臺灣博碩士論文加值系統

本研究主要的目的在瞭解松年大學老人的睡眠品質現況，及探討個人屬性、身體活動和睡眠品質之間的關係。內容以台北縣新店行道會松年大學100位的老人為研究對象，由研究者面對面親訪的方式收案，個案的平均年齡為71±8.32歲。以匹茲堡睡眠品質量表評估個案睡眠品質之得分介於0-12分，平均得分為6.26±2.65分 ，其中睡眠品質不佳者(PSQI>5)佔45%。
經本研究調查所得的資料，由單因子變異數分析、t-檢定、皮爾森積差相關等統計處理後的結果，發現睡眠品質與相關因素的關係如下：
一、個人屬性中除自覺健康較差者其睡眠品質有顯著不佳之外(p<0.01)，在罹患心血管疾病方面的老人，其睡眠品質亦有顯著不佳的情形(p<0.05)。其他屬性則與睡眠品質沒有顯著的相關。
二、松年大學的老人其身體活動以「老年人身體活動量表」測得平均得分為172.88±55.68分，年齡愈大、自覺健康愈差之個案其身體活動量愈少。同時身體活動與睡眠品質之間呈現顯著的正相關性(r=-0.214，p<0.05)，也就是說身體活動量愈大者，睡眠品質愈佳。
整體而言，本研究發現松年大學的老人睡眠品質並不佳，而睡眠品質與身體活動皆有顯著的相關性存在。

The purpose of this study reports of the sleep quality in Senior Community College elders, and the relationship of sleep quality with associated factors including demographic factors and physical activity. A total of 100 elders study in one of Senior Community College at Hsin Tien Covenant Church were purposive sampled and home-visited by the researcher. The average age of the subjects is 71±8.32 years old. It is found that average PSQI(Pittsburgh Sleep Quality Index) global score is 6.26±2.65, and 45% Senior Community College elders are poor sleepers whose scores are beyond the cutoff point of 5. Major findings by using statistics of one-way ANOVA, independent t-test and Pearson''''''''s product moment correlation of the study are listed below
1.Individual attributes of normal elders do not have apparent effect to sleep quality, except some poor perceived-health elders (p<0.01) and ones who have cardiovascular disease (p<0.05) can’t not have good sleep quality.
2.physical activity was assessed using PASE (Physical Activity Scale for the Elderly). The mean score of physical activity amount among Senior Community college elders is 172.88±55.68. Bivariate statistics shows that older age and poorer perceived-health are significantly associated with less physical activity. Better sleep quality is positively correlated with more physical activity amount(r=-0.214,p<0.05).
To sum up, the study recommended that the elderly in Senior Community College do not have good sleep quality. Apparently, there is a kind of relationship between sleep quality and physical activity.

目　　　　　錄
中文摘要…………………………………………………………………….I
英文摘要…………………………………………………………………….II
謝誌………………………………………………………………..…….…Ⅲ
目錄……………………………………………………………………….…Ⅳ
圖表目錄………………………………………………………… ……..…Ⅵ
第一章　緒論………………………………………………………... …1
第一節　前言……………………………………..….…… 1
第二節　研究問題背景…………………………………………2
第三節　研究目的…………………………………….……… 3
第四節　研究假設………………………………………………3
第五節　研究範圍與限制………………………………………4
第六節　名詞操作性定義……………………………..………4
第二章　文獻探討….…………………………………….……………… 6
第一節　睡眠生理…………………………………….……… 6
第二節　睡眠品質的概念…………………………….……… 7
第三節　影響睡眠品質的相關因素探討…………..…….… 9
第四節　身體活動與老年人睡眠品質的相關研究...………13
第五節　文獻總結………………………………………… 20
第三章　研究方法與步驟……………….……………….…………… 21
第一節　研究對象………………………….……..…………21
第二節　研究架構………………………….…………………21
第三節　研究流程…………………………………………… 22
第四節　研究工具的選取與編製…………………………… 24
第五節　資料蒐集過程…………………………………… 26
第六節　資料處理與分析…………………………………… 26
第四章　研究結果……………………….………………………… 28
第一節　研究對象與基本資料…………………………… 28
第二節　松年大學老人之睡眠品質現況…………………… 32
第三節　睡眠品質與個人屬性的關係……………………… 37
第四節　松年大學老人之身體活動情形…………………… 42
第五節　身體活動與個人屬性的關係……………………… 45
第六節　身體活動與睡眠品質的關係……………………… 47
第五章　討論……………….……………………………………… 49
第一節　松年大學老年人睡眠品質現況…………………… 49
第二節　松年大學老人個人屬性與睡眠品質的關係探討...53
第三節　身體活動與睡眠品質之相關性探討……………… 56
第六章　結論與建議…………………….……………………………… 58
第一節　結論………………………………………………… 58
第二節　建議………………………………………………… 59
參考文獻…………………….…………………………………………… 61
中文部分……………………………………………………… 61
英文部分……………………………………………………… 63
附錄………………………….………………………………………… 70
附錄一　問卷調查表………………………………………… 70
附錄二　受試者須知………………………………………… 71
附錄三　受試者同意書……………………………………… 72
附錄四　研究問卷…………………………………………… 73
附錄五　六分鐘步行測驗…………………………………… 77
附錄六　匹茲堡睡眠品質計分方法………………………… 78
附錄七　老人身體活動一覽表……………………………… 81
圖表目錄
圖3-2-1 研究架構圖……………………………………………… 22
圖3-3-1 研究流程圖……………………………………………… 23
表2-4-1 不同程度身體活動代謝消耗量比較表……………………. 15
表3-4-1 身體活動量表項目加權指數表……………………………. 25
表3-6-1 研究統計方法一覽表……………………………….……… 27
表4-1-1 個人屬性分佈情形………………………………………… 30
表4-1-2 松年大學老人疾病罹患情形……………………………… 31
表4-1-3 睡眠環境安排情形………………………………………… 31
表4-1-4 個案六分鐘耐力走路活動情形與睡眠品質t-檢定表……. 31
表4-2-1 睡眠品質量表七大構面之分佈情形……………………… 35
表4-2-2 睡眠困擾各題分佈…………………………………………. 36
表4-2-3 睡眠品質量表總分及次構面間之相關矩陣………………. 36
表4-3-1 松年大學老人睡眠品質與個人屬性之單因子變異數分析
或t-檢定表………………………………………………… 39
表4-3-2 松年大學老人睡眠品質與慢性疾病之t-檢定及單因子變
異數分析表…………………………………………………. 41
表4-3-3 松年大學老人睡眠品質與個人屬性、慢性疾病之卡方檢
定表…………………………………………………………. 41
表4-3-4 松年大學老人睡眠品質與睡眠環境安排t-檢定表……….. 42
表4-4-1 松年大學老人從事身體活動之頻率表……………………. 43
表4-4-2 松年大學老人從事身體活動項目之時數表………………. 44
表4-4-3 松年大學老人從事家務及其他活動情形一覽表…………. 44
表4-5-1 松年大學老人身體活動與個人屬性之單因子變異數分析
或t-檢定表………………………………………………….. 46
表4-6-1 松年大學睡眠品質與個人屬性身體活動之皮爾森積差相
關總表………………………………………………………. 47
表4-6-2 松年大學老人睡眠品質與身體活動之t-檢定表………….. 48

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