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여성교대근무 간호사의 수면의 질 구조모형

Structural Equation Model for Sleep Quality of Female Shift Work Nurses

Abstract

Purpose: This study aimed to develop and test a structural model for sleep quality in female shift work nurses. The hypothetical model was constructed on the basis of Spielman's 3P model of insomnia and previous research related to the sleep quality of shift nurses. Methods: This cross-sectional study used structural equation modeling and recruited 285 female shift work nurses from four general and university hospitals with over 300 beds located in C and J cities in Gyeongsangnamdo. Data were collected from September 27 to October 20, 2016, and then analyzed using descriptive statistics, Pearson's correlation, and structural equation modeling. The study used SPSS/Win 18.0 and AMOS 18.0 in processing the data. Results: The final model showed good fit to the empirical data: ${\chi}^2/df=2.19$, SRMR=.07, RMSEA=.07, AGFI=.85, TLI=.91, GFI=.93, GFI=.89, NFI=.87. The factors that influenced sleep quality were sleep hygiene (${\beta}=.32$), perceived shift work status (${\beta}=-.16$), stress response (${\beta}=.16$), shift work experience (${\beta}=.15$), perceived health status (${\beta}=-.14)$, and circadian rhythm (${\beta}=-.13$) explaining 36.0% of the variance. Conclusion: The model of sleep quality of the shift work nurses constructed in this study is recommended as a model to understand and predict the sleep quality of shift work nurses. The results suggest that strategies for improving the sleep quality of shift work nurses should focus on sleep hygiene, perceived health status, stress response, circadian rhythm, perceived shift work status, and shift work experience.

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수면
수면은 무엇에 필수적인가?
인간이 신체적, 정신적 기능을 회복하고 건강을 유지

수면은 삶의 기본적인 활동으로 인간이 신체적, 정신적 기능을 회복하고 건강을 유지하는데 필수적이다. 충분한 수면은 건강과 안위를 증진시키는 반면, 수면부족은 피로, 졸음, 기억력과 집중력 감소, 초조, 긴장 등을 초래하고 낮 동안의 생활에 영향을 주는 등[1], 개인의 안녕과 삶의 질에 지대한 영향을 미친다[2].

충분한 수면
충분한 수면의 긍정적인 영향은 무엇인가?
건강과 안위를 증진시키는 반면, 수면부족은 피로, 졸음, 기억력과 집중력 감소, 초조, 긴장 등을 초래하고 낮 동안의 생활에 영향

수면은 삶의 기본적인 활동으로 인간이 신체적, 정신적 기능을 회복하고 건강을 유지하는데 필수적이다. 충분한 수면은 건강과 안위를 증진시키는 반면, 수면부족은 피로, 졸음, 기억력과 집중력 감소, 초조, 긴장 등을 초래하고 낮 동안의 생활에 영향을 주는 등[1], 개인의 안녕과 삶의 질에 지대한 영향을 미친다[2].

간호사의 수면의 질을 증진
간호사의 수면의 질을 증진을 위한 이론 및 내용은 무엇인가?
3P 모델(3P model of insomnia)은 수면장애의 원인을 포괄적으로 설명한 이론으로서 수면장애 치료에 있어서 효과적인 관점을 제공할 뿐만 아니라, 수면장애 요인을 파악하는데 효과적인 이론적 기틀을 제공하는 것으로 알려져 있다

간호사의 수면의 질을 증진시키기 위한 전략을 개발하기 위해서는 수면의 질에 영향을 미치는 요인들을 파악할 필요가 있다. 이들 영향요인을 효과적으로 파악하기 위해서는 이론적 기틀이 필요한데 Spielman [16]이 제시한 불면증 3P 모델(3P model of insomnia)은 수면장애의 원인을 포괄적으로 설명한 이론으로서 수면장애 치료에 있어서 효과적인 관점을 제공할 뿐만 아니라, 수면장애 요인을 파악하는데 효과적인 이론적 기틀을 제공하는 것으로 알려져 있다[17]. 구체적으로 보면, 수면장애에 대한 요인을 수면에 영향을 미치는 내적인자인 소인요인(predisposing factor), 수면장애를 야기시키는 촉진요인(precipitating factor), 수면장애를 지속시키는 지속요인(perpetuating factor)으로 분류하였으며, 이들 3가지 요인이 서로 유기적으로 연결되어 상호작용을 하면서 수면장애를 발생시킨다고 하였다.

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