Factors Influencing Functional Health of Patients with Chronic Insomnia based on Theory of Unpleasant Symptoms

Eun Kyoung Han; Sunah Kim; In-Young Yoon

doi:10.7475/kjan.2019.31.2.165

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Han, Kim, and Yoon: Factors Influencing Functional Health of Patients with Chronic Insomnia based on Theory of Unpleasant Symptoms

Original Article

Korean Journal of Adult Nursing 2019; 31(2): 165-175.

Published online: 20 April 2019

DOI: https://doi.org/10.7475/kjan.2019.31.2.165

Factors Influencing Functional Health of Patients with Chronic Insomnia based on Theory of Unpleasant Symptoms

Eun Kyoung Han¹

, Sunah Kim²

, In-Young Yoon³

¹Assistant Professor, College of Nursing, Eulji University, Seongnam, Korea.

²Professor, College of Nursing, Yonsei University, Seoul, Korea.

³Professor, Seoul National University Bundang Hospital, Seongnam, Korea.

Corresponding author: Han, Eun Kyoung. College of Nursing, Eulji University, 553 Sanseong-daero, Sujeong-gu, Seongnam 13135, Korea. Tel: +82-31-740-7186, Fax: +82-31-740-7359, haahaa21@hanmail.net

Received 7 February 2019 Revised 8 March 2019 Accepted 20 March 2019

Korean Society of Adult Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords: Sleep initiation and maintenance disorders, Health, Arousal, Social support

Figures and Tables

Figure 1

Conceptual framework of this study.

Table 1

Differences in Functional Health according to Demographic and Clinical related Characteristics (N=184)

Table 2

Descriptive Statistics of the Study Variables (N=184)

Table 3

Bivariate Correlations of the Study Variables (N=184)

Table 4

Hierarchical Regression Analysis for Functional Health of Patients with Insomnia (N=184)

ACKNOWLEDGEMENT

This article is a revision of the first author's doctoral dissertation from Yonsei University.

Notes

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

^AUTHORSHIP

Study conception and design acquisition - HEK and KS
Data collection - HEK and YI-Y
Analysis and interpretation of the data - HEK
Drafting and critical revision of the manuscript - HEK, KS and YI-Y

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ORCID iDs

Eun Kyoung Han
https://orcid.org/0000-0002-5438-8464

Sunah Kim
https://orcid.org/0000-0001-5922-6598

In-Young Yoon
https://orcid.org/0000-0002-3995-8238

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