일차두통환자의 두통 자기효능감, 수면위생실천과 수면의 질

Abstract

This study aims to examine Headache Self-Efficacy, Sleep Hygiene Practice and Quality of Sleep of Primary headache patients. This study largely investigates the relationships among them and identifies the associated factors, desiring to develop intervention that can increase Quality of Sleep of primary headache patients. The data were collected from a total of 184 primary headache patients who had attended Neurology outpatient clinic of J university hospital in J city and agreed to participate in the survey, conducting from October 1st to November 20th, 2020. General characteristics, Headache related characteristics, Medication related characteristics, Headache Self-Efficacy, Sleep Hygiene Practice and Quality of Sleep were measured with a questionnaire. Using SPSS WIN 20.0 program, a descriptive analysis was conducted, providing frequency, mean, and standard deviation. In this study, a statistical test was carried out extensively while a multiple regression model was developed. The results of this study are as follows: 1. The mean of Headache Self-Efficacy score is 88.14 (±26.87). The means of headache prevention score and Headache Management score, which are sub components of Headache Self-Efficacy score, are 38.61 (±11.44) and 49.53 (±16.56), respectively. Next, the mean of Sleep Hygiene Practice score is 79.98 (±21.62), consisting of Awareness behavior score 24.82(±8.31), Sleep schedule score 22.77 (±6.34), Food/Beverage intake behavior score 12.18 (±5.18), Sleep environment score 20.22 (±8.38). Finally, the mean of Sleep quality score is 8.82 (±3.79). 2. From the General characteristics, Headache related characteristics, Medication related characteristics perspectives, the significant differences in headache self-efficacy, sleep hygiene practice and quality of sleep are as follows: 1) A Headache Self-Efficacy score is significantly different in whether a patient has a job (t=-2.19, p=.030). The significant differences include headache duration (F=2.70, p=.047), headache intensity (F=14.04, p>.001), and headache with other disease (t=-2.21, p=.028). There are also significant difference in prescription type (F=3.60, p=.015), the number of prescription drug for headache (F=4.49, p=.005), and appropriateness of the quantity of prescription drug (t=6.37, p=.002). 2) A Sleep Hygiene Practice score is significantly different in presence of spouse (t=-2.37, p=.019), presence of job (t=-2.14, p=.034), and appropriateness of the quantity of prescribed pill (t=4.37, p=.014). 3) A Quality of Sleep score is significantly different in gender (t=-2.13, p=.034), presence of spouse (t=-1.98, p=.049), headache duration (F=3.38, p=.020), headache frequency (F=3.55, p=.016), headache intensity (F=3.99, p=.020), frequency of taking over-the-counter-drug (F=3.58, p=.033) and appropriateness of the number of prescription drug for headache (F=3.89, p=.010). 3. Quality of Sleep is negatively correlated with Headache duration(r=-.19, p=.010), Headache Self-Efficacy(r=-.24, p<.001), positively correlated with Headache frequency(r=.22, p=.003), Headache intensity(r=.18, p=.014), Sleep Hygiene Practice (r=.41, p<.001) at the significance level. 4. Factors associated with Quality of Sleep are Sleep Hygiene Practice (β=.40, p=<.001), gender (β=.15, p=.025), Headache intensity(β=.14, p=.037), Headache Self-Efficacy(β=.14, p=.041) explaining 21.0% of Quality of Sleep (F=13.18, p<.001). The limitation of this study and further studies are as follows: 1. The results of this study do not necessarily represent the overall primary headache patients. This is because the sample was collected from only one university hospital located in J city while Quality of sleep were measured only one time. Therefore, a larger sample collected across the country is needed for a further study. 2. To increase the Quality of Sleep of primary headache patient, a study is needed to develop a program promoting Headache self-efficacy and Sleep Hygiene Practice to analyze its effect on Quality of Sleep.