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NTIS 바로가기Journal of Korean biological nursing science, v.20 no.2, 2018년, pp.103 - 113
김희선 (전북대학교 간호대학.간호과학연구소) , 정석희 (전북대학교 간호대학.간호과학연구소) , 박숙경 (전북대학교 간호대학.간호과학연구소)
Purpose: This study was performed to assess problems associated with sleep (short and long sleep duration) and to identify risky subgroups with sleep problems among adult cancer survivors. The study is based on the Korea National Health and Nutrition Examination Survey (KNHANES VI and VII) from 2013...
핵심어 | 질문 | 논문에서 추출한 답변 |
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7시간 미만의 짧은 수면을 취하는 사람에게 나타나는 현상은? | 수면은 우리 삶의 많은 부분을 차지하고 있으며 신체적·정신적 항상성을 유지하는 데 반드시 필요한 인간의 기본 욕구들 중 하나로서, 충분한 수면은 건강과 안위를 증진시키는데 필수적인 요소이다[1]. 7시간 미만의 짧은 수면을 취하는 사람은 관상동맥 질환[2], 고혈압[3], 당뇨병[4], 비만[5]의 위험도가 높아질 뿐만 아니라 짧은 수면은 피로를 유발하여 기억력과 집중력을 감소시키며[6], 긴 수면시간은 사망률에도 영향을 미친다. 국내에서 이루어진 한 코호트연구에 따르면 7-8시간의 적정 수면군에 비해 5시간 이하의 수면을 취하는 군은 21%, 10시간 이상의 긴 수면을 취하는 군은 36%로 사망률이 더 높은 결과를 보였다[7]. | |
암경험자란? | 암경험자란 암 진단 후 치료 중이거나 혹은 치료 후에 면밀한 추적관찰을 받고 있는 현재 생존해 있는 모든 사람을 의미하는 용어이다[8]. 최근에는 암환자의 생존율이 지속적으로 향상되고 있으며, 2010년부터 2014년까지 암환자의 5년 생존율이 70% 이상인 것으로 보고되어[9] 치료 중이거나 치료 후의 상황에 있는 암경험자의 건강관련 삶의 질에 대한 관심이 증가되고 있다. | |
암경험자의 수면장애가 정서적으로 유발하는 것은? | 암경험자의 수면장애는 우울, 피로감 및 무력감과 밀접하게 연관되어 있고, 이러한 증상은 수면장애를 더욱 악화시키는 악순환을 반복하여 내분비계에서의 코티졸 분비의 변화, 면역체계의 사이토카인 분비의 변화 그리고 신경조절의 변화를 가져온다[20]. 그 뿐만 아니라 정서적 측면에서도 불안과 우울을 유발하는 등 암경험자의 신체적·정서적 안녕과 기능적 상태에 영향을 준다[20,21]. 또한 항암치료를 종료한 후에도 최소 2-3년은 수면장애를 호소하므로[19] 암치료가 종료된 암경험자의 경우에도 수면장애에 대한 측면이 파악되고 적절한 중재가 이루어져야 할 필요가 있다. |
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