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Symptom Experiences, Sleep Quality and Quality of Life for Patients with Asthma

천식환자의 증상경험, 수면의 질 및 삶의 질에 관한 연구

  • Chung, Mi-Ha (College of Nursing, Ewha Womans University Seoul National University Hospital) ;
  • Park, Hyojung (College of Nursing, Ewha Womans University)
  • 정미화 (이화여자대학교 간호대학, 서울대학교병원) ;
  • 박효정 (이화여자대학교 간호대학)
  • Received : 2016.08.05
  • Accepted : 2016.11.10
  • Published : 2016.11.30

Abstract

The purpose of this study was to examine symptom experiences, sleep quality, and quality of life in asthma patients and investigate any correlation among these factors. The study was conducted on 146 asthma patients that visited the Internal Medicine Department of Allergies at a hospital in Korea from March to June, 2015. Tools that were originally developed by Oh (1999) were used to measure the symptom experience of asthma patients. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) while quality of life was measured by the Short Form 36-Items Heath Survey (SF-36). The dates were analyzed by t-test, ANOVA, Scheffe test, and Pearson's correlation coefficient using the SPSS 20.0 program. Symptom experiences of asthma patients showed a positive relation with sleep quality (r=.468, p<.001) and negative relationship with quality of life; PCS (r=-495, p<.001) and MCS (r=-.411, p<.001). The symptom experiences of an asthma patient along with sleep quality and quality of life turned out to be correlated. Therefore, this study is expected to be utilized as a basis for the development of assessment tools and arbitration programs to elucidate symptom experiences of asthma patients from various aspects and enhance their sleep quality and quality of life.

본 연구는 천식환자의 증상경험, 수면의 질 및 삶의 질 간의 관련성을 조사하기 위한 서술적 상관관계 연구이다. 2015년 3월부터 6월까지 서울시 S 상급종합병원 알레르기내과 외래를 방문한 천식환자 146명을 대상으로 하였다. 천식환자의 증상경험은 오의금(1999)이 개발한 도구를, 수면의 질은 Buysse등(1988)에 의해 개발 된 Pittsburgh Sleep Quality Index를, 삶의 질은 Ware등(1992)에 의해 개발된 the Short Form 36-Items Health Survey를 본 연구에 사용하였다. 수집된 자료는 SPSS 20.0 프로그램을 이용하여 각 변수의 빈도, 백분율, 평균과 표준편차, t-test, ANOVA, 사후검증은 Scheffe test, Pearson's correlation coefficient으로 분석하였다. 연구 결과 천식환자의 증상경험은 수면의 질과 양의 상관관계를 나타냈고(r=.468, p<.001), 삶의 질은 신체적 구성요소(r=-495, p<.001)와 정신적 구성요소(r=-.411, p<.001)는 음의 관계를 나타냈다. 이렇듯 대상자의 천식 증상경험, 수면의 질 및 삶의 질은 서로 상관관계 및 통계적 유의한 차이를 나타냈다. 따라서 본 연구를 통해 천식환자의 증상경험을 다차원적인 측면에서 이해하고 천식환자의 수면의 질과 삶의 질을 높이기 위한 간호사정 도구 및 중재 프로그램 개발에 기초적 자료로 활용 될 것이다.

Keywords

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