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Impact of applying the theory of human becoming and self-care deficit theory of nursing on insomnia in after stroke urinary incontinence patients Cover

Impact of applying the theory of human becoming and self-care deficit theory of nursing on insomnia in after stroke urinary incontinence patients

Open Access
|Sep 2024

Figures & Tables

Comparison of insomnia scores on the first and third measurements in the 2 groups (N = 56)_

Assessment itemsIntervention group (n = 28)Control group (n = 28)
MeasurementTPMeasurementtP-value
1st measurement (M ± SD)3rd measurement (M ± SD) 1st measurement (M ± SD)3rd measurement (M ± SD)
Sleep quality2.00 ± 0000.93 ± 0.2621.62<0.0012.00 ± 0001.96 ± 0.191.000.326
Sleep latency2.61 ± 0.491.21 ± 0.4214.82<0.0012.75 ± 0.442.46 ± 0.582.520.018
Sleep duration1.93 ± 0.261.46 ± 0.514.84<0.0011.86 ± 0.451.61 ± 0.492.550.017
Sleep efficiency2.43 ± 0.570.14 ± 0.3622.63<0.0012.36 ± 0.680.96 ± 0.439.99<0.001
Sleep disturbance2.46 ± 0.581.00 ± 00013.45<0.0012.50 ± 0.511.89 ± 0.326.46<0.001
Use of sleep medication0.21 ± 0.42000 ± 0002.710.0110.00 ± 0.000.07 ± 0.261.440.161
Daytime dysfunction2.79 ± 0.420.82 ± 0.5518.04<0.0012.89 ± 0.322.39 ± 0.495.19<0.001

Homogeneity test and distribution of participants characteristics, n (%) or M ± SD_

Characteristics of participantsTotalIntervention group (n = 28)Control group (n = 28)P
Age (year)55.80 ± 11.7956.46 ± 12.0655.14 ± 11.710.906
Sex 0.589
    Men24 (42.9)11 (45.8)13 (54.2)
    Women32 (57.1)17 (53.1)15 (46.9)
Recent education level 0.491
    Bachelor’s degree22 (39.3)12 (42.9)10 (35.7)
    High school23 (41.1)9 (32.1)14 (50.0)
    Junior high school7 (12.5)4 (14.3)3 (10.7)
    Elementary school4 (7.1)3 (10.7)1 (3.6)
Marital status 0.962
    Married27 (48.2)14 (50.0)13 (46.4)
    Not married (widow/widower)25 (44.6)12 (42.9)13 (46.4)
    Single4 (7.1)2 (7.1)2 (7.1)
Hemiparesis type 0.788
    Left-sided hemiparesis31 (55.4)15 (53.6)16 (57.1)
    Right-sided hemiparesis25 (46.6)13 (46.4)12 (42.9)
Comorbidities 0.297
    Hypertension23 (41.1)15 (53.5)8 (28.6)
    Hypertension + DM17 (30.4)7 (25.0)10 (35.7)
    Hypertension + DM + hypercholesterolemia13 (23.1)5 (17.9)8 (28.6)
    Hypertension + DM + pneumonia3 (5.4)1 (3.6)2 (7.1)
UI type 0.848
    Functional7 (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)
Level of severity UI 0.705
    Moderate8 (14.3)5 (17.9)3 (10.7)
    Severe20 (35.7)9 (32.1)11 (39.3)
    Very severe28 (50.0)14 (50.0)14 (50.0)
Insomnia severity16.34 ± 4.2016.18 ± 4.3016.50 ± 4.170.778

Differences in insomnia between measurements in the two groups (N = 56)_

InsomniaIntervention group (n = 28)Control group (n = 28)tP-value
M ± SDM ± SD
1st measurement (before intervention)14.11 ± 1.6614.46 ± 1.750.780.438
2nd measurement (after intervention)10.00 ± 1.1213.46 ± 1.938.19<0.001
3rd measurement (4 weeks after intervention)5.57 ± 1.0311.36 ± 1.5716.29<0.001
DOI: https://doi.org/10.2478/fon-2024-0028 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 259 - 266
Submitted on: Jan 9, 2024
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Accepted on: Mar 27, 2024
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Published on: Sep 16, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Heltty Heltty, Ratna Sitorus, Haryanto Haryanto, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.