH=mental health; RE=role limitations due to emotional problems; RP=role limitation due to physical problems; GH=general health.
jkan-39-422-g002.jpg
Table 1
Homogeneity Test of General Characteristics and Health related Characteristics (N=72)
jkan-39-422-i001.jpg

BMI=body mass index.

Table 2
Mean Score of Characteristics related Symptoms (N=36)
jkan-39-422-i002.jpg
Table 3
Comparison of Rest-Activity Rhythm and Sleep Pattern between Patient and Control Group (N=72)
jkan-39-422-i003.jpg

L5=Least 5 hr's activity; M10=Most 10 hr's activity; Amplitude=M10-L5; RA=Related amplitude ([M10-L5]/[M10+L5]); L5 onset=Least 5 hr's activity onset; M10 onset=Most 10 hr's activity onset; PSQI=Pittsburgh Sleep Quality Index.

Table 4
Correlation between Rest-Activity Rhythm, Sleep Pattern and Quality of Life (N=72)
jkan-39-422-i004.jpg

*p<.05; **p<.01.

RA=Related amplitude; L5=Least 5 hr's activity; PSQI=Pittsburgh Sleep Quality Index.

Figure & Data

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        Rest-Activity Rhythm, Sleep Pattern and Quality of Life in Patients with Restless Legs Syndrome
        J Korean Acad Nurs. 2009;39(3):422-432.   Published online June 29, 2009
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      Rest-Activity Rhythm, Sleep Pattern and Quality of Life in Patients with Restless Legs Syndrome
      Image Image
      Figure 1 Rest-activity rhythm of patient and control group.
      Figure 2 Comparison of quality of life between patient and control group. *p<.05. PF=physical functioning; SF=social functioning; BP=bodily pain; VT=vitality; MH=mental health; RE=role limitations due to emotional problems; RP=role limitation due to physical problems; GH=general health.
      Rest-Activity Rhythm, Sleep Pattern and Quality of Life in Patients with Restless Legs Syndrome

      Homogeneity Test of General Characteristics and Health related Characteristics (N=72)

      BMI=body mass index.

      Mean Score of Characteristics related Symptoms (N=36)

      Comparison of Rest-Activity Rhythm and Sleep Pattern between Patient and Control Group (N=72)

      L5=Least 5 hr's activity; M10=Most 10 hr's activity; Amplitude=M10-L5; RA=Related amplitude ([M10-L5]/[M10+L5]); L5 onset=Least 5 hr's activity onset; M10 onset=Most 10 hr's activity onset; PSQI=Pittsburgh Sleep Quality Index.

      Correlation between Rest-Activity Rhythm, Sleep Pattern and Quality of Life (N=72)

      *p<.05; **p<.01.

      RA=Related amplitude; L5=Least 5 hr's activity; PSQI=Pittsburgh Sleep Quality Index.

      Table 1 Homogeneity Test of General Characteristics and Health related Characteristics (N=72)

      BMI=body mass index.

      Table 2 Mean Score of Characteristics related Symptoms (N=36)

      Table 3 Comparison of Rest-Activity Rhythm and Sleep Pattern between Patient and Control Group (N=72)

      L5=Least 5 hr's activity; M10=Most 10 hr's activity; Amplitude=M10-L5; RA=Related amplitude ([M10-L5]/[M10+L5]); L5 onset=Least 5 hr's activity onset; M10 onset=Most 10 hr's activity onset; PSQI=Pittsburgh Sleep Quality Index.

      Table 4 Correlation between Rest-Activity Rhythm, Sleep Pattern and Quality of Life (N=72)

      *p<.05; **p<.01.

      RA=Related amplitude; L5=Least 5 hr's activity; PSQI=Pittsburgh Sleep Quality Index.


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