암환자의 수면장애 설명모형

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암환자의 수면장애 설명모형

Other Titles: An explanatory model for sleep disorders in people with cancer

MeSH: Anxiety ; Depression ; Female ; Hospitals, University ; Humans ; Male ; Middle Aged ; Models, Theoretical* ; Neoplasms/complications* ; Neoplasms/diagnosis* ; Neoplasms/psychology ; Self Concept ; Sleep Wake Disorders/epidemiology ; Sleep Wake Disorders/etiology* ; Sleep Wake Disorders/psychology* ; Social Support ; Surveys and Questionnaires

Abstract: PURPOSE: The aim of this study was to develop and test an explanatory model for sleep disorders in people with cancer. A hypothetical model was constructed on the basis of a review of previous studies, literature, and sleep models, and 10 latent variables were used to construct a hypothetical model.

METHODS: Data were collected from April 19 to June 25, 2010, using self-report questionnaires. The sample was 291 outpatients with cancer who visited the oncology cancer center at a university hospital. Collected data were analyzed using SPSS Win 15.0 program for descriptive statistics and correlation analysis and AMOS 7.0 program for covariance structural analysis.

RESULTS: It appeared that overall fit index was good as χ(2)/df=1.162, GFI=.969, AGFI=.944, SRMR=.052, NFI=.881, NNFI=.969, CFI=.980, RMSEA=.024, CN=337 in the modified model. The explanatory power of this model for sleep disorders in people with cancer was 62%. Further, sleep disorders were influenced directly by cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and past sleep pattern.

CONCLUSION: Findings suggest that nurses should assess past sleep pattern and consider the development of a comprehensive nursing intervention program to minimize the cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and thus, reduce sleep disorders in people with cancer.