Functional Health in Korean Middle-Aged Women with Poor Sleep Quality

PURPOSE To develop and test a structural model of functional health in middle-aged women based on the theory of unpleasant symptoms. METHODS The direct and indirect effects of menopause status, childhood trauma, post-traumatic stress, social support, and sleep quality on functional health of 264 Korean women were examined. FINDINGS Menopause status and poor sleep quality had a negative direct effect and social support had a positive direct effect on functional health. Menopause status had a negative indirect effect on functional health through poor sleep quality. CONCLUSIONS Biopsychosocial nursing intervention programs need to be developed to improve functional health in middle-aged women. IMPLICATIONS FOR NURSING PRACTICE It is important to mediate quality of sleep to improve functional health in middle-aged women. (sic) . 264 , , , (sic) . (sic) , . (sic) . (sic) . (sic) : (sic) .