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 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