Purpose: This study aimed to examine the effects of cognitive behavior therapy for insomnia (CBT-I) based on the mobile social networking service (SNS) on dysfunctional beliefs and attitudes about sleep, sleep quality, daytime sleepiness, depression, and quality of life among rotatingshift nurses in a hospital in Korea. Methods: A nonequivalent control group pre-post test design was used. The participants included 55 nurses with rotating three-shift work (25 in the experimental group and 30 in the control group). For the experimental group, CBT-I using mobile SNS was provided once a week for 60 minutes over six weeks. Data were analyzed using descriptive statistics, x2-test, independent samples t-test, and Mann-whitney U test with the SPSS 21.0 program. Results: In the homogeneity test of the general characteristics and study variables, there were no significant differences between the two groups. Nurses in the experimental group had significantly lower scores on dysfunctional beliefs and attitudes regarding sleep and sleepiness than nurses in the control group. Nurses in the experimental group had significantly higher scores on sleep quality and quality of life than nurses in the control group. Conclusion: These findings indicate that using the mobile SNS-based CBT-I is feasible and has significant and positive treatment-related effects on rotating-shift nurses’ irrational thoughts and beliefs in association with sleep, sleep quality, daytime sleepiness, and quality of life. These contribute to expanding our knowledge of rotating-shift nurses’ sleep issues and their preferences for intervention.
Bibliographical noteFunding Information:
* This manuscript is a condensed form of the first author’s master’s thesis from Ewha Womans University. * 이 논문은 2015년도 정부?미래창조과학부?의 재원으로 한국연구재단의 지원을 받아 수행된 기초연구 사업임?No. 2015R1A2A2A01004575?. * This study was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and future Planning (No. 2015R1A2A2A01004575).
© 2017 Korean Society of Nursing Science.
- Cognitive therapy
- Quality of life