뇌졸중 후 수면-각성장애

서지정보

ㆍ발행기관 : 기초간호학회 ㆍ수록지정보 : 기초간호자연과학회지 / 11권 / 1호
ㆍ저자명 : 서민희, 최스미

목차

서 론
연구 방법
연구 결과
논 의
결론 및 제언

한국어 초록

뇌졸중은 우리나라에서 단일 질환으로 남녀 모두 사망률
제1위를 차지한다. 또한 생존한다고 하여도 여러 유형의 신체
장애와 통증이 나타나며, 우울 등 감정 장애를 경험하는 것으
로 보고되었다(Kim & Choi-Kwon, 2000).
이러한 신체적, 정신적 변화는 뇌졸중 환자의 수면에 다양
하게 영향을 줄 수 있다. 여러 선행연구 결과, 뇌졸중 발생 후
수면-각성 주기의 변화가 자주 일어나는 것으로 보고되었다
(Leppavuori, Pohjasvaara, Kaste, & Erkinjuntti, 2002;
Palomaki et al., 2003). 수면-각성 주기의 변화는 뇌졸중
환자에게서는 40-60% (Leppavuori et al., 2000) 정도가 발
생하는 것으로 보고되어, 일반인의 발생 빈도(10-40%, Hohagen
et al., 1993)에 비해서 높은 것으로 보인다.

영어 초록

The purpose of the present study was to investigate the prevalence and related factors of sleep-wake disturbance
(SWD) in Korean post-stroke patients. This study was the first to address post-stroke SWD in Korea using a structured
questionnaire. Method: We investigated the prevalence of SWD and related factors including lesion location, stroke
severity, presence of depression and fatigue. We assessed sleep-wake pattern including quality of sleep, sleep latency,
wake episodes, wake time after sleep onset, daytime sleep episode and sleep time at daytime. Ninety stroke patients
admitted to a university affiliated hospital in Seoul between the period September 2008 and January 2009 were included
in the study. Result: Thirty five patients (38.9%) complained insomnia and 32 (35.6%) complained excessive daytime
sleepiness (EDS). Quality of sleep (p=.000), sleep latency (p=.000) and total sleep time (p=.001) were significantly
poorer in 16 patients with both insomnia and EDS than in the others. The related factors to insomnia were level of education
(p=.030), depression (p=.007) and fatigue (p=.034), though related factors to EDS were stroke onset time (p=.049),
stroke severity (p=.005), motor dysfunction (p=.035), dysphasia (p=.018), fatigue (p=.001) and lesion location (p=.019).
Conclusion: Sleep-wake disturbance is a common problem in Korean stroke patients. Strategies to improve quality of
sleep are urgently needed in the post-stroke patients.

참고 자료

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