혈액투석 환자를 위한 통합적 수면증진 프로그램의 효과 : 불쾌증상이론을 기반으로 = Effects of Integrated Sleep Improvement Program for Hemodialysis Patients: Based on the Theory of Unpleasant Symptoms

다국어 초록 (Multilingual Abstract)

Purpose: This study was conducted to evaluate effects of the integrated sleep improvement program for hemodialysis patients based on the theory of unpleasant symptoms. Methods: The research design was a nonequivalent control group quasi-experimental design with a pre-test, post-test 1, and post-test 2. The study participants were 39 hemodialysis patients at the hemodialysis center of one hospital in D City（20 in the experimental group and 19 in the control group）. Data were collected from December 24, 2025, to February 23, 2026, and were analyzed using the SPSS WIN 26.0 program with chi-square test, independent t-test, and repeated measures of ANOVA. Results: The experimental group showed significant improvements in physical activity, depression, sleep duration and sleep quality, and functional health compared with the control group. Conclusion: An integrated sleep improvement program based on the theory of unpleasant symptoms effectively increased sleep duration and improved sleep quality among patients undergoing hemodialysis. Therefore, the program may be used as an effective nursing intervention to improve sleep-related problems in hemodialysis patients.

목차 (Table of Contents)

• (Abstract)
• Ⅰ. 서 론
• 1. 연구의 필요성 1
• 2. 연구 목적 3
• 3. 연구 가설 3
• 4. 용어의 정의 4
• Ⅱ. 문헌고찰
• 1. 혈액투석 환자의 수면 7
• 2. 혈액투석 환자의 수면 영향요인 8
• 3. 혈액투석 환자의 수면증진을 위한 비약물적 중재 11
• 4. 건강기능 13
• Ⅲ. 연구의 개념적 기틀 15
• Ⅳ. 연구방법
• 1. 연구 설계 18
• 2. 연구 대상 18
• 3. 윤리적 고려 19
• 4. 연구 도구 20
• 5. 통합적 수면증진 프로그램 개발 23
• 6. 연구 진행 절차 35
• 7. 자료 분석 방법 37
• Ⅴ. 연구 결과
• 1. 연구대상자의 동질성 검정 38
• 2. 가설 검정 42
• Ⅵ. 논의 60
• Ⅶ. 결론 및 제언 65
• 참고문헌 68
• 부록 84