研究生: |
吳尚寧 Wu, Shang-Ning |
---|---|
論文名稱: |
COVID-19疫情期間空服員身體活動量與睡眠品質研究 Physical Activity and Sleep Quality of Cabin Crew during the COVID-19 Pandemic |
指導教授: |
廖邕
Liao, Yung |
口試委員: |
李晶
Li, Ching 薛名淳 Hsueh, Ming-Chun 廖邕 Liao, Yung |
口試日期: | 2022/07/27 |
學位類別: |
碩士 Master |
系所名稱: |
運動休閒與餐旅管理研究所運動休閒與餐旅管理碩士在職專班 Graduate Institute of Sport, Leisure and Hospitality Management_Continuing Education Master's Program of Sport, Leisure and Hospitality Management |
論文出版年: | 2022 |
畢業學年度: | 110 |
語文別: | 中文 |
論文頁數: | 63 |
中文關鍵詞: | COVID-19 、身體活動量 、睡眠品質 、空服員 |
英文關鍵詞: | COVID-19, physical activity, sleep quality, cabin crew |
DOI URL: | http://doi.org/10.6345/NTNU202201668 |
論文種類: | 學術論文 |
相關次數: | 點閱:151 下載:27 |
分享至: |
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COVID-19對航空業造成巨大衝擊,空服員作息及上班模式因而改變,針對疫情期間空服員身體活動量與睡眠品質現況及關聯性進行探討有其必要性,故本研究之目的分別為了解COVID-19疫情期間,一、研究對象身體活動量與睡眠情形之現況。二、研究對象社會人口變項、身體活動量與睡眠情況之關聯性。三、研究對象身體活動量與睡眠情況之關聯性。本研究為橫斷性研究設計,以國內某航空公司空服員為研究對象,於2022年2月至3月間以方便取樣進行網路問卷調查,共取得307份有效樣本。研究工具包括個人社會背景變項、國際身體活動量表短版-臺灣中文版及中文版匹茲堡睡眠品質指標量表,資料以描述性統計及二元邏輯斯迴歸進行數據分析,研究結果如下:一、研究對象平均年齡為38±9歲,過去一個月內有經歷過居家檢疫、加強版自主健康管理或自主健康管理者有54.1%,平均工作天數為3.91±4.06天。身體活動總量為667.33±754.27 (分/週),每週達身體活動建議量者 (每週150分鐘) 佔81.4%;睡眠品質良好者54.7%,所有研究對象平均睡眠時數8.73±1.43小時。二、研究對象之社會人口學變項與其身體活動及睡眠品質無顯著關聯性。三、研究對象達身體活動建議量與否與其睡眠品質同樣無顯著關聯性。本研究結果顯示疫情期間空服員工作天數少,並多從事充足的身體活動,儘管本研究並未發現空服員達身體活動建議量與良好的睡眠品質有顯著相關,然而數據證實疫情期間空服員睡眠品質顯著優於非疫情時期及其他多數職業,建議未來研究者欲探討空服員睡眠品質可考慮加入其他變項:如壓力、久坐與生活品質等進行研究,亦可運用混合性研究設計,透過問卷調查、焦點團體法及訪談等方式廣泛地進行資料蒐集。
COVID-19 has caused a huge impact on the aviation industry. Due to the pandemic, the lifestyle and work mode of cabin crew has changed. It is essential to investigate physical activity, sleep quality and the relationship between physical activity and sleep quality among cabin crews during the COVID-19 pandemic. Therefore, the purposes of this study were (1) to describe the current physical activity and sleep quality of the research subjects during the COVID-19 pandemic. (2) to examine the relationship of socio-demographics with physical activity and sleep quality of the research subjects during the COVID-19 pandemic. (3) to examine the relationship between physical activity and sleep quality of the research subjects during the COVID-19 pandemic. This study was to designed as a cross- sectional study. The online survey was conducted using convenience sampling and 307 cabin crews of an airline in Taiwan responded the survey from February to March 2022. The online survey included: (1) socio-demographic variables (2) International Physical Activity Questionnaire Self-Administrated Short Format (Taiwan Version) (3) the Pittsburgh Sleep Quality Index Scale. Data were analyzed using descriptive statistics and binary logistic regression. The results showed that (1) The mean age of research subjects was 38±9 years old. 54.1% of research subjects experienced home quarantine, Self-Health Management and enhanced Self-Health Management. The mean working day was 3.91±4.06 days. The total physical activity of cabin crew was 667.33±754.27 min/week and out of the total participants, 81.4% met the PA recommendation (150 min-week). 54.7% of them had good sleep quality. Average total sleep duration of research subjects was 8.73±1.43 hours/day. (2) No significant relationship of socio-demographic variables was observed to be related to physical activity and sleep quality. (3) Meeting PA recommendation (150 min-week) were not significantly associated with good sleep quality. The results showed that cabin crews worked fewer days and most of them engaged in sufficient physical activity during the COVID-19 pandemic. Although this study did not find that cabin crews who met the recommended amount of physical activity was significantly associated with better sleep quality, the data showed that the sleep quality of cabin crews during the COVID-19 pandemic seems to be better than the non-pandemic period and most other occupations. It is suggested that future researchers who attempt to explore the sleep quality of cabin crews can consider other variables: such as stress, sedentary behavior and quality of life. It is recommended that future research can use mixed research design, extensive data collection through questionnaires, focus group methods and interviews for future research.
內政部移民署 (2021)。2020年歷年來臺旅客統計 (1956-2020)。取自https://admin.taiwan.net.tw/Handlers/FileHandler.ashx?fid=d4c4b1f7-2382-4998-bddd-bb207e049adc&type=4&no=1
王郁婷 (2019)。混齡班教師之教保壓力、身體活動量與生活品質關係之初探 (未出版碩士論文)。國立臺北教育大學,臺北市。
王淑卿 (2009)。兼職員工身體活動量與睡眠品質之相關研究 (未出版碩士論文)。聖約翰科技大學,新北市。
交通部民用航空局 (2015)。航空公司空勤組員飛時管理專案檢查報告。取自https://www.caa.gov.tw/FileAtt.ashx?lang=1&id=8456
交通部民用航空局 (2021)。民航運輸航空業駕駛員與客艙組員飛航時數分布資料 (110年第1季)。取自https://www.caa.gov.tw/FileAtt.ashx?lang=1&id=25154
交通部民用航空局 (2021)。防疫新里程!長程國際線機組員本週打完兩劑疫苗。取自https://210.241.93.128/NewsPublish-Content.aspx?lang=1&nid=2049&a=381&ssd=2020/11/29&sed=2021/11/29&title=&ngid=1
江文清 (2015)。新北市某國中教師工作壓力、身體活動量與睡眠品質之關係研究 (未出版碩士論文)。聖約翰科技大學,新北市。
行政院交通部 (2021)。空運。取自https://www.ey.gov.tw/state/A44E5E33CDA7E738/ae15995e-7800-47de-85c8-abc833ae7535
何瑞麟、何邦立 (1988)。睡眠與睡眠醫學簡介。中華民國航空醫學會刊,2,67-72。
余緒德 (2004)。中華航空女性空服員休閒調適策略與壓力-健康關係之研究 (未出版碩士論文)。國立東華大學,花蓮縣。
李筱萱 (2007)。身體活動量與睡眠品質之相關研究-以高科技產業員工為例 (未出版碩士論文)。國立臺灣師範大學,臺北市。
林作慶 (2006)。輪班工作人員身體活動與睡眠品質之相關研究-以航空國際線空服人員越洋航班為例。體育學報,39(1),39-53。
林作慶、張志銘、許弘毅 (2011)。台中電廠輪班員工身體活動對睡眠品質之相關研究。運動休閒餐旅研究,6(1),110-121。
林佩蓁、洪信嘉、潘致弘、陳秋蓉、石東生、吳明蒼 (2008)。國道女性收費人員的輪班工作狀態與睡眠品質以及工作壓力之相關性。勞工安全衛生研究季刊,16(3),233-245。
洪惠芳 (2018)。大學生身體活動、體型意識與健康飲食之相關研究 (未出版碩士論文)。中臺科技大學,臺中市。
國家高速網路與計算中心 (2021)。各國確診數及死亡數。取自https://covid-19.nchc.org.tw/dt_owl.php?dt_name=3
國家高速網路與計算中心 (2021)。臺灣COVID-19疫情每日統計圖。取自https://covid-19.nchc.org.tw/
張志銘、張世明、陳怡婷、盧廷峻、陳妤瑄 (2016)。探討證券從業人員運動參與、睡眠與生活品質之關係。運動與遊憩研究,11(1),100-116。
張意德、陳弘順、張智涵、陳妤瑄 (2015)。大專男子排球選手睡眠品質調查-以104年聯賽為例。運動與遊憩研究,10(2),107-118。
郭麗芬 (2017)。臨床輪班護理人員身體活動與睡眠品質相關性探討 (未出版碩士論文)。長榮大學,臺南市。
陳妤瑄、張世沛 (2012)。探討睡眠時間與身體質量指數之相關性。運動與遊憩研究,7(1),68-78。
陳珮媛 (2018)。影響空服員服務品質關鍵因素之探討-以某國際航空公司為例 (未出版碩士論文)。義守大學,高雄市。
陳凱娣 (2021)。護理人員飼養寵物與身體活動、身心健康之關係 (未出版碩士論文)。國立臺北護理健康大學,臺北市。
曾靖博、黃娟娟 (2015)。中年人身體活動量對睡眠品質及生活滿意度差異之探討–以桃園市大園區為例。高應科大體育學刊,14,60-69。
黃宇黛 (2009)。醫學中心護理人員身體活動與睡眠品質之相關性研究 (未出版碩士論文)。臺北醫學大學,臺北市。
楊婉珍 (2014)。護理人員身體活動、工作壓力與睡眠品質相關之研究~以金門醫院為例(未出版碩士論文)。國立金門大學,金門縣。
鄒綉菊 (1994)。敬老院老人睡眠品質與健康狀況之探討 (未出版碩士論文)。國防醫學院,臺北市。
劉影梅 (2004)。國際身體活動量表臺灣中文版之發展與信效度驗證 (未出版博士論文)。國立臺灣大學,臺北市。
衛生福利部疾病管制署 (2020)。嚴重特殊傳染性肺炎。取自https://www.cdc.gov.tw/Disease/SubIndex/N6XvFa1YP9CXYdB0kNSA9A
衛生福利部疾病管制署 (2021)。國籍航空公司實施機組人員防疫健康管控措施作業原則。取自https://www.cdc.gov.tw/File/Get/libLQPGNUG0NzgaWolSFWg
衛生福利部國民健康署 (2017)。2017年國民健康訪問調查結果報告。取自https://www.hpa.gov.tw/Pages/ashx/File.ashx?FilePath=~/File/Attach/13636/File_15832.pdf
衛生福利部國民健康署 (2019)。運動不足已成全球第四大致死因素。取自https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1132&pid=2473
黎俊彥、吳家碧 (2002)。本校89級大一女學生健康體適能與睡眠品質之相關研究。育達研究叢刊,3,175-184。
謝文順 (2001)。身體活動與睡眠品質的關係。中華體育季刊,14(4),97-106。
謝宗紝、林作慶 (2021)。輪班工作人員身體活動與睡眠品質之關係研究-以外勤警察人員為例。運動與遊憩研究,15(3),1-8。
鍾吉帝 (2009)。女性空服員生活品質及其相關因素之探討 (未出版碩士論文)。國立臺北護理健康大學,臺北市。
龔語婕 (2018)。女性空服員於長程航班上的工作勤務與肌肉骨骼症狀之相關研究-以C航空為例 (未出版碩士論文)。國立陽明交通大學,新竹市。
Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L., … Hoekelmann, A. (2020). Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 international online survey. Nutrients, 12(6), 1583. https://doi.org/10.3390/nu12061583
Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213. https://doi.org/10.1016/0165-1781(89)90047-4
Casagrande, M., Favieri, F., Tambelli, R., & Forte, G. (2020). The enemy who sealed the world: effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep medicine, 75, 12-20. https://doi.org/10.1016/j.sleep.2020.05.011
Castañeda-Babarro, A., Arbillaga-Etxarri, A., Gutiérrez-Santamaría, B., & Coca, A. (2020). Physical activity change during COVID-19 confinement. International journal of environmental research and public health, 17(18), 6878. https://doi.org/10.3390/ijerph17186878
Castro, M., Carvalhais, J., & Teles, J. (2015). Irregular working hours and fatigue of cabin crew. Work, 51(3), 505-511. https://doi.org/10.3233/WOR-141877
Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public health reports, 100(2), 126-131.
Centers for Disease Control and Prevention (2021). COVID-19. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/index.html
Coronaviridae Study Group of the International Committee on Taxonomy of Viruses (2020). The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nature microbiology, 5(4), 536-544. https://doi.org/10.1038/s41564-020-0695-z
Di Renzo, L., Gualtieri, P., Pivari, F., Soldati, L., Attinà, A., Cinelli, G., … De Lorenzo, A. (2020). Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. Journal of translational medicine, 18(1), 1-15. https://doi.org/10.1186/s12967-020-02399-5
Fry, A. (2020). Obesity and Sleep. Retrieved from https://www.sleepfoundation.org/physical-health/obesity-and-sleep
Gordon, D. E., Jang, G. M., Bouhaddou, M., Xu, J., Obernier, K., White, K. M., … Krogan, N. J. (2020). A SARS-CoV-2 protein interaction map reveals targets for drug repurposing. Nature, 583(7816), 459-468. https://doi.org/10.1038/s41586-020-2286-9
Griffiths, R. F., & Powell, D. M. (2012). The occupational health and safety of flight attendants. Aviation, space, and environmental medicine, 83(5), 514-521. https://doi.org/10.3357/asem.3186.2012
Güner, R., Hasanoğlu, I., & Aktaş, F. (2020). COVID-19: Prevention and control measures in community. Turkish Journal of medical sciences, 50(9), 571-577. https://doi.org/10.3906/sag-2004-146
Hasan, J. (1988). Exercise habits and sleep in a middle-aged Finnish population. Acta Physiol Scand, 133, 21-27.
Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., … Adams Hillard, P. J. (2015). National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep health, 1(1), 40-43. https://doi.org/10.1016/j.sleh.2014.12.010
Ibarra-Coronado, E. G., Velazquéz-Moctezuma, J., Diaz, D., Becerril-Villanueva, L. E., Pavón, L., & Morales-Montor, J. (2015). Sleep deprivation induces changes in immunity in Trichinella spiralis-infected rats. International journal of biological sciences, 11(8), 901. https://doi.org/10.7150/ijbs.11907
International Air Transportation Association (2020). Recovery Delayed as International Travel Remains Locked Down. Retrieved from https://www.iata.org/en/pressroom/pr/2020-07-28-02/
International Air Transportation Association (2021). Airline Industry Statistics Confirm 2020 Was Worst Year on Record. Retrieved from https://www.iata.org/en/pressroom/pr/2021-08-03-01/
Liou, Y. M., Jwo, C. J., Yao, K. G., Chiang, L. C., & Huang, L. H. (2008). Selection of appropriate Chinese terms to represent intensity and types of physical activity terms for use in the Taiwan version of IPAQ. Journal of Nursing Research, 16(4), 252-263.
López-Moreno, M., López, M., Miguel, M., & Garcés-Rimón, M. (2020). Physical and psychological effects related to food habits and lifestyle changes derived from COVID-19 home confinement in the Spanish population. Nutrients, 12(11), 3445. https://doi.org/10.3390/nu12113445
Marelli, S., Castelnuovo, A., Somma, A., Castronovo, V., Mombelli, S., Bottoni, D., … Ferini-Strambi, L. (2021). Impact of COVID-19 lockdown on sleep quality in university students and administration staff. Journal of neurology, 268(1), 8-15. https://doi.org/10.1007/s00415-020-10056-6
McNeely, E., Mordukhovich, I., Staffa, S., Tideman, S., Gale, S., & Coull, B. (2018). Cancer prevalence among flight attendants compared to the general population. Environmental health: a global access science source, 17(1), 1-9. https://doi.org/10.1186/s12940-018-0396-8
McNeely, E., Mordukhovich, I., Tideman, S., Gale, S., & Coull, B. (2018). Estimating the health consequences of flight attendant work: comparing flight attendant health to the general population in a cross-sectional study. BMC Public Health, 18(1), 1-11. https://doi.org/10.1186/s12889-018-5221-3
Nieman, D. C. (1997). The exercise health connection. United States: Human Kinetics.
Nieman D. C. (2007). Marathon training and immune function. Sports Medicine, 37(4), 412-415. https://doi.org/10.2165/00007256-200737040-00036
Ong, S., Tan, Y. K., Chia, P. Y., Lee, T. H., Ng, O. T., Wong, M., & Marimuthu, K. (2020). Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. Jama, 323(16), 1610-1612. https://doi.org/10.1001/jama.2020.3227
Silva, E., Ono, B., & Souza, J. C. (2020). Sleep and immunity in times of COVID-19. Revista da Associação Médica Brasileira, 66, 143-147. https://doi.org/10.1590/1806-9282.66.S2.143
Prather, A. A., Janicki-Deverts, D., Hall, M. H., & Cohen, S. (2015). Behaviorally assessed sleep and susceptibility to the common cold. Sleep, 38(9), 1353-1359. https://doi.org/10.5665/sleep.4968
Phillipou, A., Meyer, D., Neill, E., Tan, E. J., Toh, W. L., Van Rheenen, T. E., & Rossell, S. L. (2020). Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. International Journal of Eating Disorders, 53(7), 1158-1165. https://doi.org/10.1002/eat.23317
Pilz, G. A., Bottes, S., Betizeau, M., Jörg, D. J., Carta, S., Simons, B. D., … Jessberger, S. (2018). Live imaging of neurogenesis in the adult mouse hippocampus. Science, 359(6376), 658-662. https://doi.org/10.1126/science.aao5056
Roma, P. G., Mallis, M. M., Hursh, S. R., Mead, A. M., & Nesthus, T. E. (2010). Flight Attendant Fatigue Recommendation Ⅱ: Flight Attendant Work/Rest Patterns, Alertness, and Performance Assessment. Retrieved from https://apps.dtic.mil/sti/pdfs/ADA534695.pdf
Salas, E. B. (2022). Global air traffic-scheduled passengers 2004-2022. Retrieved from https://www.statista.com/statistics/564717/airlineindustry-passenger-traffic-globally.
Sateia M. J. (2014). International classification of sleep disorders. Chest, 146(5), 1387-1394. https://doi.org/10.1378/chest.14-0970
Sigurdson, A. J., & Ron, E. (2004). Cosmic radiation exposure and cancer risk among flight crew. Cancer Investigation, 22(5), 743-761. https://doi.org/10.1081/cnv-200032767
Taheri, S., Lin, L., Austin, D., Young, T., & Mignot, E. (2004). Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS medicine, 1(3), e62. https://doi.org/10.1371/journal.pmed.0010062
Troynikov, O., Watson, C. G., & Nawaz, N. (2018). Sleep environments and sleep physiology: A review. Journal of thermal biology, 78, 192-203. https://doi.org/10.1016/j.jtherbio.2018.09.012
Tzeng, J. I., Fu, Y. W., & Lin, C. C. (2012). Validity and reliability of the Taiwanese version of the Pittsburgh Sleep Quality Index in cancer patients. International journal of nursing studies, 49(1), 102-108.
United States Department of Health and Human Services (1996). Physical activity and health: A report of the Surgeon General: U. S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion.
Van den Berg, M. J., Signal, T. L., Mulrine, H. M., Smith, A. A., Gander, P. H., & Serfontein, W. (2015). Monitoring and managing cabin crew sleep and fatigue during an ultra-long range trip. Aerospace medicine and human performance, 86(8), 705-713. https://doi.org/10.3357/AMHP.4268.2015
Vuori, I., Urponen, H., Hasan, J., & Partinen, M. (1988). Epidemiology of exercise effects on sleep. Acta Physiologica Scandinavica. Supplementum, 574, 3-7.
World Health Organization (2020). Coronavirus disease (COVID-19): How is it transmitted? Retrieved from https://www.who.int/news-room/questions-and-answers/item/coronavirus-disease-covid-19-how-is-it-transmitted
World Health Organization (2020). WHO guidelines on physical activity and sedentary behaviour. Retrieved from https://apps.who.int/iris/handle/10665/336656
Wright Jr, K. P., McHill, A. W., Birks, B. R., Griffin, B. R., Rusterholz, T., & Chinoy, E. D. (2013). Entrainment of the human circadian clock to the natural light-dark cycle. Current Biology, 23(16), 1554-1558. https://doi.org/10.1016/j.cub.2013.06.039
Yang, P. Y., Ho, K. H., Chen, H. C., & Chien, M. Y. (2012). Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review. Journal of physiotherapy, 58(3), 157-163. https://doi.org/10.1016/S1836-9553(12)70106-6
Zachary, Z., Brianna, F., Brianna, L., Garrett, P., Jade, W., Alyssa, D., & Mikayla, K. (2020). Self-quarantine and weight gain related risk factors during the COVID-19 pandemic. Obesity research & clinical practice, 14(3), 210-216. https://doi.org/10.1016/j.orcp.2020.05.004
Zhao, M., Veeranki, S. P., Li, S., Steffen, L. M., & Xi, B. (2019). Beneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults. British journal of sports medicine, 53(22), 1405-1411. https://doi.org/10.1136/bjsports-2018-099254