The Quality of Sleep in Community Elderly
Resource
台灣醫學 v.10 n.4 pp.438-446
Journal
台灣醫學,v.10
Journal Issue
n.4
Pages
438-446
Date Issued
2006
Date
2006
Author(s)
LIN, CHIA-LING
PAN, MEI-YU
CHANG, MEI
Abstract
本研究之目的是探討社區老人的睡眠品質現況及影響其睡眠品質的相關因素。本研究 採橫斷面之研究，立意取樣台北縣土城某行政區，共收集有效樣本116名。以睡眠品 質訪談表(PSQI)評量其睡眠品質，結果顯示研究對象中睡眠品質差者（PSQI>5分）佔 38.8%，睡眠品質平均得分5.48±4.08，25.8%對睡眠品質感到不滿意，21.6%過去一 個月曾使用安眠藥來解決失眠的問題；而身體症狀干擾睡眠以夜尿、疼痛、手腳麻刺 最常見；生活習慣中有午睡習慣者其睡眠品質較佳。而慢性病總數、身體症狀干擾、 自覺健康狀態及有無午睡習慣與睡眠品質呈顯著相關，可以解釋睡眠品質變異量的39 .4%，其中以「自覺健康狀態」的解釋力最高。Logistic多變項迴歸分析發現罹患>1 種慢性病、有身體症狀干擾，其發生睡眠品質差的機率是罹患0-1慢性病、無身體症 狀干擾者的2.93倍(95% CI: 1.35-6.36)、2.31倍(95% CI: 1.06-4.96)。透過本研究 結果可以提供從事社區健康工作的醫護人員區辨具備那些特質者易成為睡眠品質不良 的高危險群，給予合適的預防措施及處置，以增進社區老人的生活品質。 The purpose of this study was to investigate the sleep quality of community elderly and the related influence factors. The cross- sectional method was utilized in this study. There were 116 subjects interviewed from the Tucheng city of Taipei county PSQI was used to measure sleep quality, The average PSQI global score of total subjects was 5.48±4.08, there were 38 .8% subjects in poor sleep quality (PSQI>5), There was 25.8% subjects dissatisfied in self-perceived quality of sleep, There was 21.6% use the hypnotics to solve the insomnia in the past month. The symptoms interfering with sleep include nocturnal, pain, foot and hand splinter. The person with midday nap habit has better sleep quality. There was significant correlation among the number of chronic disease, the symptoms interfering with body, self-perceived health status, midday nap habit and sleep quality, and those variables could explain 39.4% variation of sleep quality. The self-perceived health status was the strongest predictor . The multivariate logistic regression analysis found the subjects suffer from>1 chronic disease, were more likely to have poor quality of sleep than the subjects with 0-1 chronic disease (OR, 2.93; 95% CI: 1.35-6.36). The subjects with the symptoms interfering with body were more likely to have poor quality of sleep (OR, 2.31; 95% CI: 1.06-4.96). The study finding can help health care personals to identify the poor sleep quality high-risk group and offer appropriate prevention and management to improve the life quality of community elderly.
Subjects
社區老人
睡眠品質
community elderly
sleep quality