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研究生: 曾齡慧
論文名稱: 社區老人睡眠品質.失眠類型與求助方式之探討-以台北市基督長老教會松年大學為例
指導教授: 姜逸群
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2002
畢業學年度: 89
語文別: 中文
論文頁數: 163
中文關鍵詞: 睡眠品質失眠類型求助方式
論文種類: 學術論文
相關次數: 點閱:207下載:57
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  • 摘 要本研究之主要目的在於瞭解老人的睡眠品質現況,並探討睡眠品質與個人背景因素之關係,以及比較不同失眠類型患者之睡眠品質與求助方式的差異。研究是以台北市基督長老教會所屬的松年大學五十五歲以上全體學員為母群體,採立意取樣,主要利用自填問卷方式進行資料收集,若自覺填答困難者則採面對面訪談以進行收集資料。於90年9月4日進行調查,有效問卷為219份,佔回收的93.6﹪。其重要研究結果歸納如下:一、 睡眠品質不良者(PSQI≧5分)超過七成以上(72.6﹪)而屬於具有良好睡眠品質者(PSQI≦5)僅占將近三成(27.4﹪);整體睡眠品質得分之平均值為7.03分,顯示多數的受訪對象其睡眠品質是屬於「不佳」的情況。其中以「入睡潛伏期過長」是為受訪對象最普遍的睡眠困擾。而使用助眠藥物以幫助睡眠的受訪對象佔三成以上(32.4﹪),研究對象使用處方或非處方安眠藥物的情形相當普遍。二、 不同「年齡」、「規律運動」、「婚姻狀況」以及「居住狀況」之研究對象在睡眠品質上無顯著差異。而「睡眠衛生習慣愈差」、「女性」、「罹患慢性疾病總數愈多」以及「社經地位愈低」之研究對象,其睡眠品質愈差,對於睡眠品質之解釋力為37.4﹪。三、 罹患失眠症之受訪對象約佔三成以上(33.3﹪),以「暫時性失眠症」佔多數(16.9﹪)。睡眠品質之「使用助眠藥物」、「白天功能失常」以及「睡眠品質得分」等部份,「短期失眠症患者」與「慢性失眠症患者」比「暫時失眠症患者」的表現差。四、失眠症患者在經歷睡眠困擾時所採取的求助方式,以採取自我協助方式(98.6﹪)為主,其次為專業方式(61.6﹪),而民俗方式則無人採用。而不同失眠類型研究對象在「自我協助」與「專業方式」之求助方式未有顯著差異。 根據研究結果,提出重視老人的睡眠問題,成立專屬的睡眠問題諮詢管道、針對高危險群提供合適的睡眠衛生教育與相關課程、對於不同失眠類型患者給予適切睡眠衛生教育,以及提供失眠藥物方面之藥物教育等建議,以作為未來老人睡眠衛生教育之參考。 The sleep quality, types of insomnia and help-seeking methods of the elder in senior college of Taipei Presbyterian church A Master Thesis by Lin-Hui Tseng Abstract The main purpose of this study was to investigate the current sleep quality of the elderly, to explore its relationship with demorgraphic characteristics, and to compare the differences on sleep quality and help-seeking methods among different types of insomniacs. The purposive sampling was designed. The data were collected from 234 individuals in senior colleges of Taipei Presbyterian church by self-administrated or interview on September 2000. The following conclusions were drawn from the study.(1) There were 72.6﹪of subjects classified the poor sleepers(PSQI≧5分), and 27.4﹪of subjects classified the good sleepers(PSQI≦5).The average PSQI global score of total subjects was 7.03. The result indicated that sleep quality of most subjects was not good. The most serious problem is the increasing of sleep latency makes hard to sleep. And there were 32.4﹪of subjects used sleeping medications. The finding indicated that the phenomena of subjects’ using prescribed or non-prescribed medications was common.(2) The subjects in the different age, regular exercise, marriage and living conditions were not significantly correlated to their sleep quality. While the worse level of sleep hygiene, female, the more number of chronic diseases and the lower socioeconomic status the subjects were, the worse sleep quality they showed. The sleep hygiene, sex, the number of chronic diseases and the socioeconomic status could explain 37.4﹪variation of sleep quality.(3) Above thirty percentage of subjects(33.3﹪) was insomniac. Most insomniacs were classified short-term insomniacs.(16.9﹪). There were significant differences of using sleeping-medications, daytime dysfunction and the PSQI global score among chronic insomniacs, short-term insomniacs and transient insomniacs.(4) Most insomniacs(98.6﹪) used self-care methods to improve their sleep quality. And no one would use folk methods to do so. There were no significant differences of self-care methods and folk methods among chronic insomniacs, short-term insomniacs and transient insomniacs. Based on the main results of this research, the researcher proposed several suggestions and expected that these suggestions would be useful to sleep health education of the elderly.

    The sleep quality, types of insomnia and help-seeking methods of the elder in
    senior college of Taipei Presbyterian church
    A Master Thesis
    by
    Lin-Hui Tseng
    Abstract
    The main purpose of this study was to investigate the current sleep quality of
    the elderly, to explore its relationship with demorgraphic characteristics,
    and to compare the differences on sleep quality and help-seeking methods
    among different types of insomniacs. The purposive sampling was designed. The
    data were collected from 234 individuals in senior colleges of Taipei
    Presbyterian church by self-administrated or interview on September 2000. The
    following conclusions were drawn from the study.
    (1) There were 72.6﹪of subjects classified the poor sleepers(PSQI≧5分),
    and 27.4﹪of subjects classified the good sleepers(PSQI≦5).The average PSQI
    global score of total subjects was 7.03. The result indicated that sleep
    quality of most subjects was not good. The most serious problem is the
    increasing of sleep latency makes hard to sleep. And there were 32.4﹪of
    subjects used sleeping medications. The finding indicated that the phenomena
    of subjects’ using prescribed or non-prescribed medications was common.
    (2) The subjects in the different age, regular exercise, marriage and living
    conditions were not significantly correlated to their sleep quality. While the
    worse level of sleep hygiene, female, the more number of chronic diseases and
    the lower socioeconomic status the subjects were, the worse sleep quality they
    showed. The sleep hygiene, sex, the number of chronic diseases and the
    socioeconomic status could explain 37.4﹪variation of sleep quality.
    (3) Above thirty percentage of subjects(33.3﹪) was insomniac. Most
    insomniacs were classified short-term insomniacs.(16.9﹪). There were
    significant differences of using sleeping-medications, daytime dysfunction and
    the PSQI global score among chronic insomniacs, short-term insomniacs and
    transient insomniacs.
    (4) Most insomniacs(98.6﹪) used self-care methods to improve their sleep
    quality. And no one would use folk methods to do so. There were no significant
    differences of self-care methods and folk methods among chronic insomniacs,
    short-term insomniacs and transient insomniacs.
    Based on the main results of this research, the researcher proposed several
    suggestions and expected that these suggestions would be useful to sleep
    health education of the elderly.

    第一章 緒論 第一節 研究動機………………………………………………………1 第二節 研究目的………………………………………………………4 第三節 研究架構………………………………………………………5 第四節 研究問題與研究假設…………………………………………6 第五節 名詞界說………………………………………………………7 第二章 文獻探討 第一節 老化與睡眠品質………………………………………………12 第二節 睡眠品質之探討………………………………………………14 第三節 失眠類型之探討………………………………………………22 第四節 影響老人睡眠品質之相關因素………………………………32 第五節 失眠患者求助方式之相關理論與研究………………………49 第三章 研究方法與步驟 第一節 研究對象………………………………………………………57 第二節 研究工具………………………………………………………57 第三節 研究步驟………………………………………………………65 第四節 資料處理與分析………………………………………………67 第四章 研究結果與分析 第一節 研究對象的背景因素與睡眠品質之描述……………………71 第二節 研究對象的背景因素與睡眠品質之關係……………………82 第三節 研究對象的失眠類型與求助方式之描述……………………94 第四節 不同失眠類型研究對象之睡眠品質的差異…………………99 第五節 不同失眠類型研究對象之求助方式的差異………………..104 第五章 討論 第一節 睡眠品質現況………………………………………………..109 第二節 背景因素與睡眠品質之關係………………………………..115 第三節 失眠類型與睡眠品質之關係………………………………..124 第四節 失眠類型與求助方式………………………………………..127 第六章 結論與建議 第一節 結論…………………………………………………………..133 第二節 建議…………………………………………………………..134 第三節 研究限制……………………………………………………..136 參考文獻 中文部份………………………………………………………………139 英文部份………………………………………………………………141 附錄 附錄一 問卷內容效度之專家名單…………………………………145 附錄二 正式問卷……………………………………………………146 附錄三 Lacks之睡眠衛生實行問卷………………………………..157 附錄四 匹茲堡睡眠品質量表………………………………………158 附錄五 匹茲堡睡眠品質量表之計分方法…………………………160 附錄六 Zung憂鬱量表……………………………………………...163

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