Predictors of Sleep Quality in Community-Dwelling Older Adults in Northern Taiwan

北台灣地區社區老年人的睡眠品質預測因子

10.1097/JNR.0b013e3182736461

楊秋月(Chiu-Yueh Yang)；邱愛富(Ai-Fu Chiou)

功能狀態 ； 老年人 ； 靜態生活型態 ； 睡眠品質 ； functional status ； older people ； sedentary lifestyle ； sleep quality

The Journal of Nursing Research

20卷4期（2012 / 12 / 01）

249 - 260

英文

背景　睡眠品質不良會對老年人的身心健康造成負面影響，甚至增加死亡率。然而，在台灣地區探討老年人睡眠品質的相關研究仍然有限。目的　本研究目的欲探討北台灣地區社區老年人的睡眠品質情形及其預測因子。方法　採橫斷式研究設計，以結構式問卷訪談160位六十歲以上的社區老年人，問卷量表包括：人口學資料、健康狀況、巴氏量表、匹茲堡睡眠量表、短版老年憂鬱量表、短版健康調查量表及老年身體活動量表。結果　研究發現41.9％北台灣社區老年人有睡眠不佳的情形。睡眠品質與夜尿、頭暈症狀、高血壓、使用降壓藥和胃藥、功能狀態不佳、憂鬱、及靜態生活型態有相關性。邏輯式迴歸顯示，夜尿、靜態生活型態、及心理健康為睡眠品質的最重要預測因子。結論／實務應用　睡眠品質應評估個人的生理、心理、及社會狀況，護理人員應教導老年人如何處理生理症狀和維持活躍的生活型態以改善睡眠品質。

Background: Poor sleep quality may have a significant and negative impact on physical and mental health. Poor sleep quality also increases the risk of all-cause mortality. Few studies have explored the sleep quality of community-dwelling older adults in Taiwan.Purpose: This study examined the prevalence of sleep disturbance and potential factors of influence in community-dwelling older people in Taiwan.Methods: We used a cross-sectional design to recruit a total of 160 individuals 60 years of age or older from an urban area in northern Taiwan. All subjects completed a structured questionnaire that included demographic data, physical health status, a social activity/habit survey, as well as the Chinese versions of Barthel's index, Pittsburgh Sleep Quality Index, short form of the Geriatric Depression Scale, the SF-36 Health-Related Quality of Life Survey, and the Physical Activity Scale for the Elderly.Results: Participants reported a rate of sleep disturbance of 41.9%. Sleep disturbance was associated with nocturia and dizziness, hypertension, increased use of medications such as antihypertensives and gastric medicines, poor self-reported functional status, depression, and sedentary lifestyle. Logistic regression showed nocturia, sedentary lifestyle, and mental component summary score as significant predictors of sleep disturbance.Conclusions/Implications for Practice: Sleep disturbance should be examined within the context of an individual's physical, mental, and social status. Symptom management education and an active lifestyle are necessary to promote sleep quality in older people.

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