J Korean Acad Nurs.  2009 Jun;39(3):422-432. 10.4040/jkan.2009.39.3.422.

Rest-Activity Rhythm, Sleep Pattern and Quality of Life in Patients with Restless Legs Syndrome

• Lee EJ

• KMID: 999312
• DOI: http://doi.org/10.4040/jkan.2009.39.3.422

Abstract

PURPOSE: In this study rest-activity rhythm, sleep pattern and quality of life of patients with restless legs syndrome were compared with those of a normal group.
METHODS
The participants in this study were 36 patients with restless legs syndrome diagnosed by a neurologist and 36 participants in the normal group. An actigraph, sleep diary, Pittsburgh Sleep Quality Index and Insomnia Severity Index scale were used as measurement tools for the study. Chi-square test, Lamda test, t-test and Kendall's correlation with SPSS 12.0 program were used to analyze the data.
RESULTS
Patients with restless legs syndrome had a higher rest-activity rhythm curve of Least 5 hr's activity (L5) and Most 10 hr's activity (M10) than those of normal group and sleep problems included decreased sleep efficiency and increased sleep latency, wake time and number of awakenings. The scores for the subscales of quality of life in patients with restless legs syndrome were lower than the normal group for general health, physical functioning, role limitations due to emotional problems, role limitation due to physical problems, social functioning, bodily pain, vitality and mental health.
CONCLUSION
The results suggest that further studies are needed to identify rest-activity rhythm according to symptom severity and to develop nursing interventions which consider rest-activity rhythm.

Keyword

Circadian rhythm; Sleep; Quality of life

MeSH Terms

Adult
Aged
Data Interpretation, Statistical
Female
Humans
Male
Middle Aged
*Quality of Life
*Rest
Restless Legs Syndrome/*psychology
Severity of Illness Index
Sleep/*physiology

Figure

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  Figure 1 Rest-activity rhythm of patient and control group.

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  Figure 2 Comparison of quality of life between patient and control group. *p<.05. PF=physical functioning; SF=social functioning; BP=bodily pain; VT=vitality; MH=mental health; RE=role limitations due to emotional problems; RP=role limitation due to physical problems; GH=general health.

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