뇌졸중 후 수면-각성장애

국문 초록 (Abstract)

뇌졸중은 우리나라에서 단일 질환으로 남녀 모두 사망률
제1위를 차지한다. 또한 생존한다고 하여도 여러 유형의 신체
장애와 통증이 나타나며, 우울 등 감정 장애를 경험하는 것으
로 보고되었다(Kim & Choi-Kwon, 2000).
이러한 신체적, 정신적 변화는 뇌졸중 환자의 수면에 다양
하게 영향을 줄 수 있다. 여러 선행연구 결과, 뇌졸중 발생 후
수면-각성 주기의 변화가 자주 일어나는 것으로 보고되었다
(Leppavuori, Pohjasvaara, Kaste, & Erkinjuntti, 2002;
Palomaki et al., 2003). 수면-각성 주기의 변화는 뇌졸중
환자에게서는 40-60% (Leppavuori et al., 2000) 정도가 발
생하는 것으로 보고되어, 일반인의 발생 빈도(10-40%, Hohagen
et al., 1993)에 비해서 높은 것으로 보인다.

목차 (Table of Contents)

• 서 론
• 연구 방법
• 연구 결과
• 논 의
• 결론 및 제언

참고문헌 (Reference)

1 김옥수, "청？중년층의 피로, 우울, 수면에 관한 연구" 한국간호과학회 33 (33): 618-624, 2003

2 김희철, "수면-각성 조절의 신경해부학과 그의 약물 치료적 적용" 대한정신약물학회 18 (18): 133-142, 2007

3 이선옥, "성인여성의 피로와 수면장애에 관한 연구" 여성건강간호학회 11 (11): 163-168, 2005

4 Sterr, A., "Time to wake-up: Sleep problems and daytime sleepiness in ling-term stroke survivors" 22 : 575-579, 2008

5 Hong, J., "Sleep habits and insomnia-associated factors in the urban elderly: Demographic, health and psychobehavioral correlates" 39 : 1111-1121, 2000

6 Bassetti, C. L., "Sleep electroencephalogram changes in acute hemispheric stroke" 2 : 185-164, 2001

7 Paik, Y., "Sleep disturbing factors and the relative significance in sleep of hospitalized elderly patients" 2 : 35-47, 2000

8 Breslau, N., "Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young adults" 39 : 411-418, 1996

9 Roberts, R. E., "Sleep complaints and depression in an aging cohort: A prospective perspective" 157 : 81-88, 2000

10 Terzoudi, A., "Sleep architecture in stroke and relation to outcome" 61 : 16-22, 2009

11 Bassetti, C. L., "Sleep and stroke" 25 : 19-32, 2005

12 Sohn, S., "Relationship between fatigue and sleep quality in patients with cancer" 14 : 378-389, 2002

13 Laplane, D., "Pure psychic akinesia with bilateral lesions of basal ganglia" 47 : 377-385, 1984

14 Hohagen, F., "Prevalence and treatment of insomnia in general practice. A longitudinal study" 242 : 329-336, 1993

15 Choi-Kwon, S., "Poststroke fatigue: Characteristics and related factors" 19 : 84-90, 2005

16 Kim, J., "Poststroke depression and emotional incontinence: Correlation with lesion location" 54 : 1805-1810, 2000

17 Shin, W., "Nocturnal dip in patients with cerebrovascular disease occurring during sleep: Prospective assessment by using ambulatory blood pressure monitoring" 17 : 333-339, 1999

18 Leppavuouri, A., "Insomnia in ischemic stroke patients" 14 : 90-97, 2002

19 Lyden, P., "Improved reliability of the NIH stroke scale using video training" 25 : 2220-2226, 1994

20 Banco, M., "Hypersomnia and thalamic and brain stem stroke: A study of seven patients" 14 : 307-314, 1999

21 Vock, J., "Evolution of sleep and sleep EEG after hemispheric stroke" 11 : 331-338, 2002

22 Hermann, D. M., "Evolution of neurological, neuropsychological and sleep-wake disturbances after paramedian thalamic stroke" 39 : 62-68, 2008

23 Rye, D., "Emerging view of dopamine in modulating sleep/wake state from unlikely source: PD" 58 : 341-346, 2002

24 Kim, M., "Elderly sleep pattern and disturbing factors before and after hospitalization" 29 : 61-71, 1999

25 Thase, M. E., "Depression, sleep, and antidepressants" 59 (59): 55-65, 1998

26 Nielsen, A., "Depression in ambulatory medical patients" 37 : 999-1004, 1980

27 Catsman-Berrevoets, C. E., "Compulsive presleep behaviour and apathy due to bilateral thalamic stroke" 38 : 647-649, 1988

28 Palomaki, H., "Complaints of poststroke insomnia and its treatment with mianserin" 15 : 56-62, 2003

29 Kim, S., "Comparison of sleep and related variables between young and old adults" 27 : 820-830, 1997

30 Hamilton,M., "A rating scale for depression" 23 : 56-62, 1960