일 병원 입원 노인환자의 수면양상에 영향을 미치는 요인

Abstract

ABSTRACT

Factors Affecting Sleeping Patterns among Hospitalized Elderly Patients

Shim, Hye-Jung Advisor : Prof. Kim, Jin Sun Department of Nursing Graduate School of Chosun University

  Sleep disturbance is a common problem for the elderly. Moreover, elderly patients often have poor, fragmented sleep when they are in the hospital. The purpose of this descriptive correlational study was to identify the factors affecting sleeping patterns among hospitalized elderly patients. The findings of this study will be used as basic data to develop sleep promotion intervention for hospitalized elderly patients. Participants were 121 hospitalized elderly patients in a hospital located in a county. Data were collected by personal interview using structured questionnaire. Collected data were analyzed using descriptive statistics, t-test or ANOVA, Pearson's correlation, and stepwise multiple regression. Hospitalized elderly patients in this study suffer from sleep disturbances. As results of univariate analyses, physical symptoms, psychological factors such as anxiety and depression, and environmental factors disturbed sleep among elderly hospitalized patients. However, the result of stepwise multiple regression analysis identified that psychological and environmental factors were significant predictors of sleeping patterns for hospitalized elderly patients and these two factors accounted 33.1% of variance of sleep-ⅴ-ing patterns among hospitalized elderly patients. Sleep assessments should be conducted on ward admission to identify sleep difficulties and thereby to improve quality of nursing care. Nurses and other health care personnels should make efforts to decrease anxiety and depression and to eliminate environmental barriers of sleep among hospitalized elderly patients. Educational programs for nursing staff that offer information about sleep and sleep promoting interventions for the elderly patients are critical. Moreover, sleep promotion intervention program should be developed, applied and evaluated.