Impact of applying the theory of human becoming and self-care deficit theory of nursing on insomnia in after stroke urinary incontinence patients
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Sep 16, 2024
About this article
Article Category: Review
Published Online: Sep 16, 2024
Page range: 259 - 266
Received: Jan 09, 2024
Accepted: Mar 27, 2024
DOI: https://doi.org/10.2478/fon-2024-0028
Keywords
© 2024 Heltty Heltty et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Comparison of insomnia scores on the first and third measurements in the 2 groups (N = 56)_
| Assessment items | Intervention group (n = 28) | Control group (n = 28) | ||||||
|---|---|---|---|---|---|---|---|---|
| Measurement | Measurement | |||||||
| 1st measurement ( |
3rd measurement ( |
1st measurement ( |
3rd measurement ( |
|||||
| Sleep quality | 2.00 ± 000 | 0.93 ± 0.26 | 21.62 | <0.001 | 2.00 ± 000 | 1.96 ± 0.19 | 1.00 | 0.326 |
| Sleep latency | 2.61 ± 0.49 | 1.21 ± 0.42 | 14.82 | <0.001 | 2.75 ± 0.44 | 2.46 ± 0.58 | 2.52 | 0.018 |
| Sleep duration | 1.93 ± 0.26 | 1.46 ± 0.51 | 4.84 | <0.001 | 1.86 ± 0.45 | 1.61 ± 0.49 | 2.55 | 0.017 |
| Sleep efficiency | 2.43 ± 0.57 | 0.14 ± 0.36 | 22.63 | <0.001 | 2.36 ± 0.68 | 0.96 ± 0.43 | 9.99 | <0.001 |
| Sleep disturbance | 2.46 ± 0.58 | 1.00 ± 000 | 13.45 | <0.001 | 2.50 ± 0.51 | 1.89 ± 0.32 | 6.46 | <0.001 |
| Use of sleep medication | 0.21 ± 0.42 | 000 ± 000 | 2.71 | 0.011 | 0.00 ± 0.00 | 0.07 ± 0.26 | 1.44 | 0.161 |
| Daytime dysfunction | 2.79 ± 0.42 | 0.82 ± 0.55 | 18.04 | <0.001 | 2.89 ± 0.32 | 2.39 ± 0.49 | 5.19 | <0.001 |
Homogeneity test and distribution of participants characteristics, n (%) or M ± SD_
| Characteristics of participants | Total | Intervention group (n = 28) | Control group (n = 28) | |
|---|---|---|---|---|
| 55.80 ± 11.79 | 56.46 ± 12.06 | 55.14 ± 11.71 | 0.906 | |
| 0.589 | ||||
| Men | 24 (42.9) | 11 (45.8) | 13 (54.2) | |
| Women | 32 (57.1) | 17 (53.1) | 15 (46.9) | |
| 0.491 | ||||
| Bachelor’s degree | 22 (39.3) | 12 (42.9) | 10 (35.7) | |
| High school | 23 (41.1) | 9 (32.1) | 14 (50.0) | |
| Junior high school | 7 (12.5) | 4 (14.3) | 3 (10.7) | |
| Elementary school | 4 (7.1) | 3 (10.7) | 1 (3.6) | |
| 0.962 | ||||
| Married | 27 (48.2) | 14 (50.0) | 13 (46.4) | |
| Not married (widow/widower) | 25 (44.6) | 12 (42.9) | 13 (46.4) | |
| Single | 4 (7.1) | 2 (7.1) | 2 (7.1) | |
| 0.788 | ||||
| Left-sided hemiparesis | 31 (55.4) | 15 (53.6) | 16 (57.1) | |
| Right-sided hemiparesis | 25 (46.6) | 13 (46.4) | 12 (42.9) | |
| 0.297 | ||||
| Hypertension | 23 (41.1) | 15 (53.5) | 8 (28.6) | |
| Hypertension + DM | 17 (30.4) | 7 (25.0) | 10 (35.7) | |
| Hypertension + DM + hypercholesterolemia | 13 (23.1) | 5 (17.9) | 8 (28.6) | |
| Hypertension + DM + pneumonia | 3 (5.4) | 1 (3.6) | 2 (7.1) | |
| 0.848 | ||||
| Functional | 7 (12.5) | 3 (10.7) | 4 (14.3) | |
| Mixed (functional + stress) | 19 (33.9) | 9 (32.1) | 10 (35.7) | |
| Mixed (functional + stress + urgency) | 30 (53.6) | 16 (57.1) | 14 (50.0) | |
| 0.705 | ||||
| Moderate | 8 (14.3) | 5 (17.9) | 3 (10.7) | |
| Severe | 20 (35.7) | 9 (32.1) | 11 (39.3) | |
| Very severe | 28 (50.0) | 14 (50.0) | 14 (50.0) | |
| 16.34 ± 4.20 | 16.18 ± 4.30 | 16.50 ± 4.17 | 0.778 |
Differences in insomnia between measurements in the two groups (N = 56)_
| Insomnia | Intervention group (n = 28) | Control group (n = 28) | ||
|---|---|---|---|---|
| 1st measurement (before intervention) | 14.11 ± 1.66 | 14.46 ± 1.75 | 0.78 | 0.438 |
| 2nd measurement (after intervention) | 10.00 ± 1.12 | 13.46 ± 1.93 | 8.19 | <0.001 |
| 3rd measurement (4 weeks after intervention) | 5.57 ± 1.03 | 11.36 ± 1.57 | 16.29 | <0.001 |