지역사회 거주노인의 수면의 질에 영향을 미치는 요인

Abstract

Abstract

Factors affecting the quality of sleep among community dwelling elderly

Yang, Soo-jeong Advisor : Prof. Kim Jin-sun Ph. D. Department of Nursing Graduate School of Chosun University

Sleep is one of the most basic requirements of human life. The aging process leads to changes in sleep, and the prevalence of sleep disturbances increase with age, with a consequent negative impact on the quality of life among elderly. However, relatively little is known about the affecting factors of sleep quality among community dwelling elderly. The purposes of this study were to examine the sleep hygiene and sleep quality and to identify the factors that influence the sleep quality among community dwelling elderly. Participants were 105 elderly who reside in a metropolitan city. Data were collected using structured questionnaire and collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression analysis using SPSS Win 12.0. Sleep hygiene of participants was generally good. However, some elderly use their bed for things other than sleeping or sex. Sleep quality was somewhat poor and the most frequently mentioned sleep disturbance was wake up to use bathroom. Sleep quality was statistically significantly correlated with instrumental activity of daily living, depression, and sleep hygiene. As the result of stepwise multiple regression analysis to identify the factors of sleep quality, health status, sleep hygiene, and education level were statistically significant predictors of sleep quality and these three variables accounted 27.7% of variance of sleep quality among community dwelling elderly. Elderly with good health, good sleep hygiene and higher education level expected more good sleep quality than their counterparts. The results of this study indicated that educational interventions are needed to increase quality of sleep among community dwelling elderly. Good sleep hygiene practices are necessary to increase sleep quality. Sleep promotion intervention program for the community dwelling elderly should be developed, applied and evaluated.

Key Words: Older adults, Sleep quality, Sleep hygiene