题名

機構老人之睡眠品質及其相關因素

并列篇名

Quality of Sleep and Its Associated Factors in the Institutionalized Elderly

DOI

10.6320/FJM.2003.7(2).03

作者

林嘉玲(Chia-Ling Lin);蘇東平(Tung-ping Su);張媚(Mei Chang)

关键词

機構老人 ; 睡眠品質 ; sleep quality ; institutionalized elderly

期刊名称

台灣醫學

卷期/出版年月

7卷2期(2003 / 03 / 01)

页次

174 - 184

内容语文

繁體中文

中文摘要

The purpose of this study was to investigate the sleep quality of elderly residents of institutes and the related influence factors. The retrospective and descriptive method was utilized in this study. Two hundred and five subjects were selected from the residents of residential care institutes in 4 public or private residential care institutes in Taipei by the systematic random sampling. All subjects must fit in following condition: (1) over 65 years old;(2)no delirium, dementia or psychosis;(3)speaking Mandarin or Taiwanese;(4)stay in institutes over six months. Using PSQI to measure sleep quality, Barthel index to measure activity of daily living (ADL), and CES-D to measure depression, the average PSQI global score of total subjects was 9.53±4.89. There were 63(30.7%) subjects in good sleep quality (PSQI≦5), while the other 142(69.3%) were in poor sleep quality (PSQI>5). The most serious problem is the increasing sleep latency. There was 59% subjects dissatisfied in self-perceived quality of sleep, There was significant correlation among the number of chronic disease, the ADL, depression and sleep quality, and could explain 36.8% variation of sleep quality. This study show the subjects with defect of ADL, their odd ratio of poor quality of sleep is 2.35 times to the normal. The 10.11 times of subjects with the trend to depression compared with those didn't. The 4.14 times of subjects with chronic diseases >1 type compared with 0-1 type. The high-risk group of poor quality of sleep is the subject with defect of ADL、trend to depression and suffer from>1 type chronic diseases. The results of this study show the depression is a very important predictor of sleep quality. The study finding can help health care personnel to identify suffer from poor sleep quality, in order to offer appropriate prevention and management, and improve the life quality of elderly residents of institutes.

英文摘要

The purpose of this study was to investigate the sleep quality of elderly residents of institutes and the related influence factors. The retrospective and descriptive method was utilized in this study. Two hundred and five subjects were selected from the residents of residential care institutes in 4 public or private residential care institutes in Taipei by the systematic random sampling. All subjects must fit in following condition: (1) over 65 years old;(2)no delirium, dementia or psychosis;(3)speaking Mandarin or Taiwanese;(4)stay in institutes over six months. Using PSQI to measure sleep quality, Barthel index to measure activity of daily living (ADL), and CES-D to measure depression, the average PSQI global score of total subjects was 9.53±4.89. There were 63(30.7%) subjects in good sleep quality (PSQI≦5), while the other 142(69.3%) were in poor sleep quality (PSQI>5). The most serious problem is the increasing sleep latency. There was 59% subjects dissatisfied in self-perceived quality of sleep, There was significant correlation among the number of chronic disease, the ADL, depression and sleep quality, and could explain 36.8% variation of sleep quality. This study show the subjects with defect of ADL, their odd ratio of poor quality of sleep is 2.35 times to the normal. The 10.11 times of subjects with the trend to depression compared with those didn't. The 4.14 times of subjects with chronic diseases >1 type compared with 0-1 type. The high-risk group of poor quality of sleep is the subject with defect of ADL、trend to depression and suffer from>1 type chronic diseases. The results of this study show the depression is a very important predictor of sleep quality. The study finding can help health care personnel to identify suffer from poor sleep quality, in order to offer appropriate prevention and management, and improve the life quality of elderly residents of institutes.

主题分类 醫藥衛生 > 醫藥衛生綜合
被引用次数
  1. 黎俊紳(2018)。高科技勞工健康品質綜合調查。中原大學環境工程研究所學位論文。2018。1-182。 
  2. 張鈞微(2016)。新聞從業人員工作壓力疲勞與生物指標研究。中山醫學大學職業安全衛生學系碩士班學位論文。2016。1-124。
  3. 張雯婷(2017)。偏頭痛之用藥型態與睡眠障礙、過敏性鼻炎、氣喘之相關性。中山醫學大學醫療產業科技管理學系碩士班學位論文。2017。1-89。