Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Relating Quality of Sleep: Comparison between Young-old People and Old-old People

수면의 질 영향 요인: 전기노인과 후기노인 비교

  • Seo, Yeong-Mi (Department of Nursing Gyeongnam National University of Science and Technology) ;
  • Kim, Jeong-Sook (Department of Nursing, JinJu Health College) ;
  • Je, Nam Joo (Department of Nursing Changshin University)
  • 서영미 (경남과학기술대학교 간호학과) ;
  • 김정숙 (진주보건대학교 간호학부) ;
  • 제남주 (창신대학교 간호학과)
  • Received : 2019.03.19
  • Accepted : 2019.06.07
  • Published : 2019.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study is a descriptive survey study to investigate the quality of sleep and to compare the factors relating quality of sleep in the young-old people and the old-old people. The subjects of the study were 200 elderly people who live in the G-region applying convenient expression method. Using a structured questionnaire, sociodemographic characteristics, lifestyle and health-related characteristics, depression, and quality of sleep were examined. We analyzed ${\chi}^2-test$, t-test, ANOVA(scheffe's test), Pearson's correlation coefficient and multiple regression using IBM SPSS WIN/21.0. The results of the study were as follows. The quality of sleep was significantly worse in the old-old people than in the young-old people. In young-old people, only depression (r=-.22, p=.038) showed a significant negative correlation with sleep quality. Old-old people was a significant negative correlation between sleep quality and depression (r=-.19, p=.045) and subjective health status (r=-.29, p=.002). In the young-old people, job, chronic illness, and economic level were significant influencing factors in the quality of sleep. In the old-old people, chronic disease, subjective health status, and smoking were significant influencing factors. The results of this study can be used as basic data for establishing tailored strategy for ages that can improve health of the elderly.

본 연구는 전기노인과 후기노인의 수면의 질을 조사하고 수면의 질에 영향을 미치는 요인을 비교하기 위한 서술적 조사연구이다. 연구 대상은 편의표출법을 적용하여 G도에 거주하는 재가 노인을 대상자로 200명을 선정하였다. 구조화된 설문지를 이용하여 사회 인구학적 특성, 생활습관 및 건강관련 특성, 우울, 그리고 수면의 질을 조사하였다. 자료분석은 IBM SPSS WIN/21.0을 이용하여 ${\chi}^2-test$, t-test, ANOVA(Scheffe's test), Pearson's Correlation coefficient, Multiple Regression을 이용하여 분석하였다. 연구결과는 다음과 같았다. 수면의 질은 전기노인에 비해 후기노인이 통계적으로 유의하게 나빴다. 상관관계를 분석한 결과, 전기노인에서는 우울(r=-.22, p=.038)만이 수면의 질과 유의한 부적 상관관계가 나타났다. 후기노인에서는 우울(r=-.19, p=.045)과 주관적 건강상태(r=-.29, p=.002)가 수면의 질과 유의한 부적 상관관계가 있었다. 수면의 질에 영향을 미치는 요인을 분석한 결과, 전기노인에서는 직업, 만성질병 그리고 경제수준으로 나타났고, 후기노인에서는 만성질병, 주관적 건강상태 그리고 흡연이 유의하게 나타났다. 본 연구 결과는 노인의 수면 건강을 향상시킬 수 있는 연령별 맞춤형 전략 수립에 기초자료로 활용될 수 있을 것이다.

Keywords

Table 1. Characteristics of subjects by age group

SHGSCZ_2019_v20n6_332_t0001.png 이미지

Table 2. Factors related to the quality of sleep by age group

SHGSCZ_2019_v20n6_332_t0002.png 이미지

Table 3. Correlation among variables by age group

SHGSCZ_2019_v20n6_332_t0003.png 이미지

Table 4. Variable predicting quality of sleep in young-old people

SHGSCZ_2019_v20n6_332_t0004.png 이미지

Table 5. Variable predicting quality of sleep in old-old people

SHGSCZ_2019_v20n6_332_t0005.png 이미지

References

  1. National Health Insurance Service. Notice Board [Internet], Wonju: National Health Insurance Service, c2018 [cited 2018 Mar 28], Available From: http://www.nhis.or.kr/bbs7/boards/B0039/25795. (accessed Oct., 06, 2018)
  2. M. M. Ohayon, "Nocturnal Awakenings and Difficulty Resuming Sleep: Their Burden in the European General Population", Journal of Psychosomatic Research, vol.69, No.6, pp. 565-571, 2010. DOI: https://doi.org/10.1016/j.jpsychores.2010.03.010
  3. E. F. Pace-Schott, R. M. Spencer, " Age-related Changes in the Cognitive Function of Sleep", Progress in Brain Research, vol.162, No.2, pp. 75-89, 2011. DOI: https://doi.org/10.1016/B978-0-444-53752-2.00012-6
  4. W. J. Kim, W. T. Joo, J. Baek, S. Y. Sohn, K. Namkoong, Y. Youm, H. C. Kim, Y. R. Park, S, H. Chu, E. Lee, " Factors Associated with Insomnia among the Elderly in a Korean Rural Community", Psychiatry Investigation, vol.14, No.4, pp. 400-406, 2017. DOI: https://doi.org/10.4306/pi.2017.14.4.400.
  5. Y. Kim, J. Han, "Factors related to the Quality of Sleep in the Elderly Women", Jornal of the Korea Academia-Industrial Cooperation Society, vol.12, No.10, pp. 4467-4474, 2011. DOI: http://dx.doi.org/10.5762/KAIS.2011.12.10.4467.
  6. S. I. Barbar, P. L. Enright, P. Boyle, D. Foley, D. S. Sharp, H. Petrovitch, S. F. Quan, "Sleep Disturbances and Their Correlates in Elderly Japanese American Men Residing in Hawaii", The Journal of Gerontology Series A Biological Sciences and Medical Sciences, vol.55, No.7, pp. 406-411, 2000. DOI: https://doi.org/10.1093/gerona/55.7.M406
  7. S. Ancoli-Israel, "Sleep and Its Disorders in Aging Populations", Sleep Medicine, vol.10, No.1, pp. 7-11, 2009. DOI: https://doi.org/10.1016/j.sleep.2009.07.004.
  8. S. Ancoli-Israel, L. Ayalon, C. Salzman, "Sleep in the Elderly: Normal Variations and Common Sleep Disorders", Harvard Review of Psychiatry, vol.16, No.5, pp. 279-286, 2008. DOI: https://doi.org/10.1080/10673220802432210.
  9. H. A. Beydoun, M. A. Beydoun, X. Chen, J. J. Chang, A. A. Gamaldo, S. M. Eid, A. B. Zonderman, "Sex and Age Differences in the associations between Sleep Behaviors and All-cause Mortality in Older Adults: Results from the National Health and Nutrition Examination Surveys", Sleep Medicine, vol.36, pp. 141-151, 2017. DOI: https://doi.org/10.1016/j.sleep.2017.05.006.
  10. J. J. Picher, D, R. Ginter, B. Sadowsky. "Sleep Quality versus Sleep Quantity: Relationship between Sleep and Measure of Health, Wellbeing and Sleepiness in Collage Students", Journal of Psychosomatic Research, vol.42, No.6, pp. 583-596, 1997. DOI: https://doi.org/10.1016/S0022-3999(97)00004-4
  11. K. H. Kwon, S. R. Suh, B. D. Suh, "Sleep Patterns and Factors Influencing Sleep in Institutionalized Elders and Elders Living at Home", Journal of Korean Gerontological Nursing, vol.12, No.2, pp. 131-141, 2010.
  12. H. Farazdag, M Andrades, K. Nanji, "Insomnia and Its Correlates among Elderly Patients Presenting to Family Medicine Clinics at an Academic Center", Malaysian Family Physician, vol.13, No.3, pp. 12-19, 2018.
  13. D. Gu, J. Sautter, R. Pipkin, Y. Zeng, " Sociodemographic and Health Correlates of Sleep Quality and Duration among Very Old Chinese", Sleep, vol.33, No.5, pp. 601-610, 2010.
  14. A. Kim, O. Kim, "The Path Model based on Senescent Sleep Model for Sleep in Community-dwelling Older Adults", Korean Journal of Adult Nursing, vol.27, No.2, pp. 211-222, 2015. DOI: http://dx.doi.org/10.7475/kjan.2015.27.2.211
  15. H. S. Yoon, J. J. Yang, M. Song, H. W. Lee, S. Han, S. A. Lee, J. Y. Choi, J. K. Lee, D. Kang, "Correlated of Self-reported Sleep Duration in Middle-aged and Elderly Korreans: From The Health Examines Study", PLOS One, vol.10, No.5, pp. e0123510, 2015. DOI: https://doi.org/10.1371/journal.pone.0123510.
  16. M. H. Kim, J. S. Han, "Factors related to the Quality of Sleep in the Elderly Women", Journal of the Korea Academia-Industrial Cooperation Society, Vol.12, No.10, pp. 4467-4474, 2011. DOI: https://doi.org/10.5762/KAIS.2011.12.10.4467
  17. J. W. Noh, K. B. Kim, J. H. Lee, M. H. Kim, Y. D. Kwon, "Relationship of Health, Sociodemographic, and Economic Factors and Life Satisfaction in Young-old and Old-old Elderly: A Cross-sectional Analysis of Data from the Korean Longitudinal Study of Aging", Journal of Physical Therapy Science, Vol.29, No.9, pp. 1483-1489, 2017. DOI: https://doi.org/10.1589/jpts.29.1483
  18. Korea Institute for Health and Social Affairs. 2017 A National Survey on The Living Status and Welfare Needs of The Aged. Policy Report. Seoul: Korea Institute for Health and Social Affairs; 2017 December. Report No. 11-1352000-000672-12.
  19. Statistics Korea. 2018 Statistics for the Aged [Internet]. Daejeon, c2018 [cited 2018 Dec 10], Available from: http://analysis.kostat.go.kr/publicsmodel(accessed Dec. 30, 2018)
  20. B. Neugarten, "Age groups in American Society and the Rise of the Young-old", Annals of the American Academy of Political and Social Science, Vol.415, No.1, pp. 187-198, 1974. DOI: https://doi.org/10.1177/000271627441500114
  21. K. H. Kwon, The Development of Measurement Tool of Sleep Qulity of the Elderly, Ph D dissertation, Kyungpook National University, Daegu, Korea, pp.1-75, 2009.
  22. J. I. Sheikh, J. A. Yesavage, "9/Geriatric depression scale(GDS): Recent Evidence and Development of a Shorter Version", Clinical Gerontologist. vol.5, No.1-2, pp. 165-173, 2009. DOI: https://doi.org/10.1300/J018v05n01_09
  23. B. S Kee, "A Preliminary Study for the Standardiation of Geriatric Depression Scale Short form-Korean Version", Journal of Korean Neuropsychiatric Association, vol.35, No.2, pp. 298-307, 1996.
  24. M. S. Kim, J. I. Kim, "Relationship Among the Health State, Daily Living Activities (ADL, IADL), Sleep State, and Depression Among Old People at Elderly Care Facilities, Journal of the Korea Academia-Industrial Cooperation Society, vol.16, No.4, pp. 2609-2619, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.4.2609
  25. S. Y. Kim, "Factors Related to Sleep Duration in Korean Adults", Journal of the Korean Data & Information Science Society vol.29, No.1, pp. 153-165, 2018. DOI: http://dx.doi.org/10.7465/jkdi.2018.29.1.153
  26. C. Geroldi, G. B. Frisoni, R. Rozzini, D. De Leo, M. Trabucchi, "Principal Lifetime Occupation and Sleep Quality in The Elderly", Gerontology, vol.42, No.3, pp. 163-169, 1996. DOI: https://doi.org/10.4306/pi.2017.14.4.400
  27. W. J. Kim, W. Joo, J. Baek, S. Y. Sohn, K. Namkoong, Y. Youm, H. C. Kim, Y. Park, S. H. Chu, E. Lee, "Factors Associated with Insomnia among The Elderly in a Korean Rural Community", Psychiatry Investigation, vol.14, No.4, pp. 400-406, 2017. DOI: https://doi.org/10.4306/pi.2017.14.4.400
  28. J. Min, "Effect of Social Engagement on Self-rated Health Trajectory among Korean Older Adult", Health and Social Welfare Review, vol.33, No.4, pp. 105-123, 2013. DOI: https://doi.org/10.15709/hswr.2013.33.4.105
  29. K. M. Park, W. J. Kim, E. C. Choi, S. K. An, K. Namkoong, Y. Youm, H. C. Kim, E. Lee, "Prediction of Sleep Disturbances in Korean Rural Elderly through Longitudinal Follow Up", Sleep Medicine and Psychophysiology, vol.24, No.1, pp. 38-45, 2017. DOI: https://doi.org/10.14401/KASMED.2017.24.1.38