학술논문
대상포진 환자에서 통증 조절이 수면 및 삶의 질에 미치는 영향 / Effects of pain control on quality of sleep and life in patients with herpes zoster
Document Type
Dissertation/ Thesis
Author
Source
Subject
Language
Korean
Abstract
목적 : 본 연구는 대체로 통증이 심한 대상포진 환자를 대상으로 통증을 낮추고, 수면과 삶의 질을 향상시키기 위해 통증과 수면 및 삶의 질 정도와 변화를 파악하고, 통증의 조절이 수면 및 삶의 질에 미치는 영향을 파악하여 향후 대상포진 환자의 통증과 수면 및 삶의 질 개선을 위한 효과적인 간호계획을 세우고, 중재프로그램 개발에 기초자료를 제공하고자 시행된 조사연구이다. 방법 : 연구 대상자는 서울소재 K 종합병원에서 대상포진 진단을 받고 마취통증의학과 외래에서 치료를 받고 있는 환자를 대상으로 하였다. 자료 수집기간은 2013년 9월부터 2014년 8월까지였으며 자료수집 방법은 연구자의 직접 면담을 통해서 시행한 자료를 이용하였다. 본 연구는 대상포진 통증점수, 수면의 질, 삶의 질의 2차 추적이 완료된 36명의 설문지를 자료 분석에 사용하였다. 연구 도구는 대상포진 환자의 통증의 종류를 측정하기 위해 한글판 단편 맥길 통증 설문지(Short Form McGill Pain Questionnaire), 통증의 강도에 대해서는 Sartain과 Barry(1999)에 의해 개발된 숫자 통증 척도(Numeric Rating Sale: NRS)를 사용하였으며, 수면의 질은 오진주 등 (1998)이 개발한 수면 측정도구, 삶의 질은 한국판 세계보건기구 삶의 질 간편형 척도(WHOQOL-BREF)를 사용하였다.결과 : 대상포진 치료 전 후 수면의 질(p
Objectives: The aim of this study was to identify the effects of pain control on the quality of sleep and life in herpes zoster patients.Methods: We selected patients at Seoul K Medical Center who were diagnosed with herpes zoster by pain clinic specialists. Data were collected from September 2013 to August 2014. The 36 subjects who answered both the first and second surveys regarding herpes zoster pain scores, quality of sleep and life were used in the analysis. We used the short-form McGill Pain Questionnaire and Numeric Rating Scale for measuring pain in herpes zoster patients, a sleep-quality measurement instrument to assess the quality of sleep, and WHOQOL-BREF for the quality of life.Results: There were significant differences in the quality of sleep (p < 0.0001) and quality of life (p < 0.0001) before and after treatment of herpes zoster. In the quality of sleep score, according to the general characteristics of the subjects, it was found that there was significant difference according to age (p = 0.026). For quality of life, education (p = 0.039), marital status (p = 0.036), living conditions (p = 0.022), and antidepressant use (p = 0.027) showed significant differences. The partial correlation coefficient between pain difference and the quality of sleep difference was 0.466 (p = 0.005).Conclusions: We identified a significant correlation between pain control and the increasement of quality of sleep. It is important to develop nursing intervention and increase the quality of sleep by effective control of pain.
Objectives: The aim of this study was to identify the effects of pain control on the quality of sleep and life in herpes zoster patients.Methods: We selected patients at Seoul K Medical Center who were diagnosed with herpes zoster by pain clinic specialists. Data were collected from September 2013 to August 2014. The 36 subjects who answered both the first and second surveys regarding herpes zoster pain scores, quality of sleep and life were used in the analysis. We used the short-form McGill Pain Questionnaire and Numeric Rating Scale for measuring pain in herpes zoster patients, a sleep-quality measurement instrument to assess the quality of sleep, and WHOQOL-BREF for the quality of life.Results: There were significant differences in the quality of sleep (p < 0.0001) and quality of life (p < 0.0001) before and after treatment of herpes zoster. In the quality of sleep score, according to the general characteristics of the subjects, it was found that there was significant difference according to age (p = 0.026). For quality of life, education (p = 0.039), marital status (p = 0.036), living conditions (p = 0.022), and antidepressant use (p = 0.027) showed significant differences. The partial correlation coefficient between pain difference and the quality of sleep difference was 0.466 (p = 0.005).Conclusions: We identified a significant correlation between pain control and the increasement of quality of sleep. It is important to develop nursing intervention and increase the quality of sleep by effective control of pain.