DOI QR코드

DOI QR Code

Association between sleep quality and depression in the elderly after a stroke

뇌졸중 후 노인의 수면의 질과 우울의 관련성

  • Received : 2021.03.29
  • Accepted : 2021.05.04
  • Published : 2021.05.31

Abstract

This study was conducted to investigate the level of depression in the elderly after stroke and to determine the relationship between sleep quality and post stroke depression. The study participants were 110 elderly people aged 60 or older who visited the physical therapy room after stroke, and the survey was conducted from August to November 2020. Descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis were performed for data analysis. As a result, 77.3% (85 patients) of the participants were depressed. The factor influencing on depression was the quality of sleep, and the explanatory power was 27.8%. It was confirmed that the sleep quality of the elderly after a stroke was a major influencing factor on depression. Therefore, it is thought that measures to improve the quality of sleep should be prepared in order to reduce the post stroke depression of the elderly.

본 연구는 뇌졸중 후 노인의 우울정도를 확인하고, 수면의 질과 우울의 관련성을 파악하기 위해 시행되었다. 연구대상자는 뇌졸중 후 물리치료실을 내원하는 60세 이상의 노인 110명이며, 설문조사는 2020년 8월부터 11월까지 시행하였다. 자료분석은 기술적 통계, t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis를 이용하였다. 연구결과 참여대상자의 77.3%(85명)이 우울한 것으로 나타났으며, 일반적 특성에 따른 우울은 뇌졸중 마비측에 따라 차이를 보였다. 대상자의 우울에 영향을 미치는 요인은 수면의 질이었으며, 설명력은 27.8%로 뇌졸중 후 노인의 수면의 질은 우울에 주요한 영향요인임이 확인되었다. 따라서 뇌졸중 후 노인의 우울을 감소시키기 위해 수면의 질을 개선하기 위한 방안들이 마련되어야 할 것으로 생각된다.

Keywords

Acknowledgement

이 연구는 2020년 건양대학교 학술연구비 지원에 의해 이루어진 것임

References

  1. V.L. Feigin, M.H. Forouzanfar, R. Krishnamurthi, G.A. Mensah, M. Connor, D.A. Bennett, et al. "Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010." The Lancet, Vol. 383, No. 9913, pp. 245-255, 2014. https://doi.org/10.1016/S0140-6736(13)61953-4
  2. Statistics Korea. Emergency medical status statistics: The number of stroke patients. 2019 http://kostat.go.kr/wnsearch/search.jsp
  3. E.M. Whyte, B.H. Mulsant. "Post stroke depression: epidemiology, pathophysiology, and biological treatment." Biological Psychiatry, Vol. 52, No. 3, pp. 253-264, 2002. https://doi.org/10.1016/S0006-3223(02)01424-5
  4. J.S. Kim. "Post-stroke depression, anxiety, emotional incontinence, anger-proneness and fatigue." Journal of the Korean Neurological Association, Vol. 23, No. 1, pp. 1-8, 2005.
  5. M.H. Suh, S. Choi-Kwon. "Sleep-wake disturbance in post-stroke patients." Journal of Korean Biological Nursing Science, Vol. 11, No. 1, pp. 23-31, 2009.
  6. C. Li, Y. Liu, P. Xu, Q. Fan, P. Gong, C. Ding et al. "Association between obstructive sleep apnea and risk of post-stroke depression: A hospital-based study in ischemic stroke patients." Journal of Stroke and Cerebrovascular Diseases, Vol. 29, No. 8, pp. 104876, 2020. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104876
  7. L. Dong, D.L. Brown, R.D. Chervin, E. Case, L.B. Morgenstern, L.D. Lisabeth. "Pre-stroke sleep duration and post-stroke depression." Sleep Medicine, Vol. 77, pp. 325-329, 2021. https://doi.org/10.1016/j.sleep.2020.04.025
  8. E. Oh. "Predictors of post stroke depression in community-indwelling older adults." Journal of Korean Gerontology Nursing. Vol. 20, No. 3, pp. 167-176, 2018. https://doi.org/10.17079/jkgn.2018.20.3.167
  9. S. Park. "Factors influencing post stroke depression in acute stroke patients." The Korea Contents Society, Vol. 20, No. 10, pp. 385-394, 2020. https://doi.org/10.5392/JKCA.2020.20.10.385
  10. J. Park. "A study on convergence factors related to cardiovascular disease in Korean elderly." The Journal of the Convergence on Culture Technology, Vol. 6, No. 1, pp. 215-22, 2020. https://doi.org/10.17703/JCCT.2020.6.1.215
  11. S. Shah, F. Vanclay, B. Cooper. "Improving the sensitivity of the Barthel Index for stroke rehabilitation." Journal of Clinical Epidemiology, Vol. 42, No. 8, pp. 703-709, 1989. https://doi.org/10.1016/0895-4356(89)90065-6
  12. H.Y. Jung, B.K. Park, H.S Shin, Y.K. Kang, S.B. Pyun, N.J. Paik, et al. "Development of the Korean Version of Modified Barthel Index (K-MBI): Multi-center study for subjects with stroke." Annals of Rehabilitation Medicine, Vol. 31. No. 3, pp. 283-297, 2007
  13. R. Snyder-Halpern & J.A. Verran. "Instrumentation to describe subjective sleep characteristics in healthy subjects." Research in Nursing & Health, Vol. 10, No. 3, pp. 155-163, 1987. https://doi.org/10.1002/nur.4770100307
  14. M.H. Suh. Structural equation modeling on quality of life in stroke survivors at 1 year after survivor. Ph.D. Thesis. Seoul National University, Seoul, Korea., 2010.
  15. J.A. Yesavage, T.L Brink, T.L. Rose, O. Lum, V. Huang, M. Adey, et al. "Development and validation of a geriatric depression screening scale: A preliminary report." Journal of Psychiatric Research, Vol. 17, No. 1, pp. 37-49, 1983. https://doi.org/10.1016/0022-3956(82)90033-4
  16. B.S. Kee. "A preliminary study for the standardization of Geriatric Depression Scale Short Form-Korean Version." The Korean Journal of Neuropsychiatric Association, Vol. 35, No. 2, pp. 298-307, 1996.
  17. K.T. Kim, H.J. Moon, J.G. Yang, S.I. Sohn, J.H. Hong, Y.W. Cho. "The prevalence and clinical significance of sleep disorders in acute ischemic stroke patients-a questionnaire study." Sleep and Breathing, Vol. 21, No. 3, pp. 759-765, 2017. https://doi.org/10.1007/s11325-016-1454-5