No abstract

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.

No abstract

No abstract

The purpose of this study was to identify the experiences of insomnia symptoms in the elderly living alone in the community. Methods: Eleven of the elderly with insomnia symptoms living alone in the community were interviewed. Data were collected through individual interviews July-September 2018. Colaizzi's phenomenological methodology was used. Results: Results showed that the experiences of insomnia symptoms of the elderly living alone comprised 11 themes clusters and five categories: 1) Insomnia symptoms triggered by various causes, 2) Physical symptoms exacerbated by insomnia, 3) Insomnia worsened by psychological symptoms, 4) Useless efforts to fix insomnia, 5) Living with adapted insomnia symptoms. Conclusion: It is necessary to develop a sleep intervention program that includes insomnia symptoms awareness, sleep health education, and social support factors. Community nurses should focus on insomnia symptoms as well as listen and empathize with various psychological phenomena in caring for the elderly with insomnia living alone.