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모바일 SNS를 활용한 간호사 불면증 인지행동프로그램(CBT-I)의 효과

Title
모바일 SNS를 활용한 간호사 불면증 인지행동프로그램(CBT-I)의 효과
Other Titles
Mobile SNS based Cognitive Behavioral Therapy for Insomnia : Applying to Hospital Nurses
Authors
김지은
Issue Date
2015
Department/Major
대학원 간호과학과
Publisher
이화여자대학교 대학원
Degree
Master
Advisors
김석선
Abstract
The purpose of this study was to examine the effects of the mobile SNS based cognitive behavioral therapy for insomnia (CBT-I) on dysfunctional beliefs and attitudes about sleep, sleep quality, daytime sleepiness, depression, and quality of life among rotating-shift nurses in hospital, Korea. This was quasi-experimental study using a non-equivalent control group with a pre-test and post-test design. The participants included 55 nurses with rotating three-shift work (25 in the experimental group and 30 in the control group). For the experimental group, CBT-I using mobile SNS was provided once a week for 60 minutes during six weeks from April 8 to May 20, 2015. And CBT-I included sleep restriction, stimulus control therapy, cognitive strategy, relaxation training, and sleep hygiene education. The collected data were analyzed using descriptive statistics, -test, independent t-test, and paired t-test with SPSS 21.0 statistical program. The results of this study were as follows: 1. Nurses in experimental group had significantly lower scores of dysfunctional beliefs and attitudes about sleep (t=-2.310, p=.024) compared to nurses in control group. 2. Nurses in experimental group had significantly higher scores of sleep quality (t=-2.310, p=.024) compared to nurses in control group. 3. Nurses in experimental group had significantly lower scores of sleepiness (t=-2.310, p=.024) compared to nurses in control group. 4. Nurses in experimental group had no significantly different depression (t=-2.310, p=.024) compared to nurses in control group. 5. Nurese in experimental group had significantly higher scores of quality of life (t=-2.310, p=.024) compared to nurses in control group. These results indicate that using the mobile SNS based CBT-I is feasible and has significant positive treatment-related effects on rotating-shift nurses’irrational thoughts and beliefs about sleep, sleep quality, daytime sleepiness, and quality of life. These contribute to expand our knowledge of rotaing-shift nurses’sleep issues and their preferences for intervention. Future research is need to test the efficacy of applications of mobile SNS based CBT-I to patients with insomnia or individuals with limited access to care.; 본 연구는 교대근무 간호사를 대상으로 모바일 SNS를 활용한 불면증 인지행동프로그램(CBT-I)이 수면에 대한 비합리적인 신념 및 태도, 수면의 질, 주간졸음, 우울, 삶의 질에 미치는 효과를 파악하기 위한 비동등성 대조군 전·후 설계의 유사 실험 연구이다. 본 연구 대상자는 불면증을 호소하고 전국 소재 병·의원에서 만 1년 이상 교대근무 중인 간호사로, 실험군 25명, 대조군 30명으로 총 55명을 대상으로 시행되었다. 실험군에게는 모바일 SNS를 활용한 불면증 인지행동프로그램(CBT-I)를 집단으로 주 1회 60분씩, 6회기를, 2015년 4월 8일부터 5월 20일까지 제공하였다. 프로그램의 효과를 확인하기 위해 프로그램 전·후 실험군과 대조군의 수면에 관련된 점수를 측정하였다. 연구도구로는 수면에 대한 역기능적 신념 및 태도(DBAS-16; 유은승 등, 2009), 수면의 질(PSQI-K; Sohn et al., 2012), 한국판 주간졸음척도(KESS; Cho et al., 2010), 우울척도(CES-D; 전겸규, 이민규, 2001), 삶의 질 척도(WHOQOL-BREF; 민성길 등, 2000)를 사용하였다. 수집된 자료는 SPSS 21.0 program을 이용하였고 대상자의 일반적 특성은 실수와 백분율, 평균과 표준편차로 분석하였다. 실험군과 대조군의 사전 동질성 검증은 χ2-test, t-test로 분석하고, 프로그램 후 실험군과 대조군의 차이를 비교하기 위해 종속변수의 차이는 t-test로 분석하였다.
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