Purpose
This study aimed to assess the level of depression among older adults experiencing tinnitus and to identify predictive factors of depression through an analysis of secondary data.
Methods
Data from the ninth Korea National Health and Nutrition Examination Survey conducted in 2022 were utilized for this analysis. We examined individuals aged 60 years or older who had experienced tinnitus for more than 6 months. Complex sample analysis techniques were conducted, and multiple regression analysis was performed to identify predictors of depression.
Results
The study included 231 participants. Significant differences in depression levels were observed across several demographics and health factors, including gender, education level, self-rated health status, living alone, and stress level. Depression levels were significantly correlated with self-rated health status, stress levels, and average sleep duration. Additionally, significant correlations were found between self-rated health and stress levels, self-rated health and the number of chronic diseases, as well as between stress levels and the number of chronic diseases. Multiple regression analysis indicated that self-rated health status (p<.001), stress level (p<.001), and average sleep duration (p=.042) were significantly associated with depression. Specifically, poorer self-rated health, higher stress levels, and shorter sleep duration were associated with higher levels of depression.
Conclusion
In older patients with tinnitus, self-rated health status, stress level, and average sleep duration significantly impact depression levels. These findings provide an important foundation for developing interventions to reduce depression in individuals with tinnitus.

Purpose
This study investigated the mediating effect of sleep discomfort in the relationship between tinnitus distress and depression.
Methods
This cross-sectional study used the Tinnitus Handicap Inventory, the Korean Screening Tool for Depressive Disorders, and the Korean version of the Pittsburgh Sleep Quality Index to examine a convenience sample of 139 individuals with tinnitus who were selected from an online patient community in January 2023. Data were analyzed using the independent t-test, Pearson's correlation coefficients, and the PROCESS macro with 95% bootstrap confidence intervals. All statistical analyses were performed using IBM SPSS/WIN 25.0.
Results
Tinnitus distress exhibited a positive correlation with depression (r=.70, p<.001) and sleep discomfort (r=.33, p<.001), and depression showed a positive correlation with sleep discomfort (r=.52, p<.001). Further, sleep discomfort had a statistically significant partial mediating effect in the relationship between tinnitus distress and depression (β=.11; 95% CI, 0.05~0.18).
Conclusion
The findings of this study indicate that sleep discomfort plays a partial mediatory role in the relationship between tinnitus distress and depression. Intervention programs for improving sleep discomfort among individuals with tinnitus are recommended to reduce depression in this population. In addition, screenings for sleep discomfort and depression should be routinely carried out as part of the treatment strategy for individuals with tinnitus.

Purpose
Patients with hepatocellular carcinoma may experience poor sleep quality following Transarterial Chemoembolization (TACE). This study aimed to identify factors influencing sleep quality in patients undergoing transarterial chemoembolization.
Methods
The study participants comprised 49 patients who underwent TACE and 45 nurses who cared for them. Patient data were collected through a face-to-face survey before and after TACE, as well as a review of electronic medical records. Data from nurses were collected using an online survey.
Results
The mean sleep quality score of patients with hepatocellular carcinoma undergoing TACE was 5.04±1.76. Sleep quality was negatively correlated with the number of antipyretics used (r=-.31, p=.029), anxiety (r=-.40, p=.004), postembolization syndrome (r=-.30, p=.034), and fatigue (r=-.63, p<.001), and positively correlated with the nurse’s perception of patient’s fatigue (r=.45, p=.001). In multiple regression analysis, fatigue (β=-.47, p=.001) and the number of antipyretics used (β=-.33, p=.005) explained 43.5% of the variance in patients’ sleep quality.
Conclusion
The sleep quality of patients undergoing TACE was found to be relatively low. Fatigue affects sleep quality, with more fatigued patients exhibiting poorer sleep quality. Therefore, nurses must pay attention to patient fatigue and anxiety and provide more comfortable nursing care.

Purpose
This study investigated the knowledge, performance, and barrier awareness of Intensive Care Unit (ICU) medical staff concerning the prevention and management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption (PADIS) in critically ill adult patients, and aimed to identify the factors influencing the performance of evidence-based PADIS management.
Methods
This cross-sectional and correlational study included 189 medical staff (17 physicians, 172 nurses) working in ICUs in two hospitals and recruited between July 13 and 31, 2022. Multiple linear regression analysis was performed to identify the factors associated with the PADIS-related performance of medical staff.
Results
The evidence-based performance level for PADIS prevention and management had a mean score of 3.55±0.37 out of 5 points, and the mean knowledge score was 28.23±3.00 out of 33 points. The mean awareness score for barriers to implementing PADIS prevention and management guidelines was 2.91±0.39 out of 5 points. Multiple regression analysis indicated that knowledge of delirium (β=.19, p=.014) and awareness of barriers within the individual domains of medical staff (β=-.20, p=.034) significantly influenced PADIS-related performance.
Conclusion
To implement evidence-based practices for the prevention and management of PADIS, steps should be taken to improve the knowledge and awareness of medical staff regarding PADIS. This could be improved through organizational support, such as systematic education and staffing. Specifically, an education program centered on delirium could significantly improve PADIS-related knowledge and performance.

Citations

• Review of advanced emergency evacuation procedures in hospital buildings: comprehensive analysis and insights
  Hao Wu, Ruimin Nie, Xu Zeng, Chuanjie Cheng, Jing Pan, Daguang Han, Haidar Hosamo
  Frontiers in Built Environment.2024;[Epub]     CrossRef

Purpose
Patients with prostate cancer have high survival rates, but report low Quality of Life (QOL) due to sleep difficulties. This scoping review aimed to explore and identify current publication trends, major concepts, measurements, and interventions regarding sleep disturbance in patients with prostate cancer. Methods Using the Arksey & O’Malley scoping review method, structured searches for articles published from 2000 to 2021 were conducted on six electronic databases using a combination of the terms “prostate cancer”, “malignant neoplasm of prostate”, “sleep*”, “circadian rhythm”, and “insomnia”. Results Thirty-one studies were reviewed. The publication rate has increased from 6.5% (2000~2005) to 51.6% (2016~2021). The Insomnia Severity Index (ISI) was the most frequently used subjective measurement. Objective measurements to measure sleep quality or sleep disturbance included actigraphy and Polysomnography (PSG). The incidence of sleep disturbance in patients with prostate cancer was 8.0% to 75.9%, and hormone and radiation therapy, hot flashes, and nocturia were identified as influencing factors. Intervention strategies presented were Cognitive Behavioral Therapy (CBT), Mindfulness-Based Cognitive Therapy (MBCT), Acceptance and Commitment Therapy (ACT), and qigong or tai chi programs. Conclusion Interest in sleep disturbance in patients with prostate cancer is increasing. Further studies are expected to measure the prevalence of sleep disturbance using objective and subjective measurements in various ways. Nurses must consider tailored interventions based on the individual characteristics of patients with prostate cancer.

Citations

• Predictors of sleep quality components in patients undergoing transarterial chemoembolisation: a cross-sectional study
  Ji Young Park, Myoung Soo Kim, Jung Mi Ryu
  Supportive Care in Cancer.2024;[Epub]     CrossRef
• Research Trends of Non-Pharmacological Interventions for Sleep-Wake Disturbances in Cancer Patients
  Moon Ju Oh, Hee Sun Kim
  Asian Oncology Nursing.2022; 22(3): 163.     CrossRef

Purpose
This study was conducted to verify the effects of foot bathing on peripheral neuropathy, sleep disorder, and fatigue in gynecologic patients with cancer undergoing chemotherapy. Methods: There were 30 participants in this study who had been diagnosed with gynecologic cancer and were undergoing chemotherapy. Among them, 15 were in the experimental group of the K university hospital and 15 in the control group of the other K university hospital in D city. The experimental group received foot bathing once a day for 30 minutes over 10 days, an hour before bedtime, while the control group did not receive any foot bathing. Results: The results of the study showed that the experimental group that received foot bathing had significant changes in objective peripheral neuropathy (p=.021), sleep disorder (p=.002), and fatigue (p=.030), as compared to the control group. However, no significant difference was found between the experimental and the control groups regarding subjective peripheral neuropathy (p=.256). Conclusion: Hence, our study confirmed that foot bathing can be an effective nursing intervention to reduce peripheral neuropathy, sleep disorder, and fatigue in gynecologic patients with cancer undergoing chemotherapy.

Citations

• The impact of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life among gynecological cancer patients undergoing chemotherapy: a cross-sectional survey
  Sohee Mun, Hyojung Park
  Korean Journal of Women Health Nursing.2022; 28(4): 296.     CrossRef

Purpose
This study aimed to examine the direct and indirect effects of general characteristics, basic psychological needs, health promoting behaviors, and emotional status on sleep quality of the older adults with low back pain. Methods: We conducted a cross-sectional correlational study in B and Y cities between August and September 2020. A total of 217 older adults participated in the study and their general characteristics (age, gender, duration of back pain, pain intensity, disability, perceived health status, risk for malnutrition), basic psychological needs (autonomy, competence, relatedness), health promoting behavior (physical activity, self care), emotional status (depression, quality of life), and sleep quality were measured. Data were analyzed through descriptive analysis, independent t-test, ANOVA with Scheffé post-hoc test, hierarchical multiple regression, and path analysis using SPSS/WIN 22.0 and AMOS 22.0. Results: The mean age of the participants was 70.31±5.39 years, the pain intensity was 6.40±1.09, and the duration of back pain was 6.69±6.46 years. The significant factors influencing sleep quality were depression (β=.45, p=.001), gender (β=-.22, p=.001), disability (β=.21, p=.003), perceived health status (β=-.21, p=.001), duration of back pain (β=-.20, p=.001), self care on back pain (β=-.15, p=.009), basic psychological needs (β=-.15, p=.001), and risk for malnutrition (β=.03, p=.028). Conclusion: The findings of this study suggest that special attention is required for older women with high levels of depression and disability due to back pain, especially those with pain duration of less than 5 years or greater than 10 years.

Citations

• Effects of Auricular Acupressure Therapy on Psychological Factors, Sleep Quality, and Salivary Cortisol Levels in South Korean Older Adults in the Community: A Single-blind, Randomized Controlled Trial
  Hyeongyeong Yoon
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 509.     CrossRef

Purpose
This study aimed to examine the influence of lifestyle-related factors, such as sleep quality, eating habits, and perceived stress, on the incidence of thyroid cancer in healthy adults. Methods: This study is a cross-sectional case-control study comparing lifestyle-related factors in thyroid cancer and healthy groups. Outpatients with thyroid cancer were recruited from 2012 to 2013, 3~6 months after thyroidectomy at a tertiary hospital in Seoul, Korea (n=468). For the control group, 935 healthy adults were recruited by propensity score matching on demographic characteristics in a 1:2 ratio from hospital health checkup data. The effect of sleep quality, eating habits, and perceived stress on the incidence of thyroid cancer was determined through multiple logistic regression analysis and backward stepwise variable selection. Results: Sleep disturbance and mild/moderate daytime dysfunction were found to have a 1.22 and 1.66/1.77-fold influence, respectively, in patients with thyroid cancer than in healthy controls (p<.05). Coffee consumers who drink 3~6 times/day showed reduced cancer incidence than those who drink very little (odds ratio=0.53, 95% confidence interval=0.32~0.87). Perceived stress was a significant risk factor in univariate (p=.004), but not in multivariate analysis. Conclusion: These findings highlight the need for evaluating sleep quality, especially in high-risk adults and patients with thyroid cancer. Preventive measures should be adopted to lower stress levels and improve sleep quality.

Citations

• Development and Effects of a Smartphone Application to Improve Self-Management in Workers Who Underwent Thyroid Cancer Surgery
  Myoyoun Kim, Seon Young Hwang
  Cancer Nursing.2025;[Epub]     CrossRef
• Multidimensional Prediction Method for Thyroid Cancer Based on Spatiotemporally Imbalanced Distribution Data
  Zhiwei Jia, Yuqi Huang, Yanhui Lin, Min Fu, Chenhao Sun
  IEEE Access.2024; 12: 4674.     CrossRef
• Determining the spatial non-stationarity underlying social and natural environment in thyroid cancer in China
  Xiyu Zhang, Yongqiang Lai, Xiaodan Bai, Bing Wu, Wenjing Xiang, Chenxi Zhang, Guihong Geng, Wenqing Miao, Qi Xia, Qunhong Wu, Huiying Yang, Yanjie Wang, Wanxin Tian, Yu Cao, Xinwei Liu, Hongyu Li, Yulu Tian, Zhe Song, Ziwen Zhao, Zhipeng Huang, Xiaonan Ch
  Science of The Total Environment.2023; 870: 162009.     CrossRef
• Sleep quality, stress and thyroid cancer: a case–control study
  S. Afrashteh, M. Fararouei, M. T. Parad, A. Mirahmadizadeh
  Journal of Endocrinological Investigation.2022; 45(6): 1219.     CrossRef

Purpose
During hospitalization, sleep can be disturbed and the quality reduced. This study investigated the effect of applying white noise on hospitalized patients for improving their sleep quality. Methods: In a randomized controlled trial design, participants were randomly assigned to an experimental group (n=30) or a comparison group (n=31), enrolled from rehabilitation medicine wards at a university hospital in South Korea. For three days of the intervention, the experimental group listened to white noise for one hour before sleep. The comparison group wore only earplugs before sleep. Sleep quality was assessed by the Verran and Snyder-Halpern (VSH) sleep scale as a subjective measure and the Fitbit ^® wrist band monitor as an objective measure. Data were collected pre- and three days post-intervention. Data were analyzed by repeated measures ANOVA using SPSS/WIN 22.0 program. Results: The white noise group showed positive effects on subjective sleep quality (p<.001) compared to the earplug group. Among the objective sleep quality measures, sleep time (p<.001) and sleep efficiency (p=.003) were statistically significant, but there were no statistically significant differences in time of awakening, number of awakening, time of restless and number of restless. Conclusion: Findings indicate that applying white noise could be considered as a useful nursing intervention to improve subjective and objective sleep quality in hospitalized patients.

Citations

• A randomized controlled trial on the effect of music and white noise listening on anxiety and vital signs during intramuscular injection skill learning
  Berna Aksoy, Levent Ozturk
  Teaching and Learning in Nursing.2024; 19(1): e52.     CrossRef
• Effect of dynamic binaural beats on sleep quality: a proof-of-concept study with questionnaire and biosignals
  Hwa-Ah-Ni Lee, Woo-Jin Lee, Seong-Uk Kim, Hyunji Kim, Minkyu Ahn, Jeonghui Kim, Do-Won Kim, Chang-Ho Yun, Han-Jeong Hwang
  SLEEP.2024;[Epub]     CrossRef
• Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
  Yul Ha Lee, Hye-Ja Park
  Journal of Health Informatics and Statistics.2023; 48(3): 267.     CrossRef
• External Auditory Stimulation as a Non-Pharmacological Sleep Aid
  Heenam Yoon, Hyun Jae Baek
  Sensors.2022; 22(3): 1264.     CrossRef

Purpose
Intradialytic exercise could be a cornerstone of management in hemodialysis patients. The aim of this study was to evaluate the effect of intradialytic stretching training on Restless Legs Syndrome (RLS) and sleep quality among patients undergoing hemodialysis. Methods: This 8-week quasi-experimental design study involved adult patients undergoing chronic hemodialysis treatment for at least 3 months at the Drug Dependency Hospital Nephrology Unit in Jakarta. Nineteen participants were listed in each group, so a total of 38 participants were registered. Convenience sampling was used to select respondents. In addition, each respondent was asked to complete the International Restless Legs Syndrome Study Group (IRSSG) rating scale and the Pittsburgh Sleep Quality Index (PSQI). Results: The majority of respondents were women (55.3%), unemployed (71.1%), with duration of hemodialysis>12 months (55.3%), and having hemoglobin levels less than 10 mg/dl (68.4%). The mean RLS before intervention was 1.74 (Standard Deviation [SD]=0.23) and after intervention, there was significant reduction in RLS score to a mean of 0.42 (SD=0.17) (p<.001). Similarly, mean sleep quality before intervention was 4.02 (SD=2.56) and after intervention, it reduced significantly to a mean of 6.16 (SD=3.18) (p<.001). Conclusion: Intradialytic stretching training could play a significant role in decreasing RLS and improving quality of sleep. Further studies with larger sample sizes and longer periods of intervention are required to validate our results and contribute to better patient outcomes.

Citations

• Comparisons of Intradialytic Exercise Versus Home-Based Exercise in Hemodialysis Patients: A Narrative Review
  Chao-Lin Lee, Ping-Chen Wang, Yi-Ling Chen, Zen-Yong Chen, Ching-Cherng Uen, Hsien-Yung Lai, Chih-Chung Shiao
  Biomedicines.2024; 12(10): 2364.     CrossRef
• Efficacy of Aerobic and Stretching Exercises in Managing Willis-Ekbom Disease (Restless Leg Syndrome) Among Hemodialysis Patients
  Mohamedalamin Alnoor Altayb Ismail , Islam Daffalla, Taranpreet Singh, Qandeel Rida Siddique, Mohammed Khaleel I. KH. Almadhoun , Rabail Irfan, Moeez Saqib, Muhammad Haris, Zaid Khan, Jaqueline Giselle Farias Fernandes, Asma Iqbal, Syed Faqeer Hussain Bok
  Cureus.2024;[Epub]     CrossRef
• Pharmacological and non-pharmacological treatments for restless legs syndrome in end-stage kidney disease: a systematic review and component network meta-analysis
  Jia-Jin Chen, Tao Han Lee, Yu-Kang Tu, George Kuo, Huang-Yu Yang, Chieh-Li Yen, Pei-Chun Fan, Chih-Hsiang Chang
  Nephrology Dialysis Transplantation.2022; 37(10): 1982.     CrossRef
• Analysis of the Influence of Nursing Safety Management on Nursing Quality in Hemodialysis Room
  Ying Huang, Hong Chen, Zhao kaifa
  Computational Intelligence and Neuroscience.2022; 2022: 1.     CrossRef

Purpose
The aim of this study was to evaluate the effects of hand acupressure on sleep quality and pruritus in patients on hemodialysis and to propose an effective, evidence-based nursing intervention. Methods: This was a single-blind, placebo-controlled, group comparison study with 40 participants. The intervention was conducted thrice a week for six weeks, and the intervention group (n=20) received hand acupressure on sleep and pruritusrelated acupoints (A1, A3, A8, A12, A16, C5, C8, I2, E8, N5, G11, K9, B19, J2, J5, N9) by attaching Seoambong and pressing with Seoamchimbong. The placebo-controlled group (n=20) received hand acupressure on sites irrelevant to sleep or pruritus in the same way as the intervention group. Data were collected before and six weeks after the intervention. Results: There were significant inter-group differences in Pittsburgh Sleep Quality Index score, total sleep time, sleep efficiency, number of awakenings, and subjective pruritus. However, there were no significant inter-group differences in time of awakenings. Conclusion: Hand acupressure was found to be an effective nursing intervention to improve sleep quality and reduce pruritus in patients on hemodialysis.

Citations

• Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial
  Hyojung Park, Hyejin Lee
  BMC Complementary Medicine and Therapies.2024;[Epub]     CrossRef

PURPOSE
This study aimed to examine the relationship between illness perception, stress, and sleep, focusing on the influence of illness perception on the quality of sleep through the mediating effect of stress in patients with metabolic syndrome risk factors.
METHODS
A cross-sectional correlational study was conducted with 219 patients with two metabolic syndrome risk factors. Participants were recruited from outpatient clinics in Daegu and Gyeongbuk between June and July 2016. Data were collected using a self-administered structured questionnaire that included items from the Brief Illness Perception Scale, the Perceived Stress Inventory, and the Pittsburgh Sleep Quality Index. Pearson's correlation coefficient, independent t-test, one-way ANOVA, multiple linear regression analysis, and a SPSS macro bootstrap approach were performed.
RESULTS
There were significant correlations between illness perception and sleep (r=.42, p<.001) and between stress and sleep (r=.49, p<.001). Illness perception was a significant predictor of stress (t=7.99, p<.001) and sleep (t=5.83, p<.001) after adjusting for the influence of age, gender, job status, and body mass index. A mediating effect of stress on the relationship between illness perception and sleep was demonstrated by Baron and Kenny's approach (Z=4.57, p<.001) and the PROCESS macro for SPSS (95% confidence interval=0.04~0.13).
CONCLUSION
This study suggests that the negative impact of illness perception on sleep can be reduced by regulating stress. Further, it is necessary to develop intervention programs that can reduce stress linked to the illness perception among patients with metabolic syndrome risk factors.

Citations

• Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
  Eun-Hee Lee, Dongwon Choi
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 494.     CrossRef
• Illness perception and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention in Iran
  Aysan Thagizadeh, Akram Ghahramanian, Vahid Zamanzadeh, Naser Aslanabadi, Tonia C. Onyeka, Nargess Ramazanzadeh
  BMC Cardiovascular Disorders.2022;[Epub]     CrossRef

PURPOSE
The purpose of this study was to review articles that used the Pittsburgh Sleep Quality Index (PSQI) scale to measure sleep quality among adults with trauma experiences.
METHODS
Databases such as PubMed, CINAHL, Embase, Cochrane, Medline, Google Scholar, Riss, NDSL, and reference data were searched systematically for relevant studies from July 5 to 6, 2018. A quality assessment was conducted using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) risk of bias checklist, including content validity, structural validity, internal consistency, reliability, measurement error, hypotheses testing, cross-cultural validity, criterion validity, and responsiveness.
RESULTS
Fourteen studies met the inclusion criteria. All selected studies confirmed the overall quality of sleep by total score, but only 28.6% of the papers presented subscales. The quality of the methodology used varied within and between studies. Internal consistency of 21.5%, cross-cultural validity of 7.1%, and criterion validity of 14.2% were all evaluated as sufficient (+). Reliability and measurement errors were not presented in selected studies.
CONCLUSION
Our findings revealed that overall quality of sleep was measured by analyzing the characteristics and measurement attributes of the PSQI. However, as a result of the varying purposes of each study, the full potential of the tool could not be optimized. Future research should assess the attributes of the PSQI based on the content specified in the COSMIN evaluation standard, using it carefully to consider the target population's socio-cultural characteristics.

Citations

• Current status of systematic review studies on patient-reported outcome measures published in Korean journals
  Duck-Hee Chae, Jiyeon Lee, Eun-Hyun Lee
  Research in Community and Public Health Nursing.2025; 36: 1.     CrossRef
• Evaluation of changes in skin characteristics due to the poor quality of sleep caused by smartphone usage
  Sue Im Jang, Yuchul Jung, Myeongryeol Lee, Jinsol Kim, Beom Joon Kim, Byung‐Fhy Suh, Eunjoo Kim
  Journal of Cosmetic Dermatology.2022; 21(4): 1656.     CrossRef
• Affecting Factors on Sleep Quality in Foreign Workers
  Soojeong Kim, Min Kyung Kim, Inkyoung Lee, Kyoung Won Cho
  Journal of Health Informatics and Statistics.2022; 47(2): 139.     CrossRef
• Discharge Readiness Scale for Parents of High-Risk Infants: A Systematic Review
  Ki-Eun Kim, Hyejung Lee, Na-Young Jeon
  Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 205.     CrossRef
• A Systematic Review of Measurement Properties of Spirituality related Assessment Tools Published in Korean Journals
  Il-Sun Ko, Jin Sook Kim, Soyoung Choi
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 133.     CrossRef

PURPOSE
To provide basic data for the health management of adults with prolonged fatigue, demographic characteristics, stress, sleep quality, and metabolic syndrome were compared between groups with and without prolonged fatigue.
METHODS
Data of 370 adults (197 with Prolonged Fatigue [PF] and 173 without PF) from the 2014~2016 database of Korea Medicine Data Center were used. Fatigue, stress and sleep quality were measured with the revised Chalder Fatigue Scale, Psychosocial Well-being Index-Short Form, and Pittsburgh Sleep Quality Index, respectively. Metabolic syndrome was diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III criteria.
RESULTS
First, regarding demographic characteristics, there were significant differences in occupation, smoking, and Body Mass Index (BMI) between groups with and without PF. More of the participants with PF than those without PF were employed, and smokers. They were also more likely to be obese than the participants in the group without PF. Second, there were significant differences between the groups in terms of stress and sleep quality; the participants with PF showed higher stress and lower sleep quality than those without PF. Finally, the prevalence of metabolic syndrome was found to be higher in the participants with PF than those without PF.
CONCLUSION
Considering the characteristics of the participants with PF, it is necessary to develop nursing programs to improve stress, sleep quality, and metabolic syndrome to reduce fatigue. These kinds of nursing programs are particularly necessary for people who are smokers, obese and employed.

Citations

• Effects of Varying Caffeine Dosages and Consumption Timings on Cerebral Vascular and Cognitive Functions: A Diagnostic Ultrasound Study
  Min-Ki Choi, Hee-Seul Ahn, Da-Eun Kim, Da-Seul Lee, Chan-Sol Park, Chang-Ki Kang
  Applied Sciences.2025; 15(4): 1703.     CrossRef
• Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study
  Kyeha Kim, Jihyun Oh
  Medicine.2023; 102(50): e36549.     CrossRef
• A Study on the Relationship between Fatigue, Psychosocial Stress, and Behavior that Reduces Endocrine Disrupting Chemicals Exposure in Infertile Males
  Sung Ju Kim, So Young Choi
  Journal of The Korean Society of Maternal and Child Health.2021; 25(3): 211.     CrossRef

PURPOSE
The purpose of this study was to identify factors influencing functional health of patients with chronic insomnia based on the Theory of Unpleasant Symptoms (TOUS).
METHODS
Data were collected from 184 patients with chronic insomnia who had been treated at the sleep center in hospital in South Korea. Data were collected from 23 December 2014 to 18 May 2015 through self-reported questionnaires from pre-sleep arousal, worry, perceived stress, social support, insomnia symptom, and functional health. Data were analyzes using an independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 program.
RESULTS
The regression model had an adjusted R2 of 50%, which indicated that pre-sleep arousal, social support, perceived stress, education, and insomnia symptom were significant predictors of functional health in patients with insomnia.
CONCLUSION
In order to improve the functional health of patient's with chronic insomnia, clinical nurses should develop and provide nursing interventions that improve social support and reduce pre-sleep arousal, stress, and insomnia symptoms.

Citations

• Factors influencing the health-related quality of life in Korean menopausal women: a cross-sectional study based on the theory of unpleasant symptoms
  Ji-Hyun Kang, Moon-Jeong Kim
  Korean Journal of Women Health Nursing.2022; 28(2): 100.     CrossRef
• Nomophobia in Lebanon: Scale validation and association with psychological aspects
  Youssef Farchakh, Rabih Hallit, Marwan Akel, Clarissa Chalhoub, Maria Hachem, Souheil Hallit, Sahar Obeid, Yuka Kotozaki
  PLOS ONE.2021; 16(4): e0249890.     CrossRef
• Influence of Sleep Quality, Coffee Consumption, and Perceived Stress on the Incidence of Thyroid Cancer in Healthy Korean Adults
  Myoyoun Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2021; 33(2): 125.     CrossRef

PURPOSE
This study aimed to compare the effects of hand massage with the preferred aroma oil to those of hand massage with lavender oil on stress and sleep in residents at a long-term care facility.
METHODS
A group randomized controlled design was used. Of the 37 participants, 19 were assigned to the experimental group(hand massage with the preferred aroma oil) and 18 to the control group(hand massage with lavender oil). Data collection was performed from Nov. 26 2016 to Jan. 27 2017. Hand massage was offered for 5 minutes each side 3 times a week for a total of 12 sessions over 4 weeks. Stress was measured using the Perceived Stress Questionnaire and sleep was measured using the Verran and Snyder-Halpern Sleep Scale.
RESULTS
Subjects in the experimental group showed significantly lower stress levels (physical stress, t=−2.10, p=.048; psychological stress, t=−4.41, p<.001) and sleep (t=3.37, p=.002) than those in the control group.
CONCLUSION
These results suggest that aromatherapy with hand massage should consider client aroma preference for elderly at long-term care facilities in the future.

Citations

• Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis
  Hye-Ja Gu, Oi-Sun Lee
  International Journal of Environmental Research and Public Health.2023; 20(4): 3101.     CrossRef
• The Effect of Lavender on Sleep Quality in Individuals Without Insomnia
  Tzu-Ying Chen, Akiko Hiyama, Masumi Muramatsu, Atsuko Hinotsu
  Holistic Nursing Practice.2022; 36(4): 223.     CrossRef
• The effect of lavender on stress in individuals: A systematic review and meta-analysis
  Tina Ghavami, Mohsen Kazeminia, Fatemeh Rajati
  Complementary Therapies in Medicine.2022; 68: 102832.     CrossRef
• The effect of aromatherapy hand massage on distress and sleep quality in hemodialysis patients: A randomized controlled trial
  Dilek Efe Arslan, Nazan Kılıç Akça
  Complementary Therapies in Clinical Practice.2020; 39: 101136.     CrossRef

PURPOSE
Sleep disturbances related to multiple conditions are common in patients with cancer while undergoing chemotherapy. The quality of life in these patients may be negatively affected due to sleep disturbances. Therefore, by analyzing nursing records, this study aimed to examine factors influencing sleep disturbances among hospitalized patients with colorectal cancer undergoing chemotherapy.
METHODS
This study was a retrospective review of nursing records of 231 patients with colorectal cancer who were hospitalized for chemotherapy in 2015. Data were collected from electronic medical records, and analyzed using the independent t-test, χ2 test, and logistic regression.
RESULTS
Thirty-five (15.2%) patients had sleep disturbances. Nursing records related to sleep (n=85) consisted of 32 (37.6%) assessments and 53 (62.4%) interventions. Pharmacological interventions for sleep disturbances (98.1%) were used more often as compared to non-pharmacological interventions (1.9%). In logistic regression analysis, sleep disturbances were related to the body mass index (Odds Ratio [OR]=0.86, 95% Confidence Interval [CI]=0.76~0.98), targeted therapy(OR=2.62, 95% CI=1.09~6.32), and length of hospital stay (OR=1.08, 95% CI=1.02~1.14).
CONCLUSION
Sleep disturbances were influenced by body mass index, targeted therapy, and length of hospital stay. Thus, nutritional and psycho-emotional status after metastasis or recurrence should be closely monitored in patients with colorectal cancer undergoing chemotherapy, especially during prolonged hospitalization. Further, in addition to the use of pharmacological interventions, various non-pharmacological nursing interventions to promote sleep health should be developed.

Citations

• Effect of Healing Beats Program on Stress, Heart Rate and Sleep Quality of Colorectal Cancer Patients Treated with Chemotherapy: A Randomized Controlled Trial
  Eun-Jeong Hong
  Asian Oncology Nursing.2024; 24(1): 32.     CrossRef
• The Effect of a Supportive Educational Intervention Through Virtual Social Networks on Sleep Quality and Insomnia of Patients with Cancer
  Elahe Sarlak, Jamshid Ansari, Rahmatollah Moradzadeh, Nazi Nejat
  Journal of Cancer Education.2023; 38(5): 1675.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef

PURPOSE
The purpose of the study was to develop and pilot test an early exercise program for lumbar spine surgery patients.
METHODS
A group of experts developed an early exercise program based on the exercise guidelines of spine hospitals and literature review. Fifty-three lumbar surgery patients were assigned into an experimental group or a control group and both groups participated in a 7-day exercise program. Pain, sleep disorders and daily living activity disorders were measured by self-administered questionnaires. The lower extremity strength was assessed by thigh circumference and the number of standing up from a chair within 30 seconds.
RESULTS
The experiment group had significantly lower scores in back pain and daily living activity disorders than the control group. The number of standing up from a chair significantly increased in the experimental group.
CONCLUSION
Our early exercise program was effective in decreasing the back pain and daily living activity disorder and increasing the strength of lower extremity among lumbar surgery patients. The early exercise program should be considered as a nursing intervention in clinical settings for lumbar surgery patients.

PURPOSE
The purpose of this study was to identify factors associated with insomnia in college students with Irritable Bowel Syndrome (IBS).
METHODS
College students with IBS (n=259) were recruited in 4 universities in Daegu city and Ulsan city, South Korea. Participants completed questionnaires measuring the following variables: insomnia (Insomnia Severity Index [ISI]), dysfunctional beliefs and attitudes about sleep (Dysfunctional Beliefs and Attitudes about Sleep Scale-16 [DBAS-16]), pre-sleep arousal (Pre-Sleep Arousal Scale [PSAS]), gastrointestinal symptoms during sleep (Gastrointestinal Symptoms during Sleep), sleep hygiene (Sleep Hygiene Practices Scale [SHPS]), psychological distress (Brief Symptom Inventory-18 [BSI-18]), and IBS symptom severity(IBS Severity Scoring System [IBS-SSS]).
RESULTS
In our participants, 53.3%(n=138) reported having insomnia (ISI score ≥10). Compared to the non-insomnia group (n=121), the insomnia group reported significantly higher scores in DBAS-16, PSAS, gastrointestinal symptoms during sleep, IBS-SSS, SHPS, and BSI-18 (p < .001 for all). Multiple logistic regression analysis revealed that gastrointestinal symptoms during sleep (Odds Ratio [OR]=2.77, 95% Confidence Interval [CI]: 1.29~5.96), dysfunctional beliefs and attitudes about sleep (OR=1.04, 95% CI: 1.03~1.06), cognitive arousal before sleep (OR=1.10, 95% CI: 1.05~1.17), and somatization (OR=1.12, 95% CI: 1.02~1.23) were associated with insomnia in this sample.
CONCLUSION
Our findings indicate that insomnia is a serious problem for college students with IBS and that gastrointestinal symptoms during sleep and sleep related dysfunctional cognitions should be managed to improve insomnia of them.

Citations

• A reliability generalization meta-analysis of the internal consistency and test-retest reliability of the pre-sleep arousal scale (PSAS)
  Inês Luana Correia, Waqar Husain, Maria Teresa Gonçalves, Luís Pires, Khaled Trabelsi, Ammar Achraf, Seithikurippu R. Pandi-Perumal, Perry M. Nicassio, Markus Jansson-Fröjmark, Michael V. Vitiello, Daniel Ruivo Marques, Haitham Jahrami
  Sleep Medicine.2025; 126: 290.     CrossRef
• Mitochondrial DNA Copy Number Is Associated with the Severity of Irritable Bowel Syndrome
  Soo-Jung Jung, Jae-Ho Lee, Ji-Yeon Lim, Yun-Yi Yang
  Medicina.2024; 60(10): 1605.     CrossRef
• An Association between Telomere Length and Irritable Bowel Syndrome in Korean Populations
  Yun-Yi Yang, Jae-Ho Lee, Jae-Hee Park
  Keimyung Medical Journal.2024; 43(2): 122.     CrossRef
• Painful GI Conditions and Their Bidirectional Relationships with Sleep Disturbances
  Jessica K. Salwen-Deremer, Sarah Ballou
  Current Sleep Medicine Reports.2022; 8(4): 105.     CrossRef
• The Effects of Cognitive Behavioral Therapy for Insomnia among College Students with Irritable Bowel Syndrome: A Randomized Controlled Trial
  Yun-Yi Yang, Sangeun Jun
  International Journal of Environmental Research and Public Health.2022; 19(21): 14174.     CrossRef

PURPOSE
The purpose of this study was to identify factors affecting sleep quality in nurses working in a tertiary hospital in Korea.
METHODS
The sample of two hundred and sixty three nurses was drawn from one tertiary care hospital in Korea. Using a descriptive study design, clinical nurses completed the standardized questionnaires, including sleep quality, depressive symptoms, and resilience. Descriptive statistics were computed to describe the sample and study variables. Logistic regression analyses were used to identify factors affecting sleep quality which was classified into two categories.
RESULTS
A total of 263 registered nurses participated in this study. Most of the participants were female (n=252, 95.8%) and single (n=148, 75.9%), with a mean age of 30.09±7.51 years. The average score of sleep quality was 8.57±3.24. Using a cut-off point of 5.0, 84.0% (n=221) were poor sleepers. After controlling for demographic and job-related variables, the depressive symptoms and resilience were associated with poor sleep quality among clinical nurses (Odds Ratio [OR]=4.56, 95% Confidence Interval [CI]=1.02~20.49; OR=0.97, 95% CI=0.94~0.99, respectively). This model explained 19.5% of the variance in sleep quality.
CONCLUSION
The two factors reported to impact the quality of sleep were increased depressive symptoms and lower resilience levels. In order to improve nurses' sleep quality, researchers and nursing administrators need to develop and provide some strategies for decreasing depressive symptoms and enhancing their resilience.

Citations

• Prevalence of sleep disturbances among intensive care nurses: A systematic review and meta‐analysis
  Fengxiang Gong, YuChen Mei, Yuting He, Chao Tang
  Nursing in Critical Care.2025;[Epub]     CrossRef
• Mediating effects of fatigue on the relationship between sleep quality and the quality of life of shift-working nurses
  Jeongwon Yeom, Insun Yeom
  Chronobiology International.2023; 40(4): 450.     CrossRef
• Comparisons of Psycho-Behavioral Factors, Body Composition, and Clinical Outcomes in Adults With Type 2 Diabetes by Perceived Hypoglycemia
  EunSeok Cha, Kyong Hye Joung, Yun-A Shin, Nak-Hoon Son, Hyun Jin Kim, Melissa Spezia Faulkner
  The Science of Diabetes Self-Management and Care.2023; 49(5): 351.     CrossRef
• Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea: A Cross-Sectional Study
  Sun-Kyung Hwang, Yun-Ji Lee, Min-Eun Cho, Bo-Kyoung Kim, Yea-In Yoon
  International Journal of Environmental Research and Public Health.2022; 19(16): 9795.     CrossRef
• The Mediating Effects of Flexibility on the Relationship between Job Stress, Sleep Quality and Mental Well-being of Psychiatric Hospital Workers
  Subin Lee, Chung Hee Woo
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 349.     CrossRef
• A systematic review and meta-analysis to assess the relationship between sleep duration/quality, mental toughness and resilience amongst healthy individuals
  Teresa Arora, Ian Grey, Linda Östlundh, Asma Alamoodi, Omar M. Omar, Kin-Bong Hubert Lam, Michael Grandner
  Sleep Medicine Reviews.2022; 62: 101593.     CrossRef
• Effect of Sleep Quality and Depression on Married Female Nurses’ Work–Family Conflict
  Eunhee Hwang, Yeongbin Yu
  International Journal of Environmental Research and Public Health.2021; 18(15): 7838.     CrossRef
• The Impact of Practice Environment and Resilience on Burnout among Clinical Nurses in a Tertiary Hospital Setting
  Dzifa Dordunoo, Minjeong An, Min Sun Chu, Eun Ja Yeun, Yoon Young Hwang, Miran Kim, Yeonhu Lee
  International Journal of Environmental Research and Public Health.2021; 18(5): 2500.     CrossRef
• Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses
  Seunghwa Shin, SuHyun Kim
  Journal of Clinical Nursing.2021; 30(21-22): 3182.     CrossRef
• Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses
  Minjeong Yu, Smi Choi-Kwon
  Journal of Korean Academy of Nursing.2020; 50(5): 646.     CrossRef
• Influence of Resilience and Workplace Bullying on Depression of Hospital Nurses
  Suniy Jeon, Moonhee Gang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(1): 43.     CrossRef
• Correlation between Neck and Shoulder Pain, Neck and Shoulder Disability, Headache and Smartphone Addiction in Adults with Sleep Disorders
  Sei-Youn Park, Tae-Seok Choi, Dae-Hun Kim, Byeong-Ho Ryu, Sang-Bin Lee
  Journal of The Korean Society of Physical Medicine.2020; 15(3): 43.     CrossRef
• Mediating Effect of Stress on the Relationship between Illness Perception and Sleep in Patients at Risk of Metabolic Syndrome
  Hyun-E Yeom, Jee-Won Shin
  Korean Journal of Adult Nursing.2019; 31(4): 449.     CrossRef
• Work-related Characteristics and Sleep Quality of Nurses in Comprehensive Nursing Care Units of Small-medium Sized Hospitals
  Sujin Shin, Inyoung Lee, Jeonghyun Kim, Sung-Heui Bae
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 260.     CrossRef
• Emotional Effects of the Duration, Efficiency, and Subjective Quality of Sleep in Healthcare Personnel
  María del Carmen Pérez-Fuentes, María del Mar Molero Jurado, María del Mar Simón Márquez, Ana Belén Barragán Martín, José Jesús Gázquez Linares
  International Journal of Environmental Research and Public Health.2019; 16(19): 3512.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef

PURPOSE
The purpose of the study was to investigate the effects of laughter therapy on depression and sleep among patients at two long-term care (LTC) hospitals.
METHODS
Forty-two residents from two LTC hospitals participated in this study. Twenty-one residents at one LTC hospital received the laugher therapy treatment and 21 at the other LTC hospital received no treatment as a comparison group. The laugher therapy protocol consisted of singing funny songs, laughing for diversion, stretching, playing with hands and dance routines, laughing exercises, healthy clapping, and laughing aloud. The participants engaged in the protocol 40 minutes twice a week (Monday/Thursday) for a total of eight sessions held in the patients' lounge.
RESULTS
Findings showed that depression and sleep improved in the treatment group compared to the comparison group (t=-7.12, p < .001; Z=-4.16, p < .001).
CONCLUSION
To improve depression and sleep among patients at LTC hospitals, offering laughter therapy strengthening physical activities might be beneficial to patients.

Citations

• Impact of Laughter Yoga on Test Anxiety and Education Stress of 8th Grade Students: An Experimental Study
  Bilge Kalanlar, Nilgün Kuru Alıcı
  Creative Nursing.2024; 30(4): 280.     CrossRef
• The Effects of Laughter Therapy, Music Listening and Diary Keeping Given to Pregnant Women on Mental Health and Maternal Attachment Levels in Postpartum Period
  Sibel Kıyak, Deniz Koçoğlu-tanyer
  Sağlık Bilimlerinde Değer.2024; 14(3): 425.     CrossRef
• Effectiveness of yoga and laughter yoga in improving psychological resilience of mothers with babies hospitalized in neonatal intensive care unit
  Zerrin Çiğdem, Emine Sarikamiş Kale, Tuba Koç Özkan
  Journal of Health Psychology.2024;[Epub]     CrossRef
• The Effect of Laughter Therapy/Yoga on Physical and Mental Health: A Review of Nursing Graduate Theses
  Özkan UĞUZ
  Kastamonu Üniversitesi Sağlık Bilimleri Fakültesi Dergisi.2023; 2(3): 148.     CrossRef
• Effect of Laughter Yoga on Sleep and Quality of Life in Individuals With Fecal Ostomies
  Deniz Harputlu, Fatma Özlem Öztürk, Durucan Aydın, Cihangir Akyol, Ayfer Tezel
  Journal of Wound, Ostomy & Continence Nursing.2023; 50(4): 307.     CrossRef
• The influence of laughter yoga on pregnancy symptoms, mental well-being, and prenatal attachment: A randomized controlled study
  Safiye Ağapınar Şahin, Mine Bekar
  Health Care for Women International.2023; 44(6): 782.     CrossRef
• Ebelik Uygulamalarına Tamamlayıcı Bir Yaklaşım: Duygu Dilinin Evrensel İfadesi, Kahkaha Yogası
  Safiye AĞAPINAR ŞAHİN, Mine BEKAR
  Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi.2022; 12(1): 49.     CrossRef
• Non-pharmacological Approaches to Depressed Elderly With No or Mild Cognitive Impairment in Long-Term Care Facilities. A Systematic Review of the Literature
  Carla Gramaglia, Eleonora Gattoni, Debora Marangon, Diego Concina, Elena Grossini, Carmela Rinaldi, Massimiliano Panella, Patrizia Zeppegno
  Frontiers in Public Health.2021;[Epub]     CrossRef
• Effects of laughter yoga on hemodialysis patients’ plasma-beta endorphin levels, pain levels and sleep quality: A randomized controlled trial
  Zülfünaz Özer, Sebahat Ateş
  Complementary Therapies in Clinical Practice.2021; 43: 101382.     CrossRef
• GELENEKSEL VE TAMAMLAYICI TIP UYGULAMALARININ GÜLEN YÜZÜ: KAHKAHA YOGASI
  Zülfünaz ÖZER, Sebahat AKBAL ATEŞ
  Journal of Anatolia Nursing and Health Sciences.2021;[Epub]     CrossRef
• A systematic review of the effect of laughter yoga on physical function and psychosocial outcomes in older adults
  Nilgün Kuru Alici, Ayse Arikan Dönmez
  Complementary Therapies in Clinical Practice.2020; 41: 101252.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef
• Systematic Review on the Relationship between Depressive Symptoms and Activities of Daily Living in Cognitively Intact Older Adults
  Myoungjin Kwon, Sun-Ae Kim, Kawoun Seo
  Korean Journal of Adult Nursing.2019; 31(1): 1.     CrossRef
• EFFECT OF LAUGHTER THERAPY ON DEPRESSION LEVEL IN ELDERLY IN A NURSING HOME, NORTH SUMATRA, INDONESIA
  Rinco Siregar, Rumondang Gultom
  Belitung Nursing Journal.2019; 5(6): 246.     CrossRef
• Prescribing laughter to increase well-being in healthy adults: An exploratory mixed methods feasibility study of the Laughie
  Freda N. Gonot-Schoupinsky, Gulcan Garip
  European Journal of Integrative Medicine.2019; 26: 56.     CrossRef

PURPOSE
The purpose of this study was to investigate the differences in sleep, fatigue, and neurocognitive function between shift nurses and non-shift nurses.
METHODS
A cross-sectional descriptive study design was used. A total of 100 nurses participated in the study. 50 were shift nurses and the remaining 50 were non-shift nurses. The Pittsburgh Sleep Quality Index, Fatigue Severity Scale, and a computerized neurocognitive function test (CNS Vital Signs-VS4) were administered to the subjects to assess verbal and visual memory, processing speed, reaction time, and simple attention. After the last night shift, the shift nurse conducted the study at around 8:00 am and the non-shift nurse participated after work.
RESULTS
Compared to non-shift nurses, shift nurses had a significantly lower sleep quality (p=.002) and higher fatigue (p=.001) and achieved significantly lower scores on verbal memory (p=.001), processing speed (p=.003), and reaction time (p=.018). There were significant correlations between sleep quality and processing speed (p=.042), and reaction time (p=.015) of shift nurses who were bad sleepers.
CONCLUSION
This study findings suggest shift work could interfere with cognitive function. Personal and organizational programs should be developed to support their sleep and neurocognitive function.

Citations

• Relationships among meal time, break time and workplace characteristics of nurses who work day, evening and night shifts: a cross-sectional study
  Hyoung Eun Chang
  International Journal of Occupational Safety and Ergonomics.2024; 30(1): 312.     CrossRef
• Sleep quality and hours of nurses according to shift type and schedule: A cross-sectional study
  Hyoung Eun Chang
  Chronobiology International.2024; 41(12): 1591.     CrossRef
• Factors Associated with Quality of Life of Clinical Nurses: A Cross-Sectional Survey
  Seul-Ki Park, Kyoung-Sook Lee
  International Journal of Environmental Research and Public Health.2023; 20(3): 1752.     CrossRef
• Sleep Disorder Experience of Shift Work Nurses: A Phenomenological Study
  Yoon-Jung KOO
  THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2023; 35(1): 47.     CrossRef
• Mediating effects of fatigue on the relationship between sleep quality and the quality of life of shift-working nurses
  Jeongwon Yeom, Insun Yeom
  Chronobiology International.2023; 40(4): 450.     CrossRef
• Factors influencing burnout among Korean nurses caring for patients with COVID-19: a cross-sectional study
  Seon Yeong Lee, Mi-Ae You, Jeong Ah Ahn, Eun Ji Seo
  Journal of Korean Biological Nursing Science.2023; 25(4): 276.     CrossRef
• Influences of Emotional Labor and Work-Life Balance on Organizational Commitment among Nurses in Comprehensive Nursing Care Service Wards
  Young-Yi Yoon, Hye-Young Jang
  Journal of Korean Academy of Nursing Administration.2022; 28(2): 100.     CrossRef
• Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea: A Cross-Sectional Study
  Sun-Kyung Hwang, Yun-Ji Lee, Min-Eun Cho, Bo-Kyoung Kim, Yea-In Yoon
  International Journal of Environmental Research and Public Health.2022; 19(16): 9795.     CrossRef
• The Influence of Infection Control Fatigue and Compassion Competence on Disaster Nursing Core Competencies of Nurses at COVID-19 Designated Hospitals
  Jae-Hyun Ha, Hyun-Ju Lee, Ki-Ryeon Kim
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 461.     CrossRef
• Nurses’ steps, distance traveled, and perceived physical demands in a three-shift schedule
  Hyoung Eun Chang, Sung-Hyun Cho
  Human Resources for Health.2022;[Epub]     CrossRef
• Factors Influencing the Performance of Person-centered Care Among Nurses in Designated COVID-19 Hospitals
  Hyun-Joung Yun, Jaehee Jeon
  Korean Journal of Adult Nursing.2022; 34(4): 413.     CrossRef
• Sleep analysis in emergency nurses’ department
  Carmen Juan-García, María Plaza-Carmona, Nélida Fernández-Martínez
  Revista da Associação Médica Brasileira.2021; 67(6): 862.     CrossRef
• Factors Affecting Physical and Mental Fatigue among Female Hospital Nurses: The Korea Nurses’ Health Study
  Hee Jung Jang, Oksoo Kim, Sue Kim, Mi Sun Kim, Jung Ah Choi, Bohye Kim, Hyunju Dan, Heeja Jung
  Healthcare.2021; 9(2): 201.     CrossRef
• The Influence of Burnout on Patient Safety Management Activities of Shift Nurses: The Mediating Effect of Compassion Satisfaction
  I Seul Ryu, JaeLan Shim
  International Journal of Environmental Research and Public Health.2021; 18(22): 12210.     CrossRef
• Relationship between fatigue severity scale and occupational injury in Korean workers
  Hyeonwoo Ju, Hwan-Cheol Kim, Sung Wook Jang, Youna Won, Shin-Goo Park, Jong-Han Leem
  Annals of Occupational and Environmental Medicine.2021;[Epub]     CrossRef
• Health Promotion Behaviors, Subjective Health Status, and Job Satisfaction in Shift Work Nurses based on Type D Personality Pattern
  Nah-Mee Shin, Young Ha Kim
  Journal of Korean Academy of Nursing Administration.2021; 27(1): 12.     CrossRef
• Effect of Sleep Disturbance on Fatigue, Sleepiness, and Near-Miss among Nurses in Intensive Care Units
  Gyoung Mi Mun, Choi Su Jung
  Journal of Korean Critical Care Nursing.2020; 13(3): 1.     CrossRef
• A Study of the Effectiveness Verification of Computer-Based Dementia Assessment Contents (Co-Wis): Non-Randomized Study
  Seung Il Song, Hyun Seok Jeong, Jung Pil Park, Ji Yean Kim, Dai Seg Bai, Gi Hwan Kim, Dong Hoon Cho, Bon Hoon Koo, Hye Geum Kim
  Applied Sciences.2020; 10(5): 1579.     CrossRef
• The Impact of Social Jetlag on Sleep Quality among Nurses: A Cross-Sectional Survey
  Hyeonjin Kang, Miyoung Lee, Sun Joo Jang
  International Journal of Environmental Research and Public Health.2020; 18(1): 47.     CrossRef
• Factors Affecting Sleep Quality of Clinical Nurses Working in a Hospital
  Minjeong An, JinShil Kim, Seongkum Heo, Seon Hee Kim, Yoon Young Hwang
  Korean Journal of Adult Nursing.2018; 30(2): 126.     CrossRef

PURPOSE
The purpose of this study was to investigate the relationship among sleep quality, heart rate variability (HRV), fatigue, depression, and anxiety reported by Korean adults.
METHODS
A cross-sectional study of 208 adults aged 20~60 years was conducted using a short-term HRV analysis and self-reported questionnaires of Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale, Beck Depression Inventory, and State Trait Anxiety Inventory.
RESULTS
Subjects with good sleep quality (PSQI score≤5) had higher HRV total power (t=2.03, p=.043) and high-frequency (t=2.04, p=.043) with lower fatigue (t=−4.08, p < .001), depressive mood (t=−3.66, p < .001), and trait anxiety (t=−3.84, p < .001) than subjects with poor sleep quality. Poor sleep quality was negatively correlated with HRV total power (r=−.17, p=.016), high-frequency (r=−.14, p=.049), and positively fatigue (r=.39, p < .001), depression (r=.44, p < .001), state anxiety (r=.23, p=.001) and trait anxiety (r=.34, p < .001).
CONCLUSION
The results indicated that sleep quality is correlated with HRV which reflects the activities of the autonomic nerve system, fatigue, depression, and anxiety in adults.

Citations

• Mediating Effect of Sleep Discomfort in the Relationship between Tinnitus Distress and Depression: A Cross-sectional Study
  Woo Joung Joung
  Korean Journal of Adult Nursing.2024; 36(3): 251.     CrossRef
• Explainable predictions of a machine learning model to forecast the postoperative length of stay for severe patients: machine learning model development and evaluation
  Ha Na Cho, Imjin Ahn, Hansle Gwon, Hee Jun Kang, Yunha Kim, Hyeram Seo, Heejung Choi, Minkyoung Kim, Jiye Han, Gaeun Kee, Seohyun Park, Tae Joon Jun, Young-Hak Kim
  BMC Medical Informatics and Decision Making.2024;[Epub]     CrossRef
• Seasonal Forest Changes of Color and Temperature: Effects on the Mood and Physiological State of University Students
  Eunjin Kim, Hwayong Lee
  International Journal of Environmental Research and Public Health.2023; 20(14): 6338.     CrossRef
• The relationship between stress and sleep quality: The mediating effect of fatigue and dizziness among patients with cardiovascular disease
  Hwan-Cheol Park, Jihyun Oh
  Medicine.2023; 102(20): e33837.     CrossRef
• Changes in the Circadian Rhythm of High-Frequency Heart Rate Variability Associated With Depression
  Deokjong Lee, Changho Han, Hyungjun Kim, Jae-Sun Uhm, Dukyong Yoon, Jin Young Park
  Journal of Korean Medical Science.2023;[Epub]     CrossRef
• Correlations between Sleep Quality and Heart Rate Variability, Tongue Diagnosis, and Korean Medical Questionnaires
  Hyeyoon Shim, Jeong Hwan Park, Sanghun Lee, Hojun Kim
  Journal of Korean Medicine Rehabilitation.2022; 32(1): 73.     CrossRef
• Relationship Between Anxiety and Heart Rate Variability in Elderly Insomnia Patients
  Jin Won Seo, Minjeong Kim, Hyerin Gu, Hyeyeon Jang, Seog Ju Kim
  Chronobiology in Medicine.2022; 4(4): 168.     CrossRef
• Research on Psycological and Physiological Reaction Evaluation According to Temperature and Airflow of Air Conditioning
  Jae-Kyun LEE, Dong-Gyu KIM, Jong-Soo KUM
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(2): 388.     CrossRef
• Association Between Age and Sleep Quality: Findings From a Community Health Survey
  Minjung Kim, Yoo-Hyun Um, Tae-Won Kim, Sung-Min Kim, Ho-Jun Seo, Jong-Hyun Jeong, Jihyung Lee, Suhyung Kim, In Hee Cho, Suk-Young Kim, Seung-Chul Hong
  Sleep Medicine Research.2021; 12(2): 155.     CrossRef
• OkenReader: ML-based classification of the reading patterns using an Apple iPad
  V. Anisimov, K. Сhernozatonsky, A. Pikunov, M. Raykhrud, A. Revazov, K. Shedenko, D. Zhigulskaya, S. Zuev
  Procedia Computer Science.2021; 192: 1944.     CrossRef
• Comparative Study on the Measurement and Analysis Methods of Heart Rate Variability in Human Body for Occupants’ Thermal Comfort Evaluation by Considering Physiological Response
  JaeHan Lim
  Journal of the Korean Solar Energy Society.2021; 41(3): 79.     CrossRef
• The Mediating Role of Visual Stimuli From Media Use at Bedtime on Psychological Distress and Fatigue in College Students: Cross-Sectional Study
  Yuan Guan, Wenjie Duan
  JMIR Mental Health.2020; 7(3): e11609.     CrossRef
• Effect of Sleep Quality on Fatigue and Quality of Life : a Sasang Constitutional Medicine Perspective
  Ji-Eun Park, Sujeong Mun, Siwoo Lee
  Journal of Physiology & Pathology in Korean Medicine.2020; 34(1): 37.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef
• Differences of Stress, Sleep Quality and Metabolic Syndrome by Prolonged Fatigue in Early Adulthood
  Bok Nam Seo, Inja Kim
  Korean Journal of Adult Nursing.2019; 31(2): 202.     CrossRef
• Stress, Pain, and Nursing Needs of Surgical Patients under General Anesthesia in the Recovery Room
  Jihyun Jo, Minkyung Gu, Sohyune Sok
  Korean Journal of Adult Nursing.2019; 31(3): 249.     CrossRef
• A longitudinal analysis of the relationships among daytime dysfunction, fatigue, and depression in college students
  Eun-Jung Shim, Hae-lim Noh, Jungmin Yoon, Han sol Mun, Bong-Jin Hahm
  Journal of American College Health.2019; 67(1): 51.     CrossRef

PURPOSE
This study aimed to investigate the influencing factors on self care, respiratory difficulty, sleep impediment, anxiety and depression among patients with neuromuscular disease who are dependent on Home Mechanical Ventilator (HMV).
METHODS
157 patients were recruited through hospital based home nursing care departments and HMV rental centers. Data were collected by questionnaires. The analytic methods were n (%) / M±SD, χ² / t-test or ANOVA and multiple linear regression.
RESULTS
Patients with Amyotrophic lateral sclerosis were more likely to utilize HMV, had shorter periods of morbidity and the most extended daily use of HMV. As for medical equipment, they had ambu-bag (87.2%) and oxygenator (15.4%). Reports of respiratory difficulty and sleep impediment were low. There were no significant difference. In contrast, reported anxiety and depression were high and showed significant difference between non invasive HMV and invasive HMV. Anxiety contributes to respiratory difficulty (t=3.62, p=.002), sleep impediment (t=2.06, p=.042), and depression (t=7.24, p<.001). However, home nursing care exerts a positive influence in reducing anxiety (t=-2.73, p=.008).
CONCLUSION
Anxiety contributes to respiratory difficulty, sleep impediment, and depression. However, those who use home nursing care reported less anxiety. Home nursing care positively impacts patients dependent on HMV as a practical service and available resource.

Citations

• Research Paper: Anxiety, Depression, and Their Related Factors in Patients Admitted to Intensive Care Units
  Shahrokh Yousefzadeh-Chabok, Naema Khodadadi-Hassankiadeh, Alia Saberi, Atefeh Ghanbari Khanghah, Homa Zarrabi, Mohammad Reza Yeganeh, Hamideh Hakimi, Anoush Dehnadi Moghadam
  Caspian Journal of Neurological Sciences.2018; 4(15): 159.     CrossRef

PURPOSE
This study was performed to evaluate the effects of non-pharmacological interventions on sleep disturbance amongst adults aged 55 and above.
METHODS
PubMed, Cochrane Library, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms including non-pharmacological interventions and presence of insomnia. Non-pharmacological interventions included cognitive behavioral therapy, auricular acupuncture, aromatherapy, and emotional freedom techniques. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.3 program of Cochrane Library.
RESULTS
Sixteen clinical trials met the inclusion criteria with a total of 962 participants. Non-pharmacological interventions was conducted for a mean of 5.5 weeks, 7.7 sessions, and an average of 70 minutes per session. The effects of non-pharmacological interventions on sleep quality (ES=-1.18), sleep efficiency (ES=-1.14), sleep onset latency (ES=-0.88), awakening time after sleep onset (ES=-0.87), and sleep belief (ES=-0.71) were significant, and their effect sizes were ranged from moderate to large. However, the effects on total sleep time and insomnia severity were not significant.
CONCLUSION
The findings of the current study suggest that non-pharmacological interventions have a positive impact on attitudes and beliefs about sleep, sleep quality, sleep duration, and sleep efficiency. Therefore, the findings of the study provide an evidence to incorporate various non-pharmacological interventions into nursing practice to improve both sleep quality and quantity in patients with insomnia.

Citations

• Effects of Forest Activities on Sleep and Problematic Behaviors in Young Children
  Ga-Yeon Kim, Poung-Sik Yeon
  Journal of People, Plants, and Environment.2024; 27(2): 161.     CrossRef
• Information and Communication Technology-Based Application for Cognitive Behavioral Therapy among Community-Dwelling Older Adults with Insomnia: Development and Validation Study
  Yeonhee Lee, Inseong Kim, Seonheui Lee, Soyoung Yu
  Healthcare.2024; 12(1): 106.     CrossRef
• Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis
  Beomman Ha, Jisoon Kim, Wi-Young So, Seonho Kim
  Healthcare.2023; 11(3): 327.     CrossRef
• Effects of Non-Pharmacological Interventions to Improve the Sleep of Korean Elderly: A Systematic Review
  Yunhee Park, Hyun Jung Yun
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 67.     CrossRef
• The Effects of Non-pharmacological Interventions on Sleep among Older Adults in Korean Long-term Care Facilities: A Systematic Review and Meta-analysis
  Sun Ok Jung, Hyeyoung Kim, Eunju Choi
  Journal of Korean Academy of Community Health Nursing.2022; 33(3): 340.     CrossRef
• Effects of Non-pharmacological Interventions on Cancer Patients with Sleep Disorder: A Meta-analysis
  Jeong Hye Chae, Young Suk Kim, Mi Young Han
  Asian Oncology Nursing.2021; 21(1): 1.     CrossRef
• Factors Affecting Sleep Disturbances in Hospitalized Patients with Colorectal Cancer undergoing Chemotherapy: A Retrospective Study
  Jihyeon Song, Smi Choi-kwon
  Korean Journal of Adult Nursing.2019; 31(1): 100.     CrossRef
• Quality of Sleep and Depression for Patients in Psychiatric Hospitals
  Sukgyoung Jeong, Aeyoung So
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 374.     CrossRef
• Cognitive Behavioral Therapy for Primary Insomnia: A Meta-analysis
  Ji-Hyun Kim, Pok-Ja Oh
  Journal of the Korea Academia-Industrial cooperation Society.2016; 17(9): 407.     CrossRef

PURPOSE
This study aimed to investigate sleep, fatigue, and the level of health promoting behaviors in Korean army soldiers. The factors influencing on health promoting behaviors of soldiers were also identified.
METHODS
A cross-sectional descriptive survey design was used. Data was collected from 269 soldiers in four military units of Korea in July 2015. Verran and Snyder-Halpern Sleep Scale, Fatigue Severity Scale, and Health Promoting Lifestyle Profile- were used.
RESULTS
The health promoting behaviors were significantly different by perceived health status (p<.001) and presence of fatigue (p<.001). There were significant correlations between quality of sleep, fatigue, and health promoting behaviors of the subjects. In a multiple linear regression analysis, the level of health promoting behaviors were lower in the subjects with high level of fatigue (p<.001) and with fair perceived health status (p=.003).
CONCLUSION
In order to increase health promoting behaviors of soldiers, it takes into account of soldiers' fatigue and perceived health status. Environmental arrangement for soldiers for the break time is needed urgently to decrease their fatigue as well as to improve their sleep quality.

Citations

• The Effectiveness of Acceptance and Commitment Therapy Training on Health Promoting Lifestyle Profile among Soldiers
  Alireza Karimpour Vazifehkhorani, Mohammad Reza Jafari, Fatemeh Rahmati
  ranian Journal of Health Education and Health Promotion.2022; 10(4): 350.     CrossRef
• A Quantile Regression Analysis of Factors Associated with First-Time Maternal Fatigue in Korea
  Jeongok Park, Chang Gi Park, Kyoungjin Lee
  International Journal of Environmental Research and Public Health.2021; 19(1): 215.     CrossRef
• An analysis of health behavior among professional military personnel using propensity score matching
  Hee Jin Moon, Da Seul Kim, Kwang Kee Kim
  Korean Journal of Health Education and Promotion.2021; 38(1): 1.     CrossRef
• Differences in Sleep, Fatigue, and Neurocognitive Function between Shift Nurses and Non-shift Nurses
  Yoo Jin Jung, Seung Wan Kang
  Korean Journal of Adult Nursing.2017; 29(2): 190.     CrossRef

PURPOSE
This study was conducted to test the model for sleep in community-dwelling older adults. The hypothetical model based on a senescent sleep model was constructed using the multiple influencing factors of sleep and associated adverse outcomes of changes in sleep in the older adults.
METHODS
Data were collected from 203 community-dwelling older adults living in Korea, and analyzed using IBM SPSS 21.0 and AMOS 21.0.
RESULTS
Increased age and multiple comorbidities were associated with decreased physical activities. Decreased physical activities were associated with smaller social networks, and smaller social networks were associated with higher level of loneliness. Multiple comorbidities, decreased physical activities, larger social networks, and higher level of loneliness were associated with maladaptive sleep hygiene. Decreased physical activities, higher level loneliness, and shorter actual sleep duration were associated with worse sleep quality. Smaller social networks and shorter actual sleep duration were associated with lower cognitive functions. Smaller social networks, higher loneliness, and worse sleep quality were associated with more severe depressive symptoms.
CONCLUSION
These findings suggest that the sleep improvement interventions not only with physical perspectives but psychosocial ones for older adults may improve depressive symptoms as well as sleep quality.

Citations

• Correlation between Sleep, Depression, Metabolic Syndrome and Cognition in Community Dwelling Elderly
  Joohee Shim, Jihyun Baek
  Journal of Health Informatics and Statistics.2021; 46(2): 212.     CrossRef
• Physical Activity for Prevention and Management of Sleep Disturbances
  Ah Reum Jung, Jong Il Park, Hun-Sung Kim
  Sleep Medicine Research.2020; 11(1): 15.     CrossRef
• Factors Influencing the Practice of Respiratory Infection Prevention for the Elderly in Rural Areas
  Myung Soon Kwon, Jeong Soon Yu
  Journal of Korean Academy of Community Health Nursing.2019; 30(4): 460.     CrossRef
• The Factors Associated with Depression in the Elderly Male: Based on the 5th Korea National Health and Nutrition Examination Survey
  Doonam Oh, Chul-Gyu Kim
  Korean Journal of Adult Nursing.2015; 27(5): 583.     CrossRef
• The Influence of Physical Activity and Depression on Sleep Quality in Community-dwelling Older Adults: A Comparison between Young-old and Old-old
  Ahrin Kim
  Journal of Korean Biological Nursing Science.2015; 17(4): 287.     CrossRef

PURPOSE
The purpose of this study was to examine fatigue, sleep disturbances, and quality of life (QOL) among patients with breast cancer receiving radiotherapy.
METHODS
A cross-sectional, descriptive design was used. Data were collected through questionnaires distributed to 201 breast cancer patients in a hospital. The data were analyzed using SPSS 21.0.
RESULTS
The fatigue scores showed significant differences depending on exercise and duration since diagnosis. The sleep disturbance scores showed significant differences depending on duration since diagnosis. QOL scores showed significant differences depending on exercise, duration since diagnosis, and treatment site. Fatigue and sleep disturbances (r=.40, p<.001) showed statistically significant positive correlations, while fatigue and QOL (r=-.55, p<.001), and sleep disturbances and QOL (r=-.45, p<.001) showed statistically significant negative correlations. The multiple regression analysis, which was used to determine the variables influencing on QOL after radiotherapy, resulted in a significant regression model (F=23.88, p<.001), which accounted for approximately 45% of the explanatory power. Fatigue (beta=-.39, p<.001) and sleep disturbances (beta=-.27, p<.001) were revealed to adversely affect quality of life.
CONCLUSION
The nursing intervention is necessary to reduce fatigue and sleep disturbance and to promote exercise in order to enhance QOL of patients with breast neoplasm while receiving radiotherapy.

Citations

• Occupational health challenges in radiography: A comprehensive systematic review and meta-analytic approach
  D. Shettigar, S. Sukumar, A. Pradhan, W. Dkhar, P.S. Paramashiva, V. K, B. Chandrasekaran, H.P. Palaniswamy, H.J. Felix, A. Shazli, S. Ravichandran, S.S. Muthu, K. Kamath
  Radiography.2025; 31(3): 102955.     CrossRef
• The Influence of Depression, Sleep Quality, and Mental Health Literacy on the Quality of Life in Breast Cancer Patients
  Minjin Kim, Suin Park
  Asian Oncology Nursing.2024; 24(2): 73.     CrossRef
• Factors Affecting Fatigue in Breast Cancer Patients Undergoing Radiotherapy
  Su Young Hwang, So-Hi Kwon
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 29.     CrossRef
• Quality of Life and Prolonged Symptoms in Korean Breast Cancer Survivors
  Min Kyeong Jang, Sue Kim, Chang Gi Park, Eileen G. Collins, Lauretta T. Quinn, Carol Estwing Ferrans
  Cancer Nursing.2022; 45(1): E124.     CrossRef
• Attitudes About Coping With Fatigue in Patients With Gastric Cancer
  Eun Ja Yeun, Misoon Jeon
  Gastroenterology Nursing.2020; 43(1): 97.     CrossRef
• Sleep Pattern and Factors Causing Sleep Disturbance in Adolescents with Cancer before and after Hospital Admission
  Jin Jung, Eun-Hye Lee, You-Jin Yang, Bo-Yoon Jang
  Asian Oncology Nursing.2017; 17(3): 143.     CrossRef
• Factors Influencing Fatigue in Mothers of Hospitalized Children
  Hee Seung Song
  Child Health Nursing Research.2016; 22(4): 363.     CrossRef

PURPOSE
This study investigated the prevalence of hypertension, explored sleep duration, and examined the related factors to hypertension in Korean middle-aged adults.
METHODS
Using raw data from the Korean National Health and Nutritional Examination Survey (KNHANES) conducted from 2008 to 2010, a secondary analysis was performed with data from 13,230 adults aged 30~64 years. chi2-test and multiple logistic regressions was used for the data analysis.
RESULTS
The prevalence of hypertension among Korean middle-aged adults was 21.8% and 40.3% among participants reported that their average sleep duration was below six hours a night. Risk factors for hypertension include: female (the odds ratio (OR) 1.66 for male), 50~64 years age group (OR 3.66 for 30~49 years age group), education level of elementary school (OR 1.84 for university level), low household income (OR 1.27 for upper), obesity (OR 2.41), high risk drinking (OR 1.64), and sleep duration< or =6 hrs (OR 1.16 for 8 hrs of sleep).
CONCLUSION
High risk population of hypertension could be male, aged, low education, and low income. Obesity, high risk drinking, and short sleep duration should be considered as risk factors for hypertension. Interventions for obesity management, adequate alcohol drinking and sleep duration could be considered for preventing hypertension.

Citations

• Sleep Deficit as a Risk Factor for Hypertension in Korean Adults
  Mi-Joon Lee, Bum-Jeun Seo, Inmyung Song
  Sustainability.2023; 15(3): 2586.     CrossRef
• Relationship between sleep duration and prevalence of hypertension among Korean postmenopausal middle-aged women
  Eun Young Hong, Hye Ja Gu
  Korean Journal of Health Education and Promotion.2023; 40(5): 43.     CrossRef
• The Influence of Health Behaviors and Sleep related Factors on Cognitive Function in the Elderly Hypertensive Patients
  Ahrin Kim, Hae Ok Jeon
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 7078.     CrossRef

PURPOSE
This study was to investigate the effects of upper meridian massage on cerebral blood flow, emotions, and sleep of the institutionalized elderly.
METHODS
This study was a nonequivalent control group pre- and post-test design. The participants were 50 elderly (26 in the experimental group; 24 in the control group) living in the institutions. Data were collected between July 9 and September 1, 2011. The data were analyzed using descriptive statistics, t-test, and chi2-test, Repeated Measures ANOVA, and Cronbach's alpha coefficient. Each participant in the experimental group received the upper meridian massage for 10 minutes, 4 times per week for 2 weeks. Each participant's cerebral blood flow and self-reported questionnaires were tested before treatment, after 1 week and 2 weeks during treatment sessions.
RESULTS
There were significant differences in sleep and emotions after 1 week and 2 weeks during treatment sessions. But cerebral blood flow measured by common carotid artery pulsatility index (CCA PI) and common carotid artery resistance index (CCA RI) demonstrated significant differences in 2 week point in time.
CONCLUSION
These results indicated that upper meridian massage could be an effective intervention for improving cerebral blood flow, emotions, and sleep of the institutionalized elderly.

Citations

• Effects of Non-Pharmacological Interventions to Improve the Sleep of Korean Elderly: A Systematic Review
  Yunhee Park, Hyun Jung Yun
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 67.     CrossRef