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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16 sept 2024
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Categoría del artículo: Review
Publicado en línea: 16 sept 2024
Páginas: 259 - 266
Recibido: 09 ene 2024
Aceptado: 27 mar 2024
DOI: https://doi.org/10.2478/fon-2024-0028
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© 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 |