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研究生:王妍捷
研究生(外文):Yen-Chieh Wang
論文名稱:影響國人睡眠品質相關因素之探討:以社會發展趨勢調查健康安全資料部分為例
論文名稱(外文):A study on quality of sleep in Taiwan-Using example from the Survey of Social Development Trends in Health Security.
指導教授:張慈桂張慈桂引用關係
學位類別:碩士
校院名稱:慈濟大學
系所名稱:公共衛生研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
畢業學年度:96
語文別:中文
論文頁數:136
中文關鍵詞:睡眠品質失眠社會發展趨勢調查
外文關鍵詞:Sleep qualityInsomniaSurvey of Social Development Trend
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研究背景:
人類每天大約花費三分之一的時間於睡眠上,透過睡眠能讓大腦以及身心得到良好的休息,故良好的睡眠品質是促進個人健康的首要條件。但隨著內、外在因素如環境的改變、生活型態改變、自身健康狀態不佳、職場壓力等因素直接或間接的影響睡眠品質,造成睡眠的問題及障礙。睡眠品質與民眾健康關係密切,值得進一步探討及了解。本研究針對國人睡眠品質以及失眠情形加以探討,並了解影響睡眠品質以及失眠的相關因素。

材料與方法:
本研究資料來源為行政院主計處九十四年台灣地區社會發展趨勢調查─健康安全之資料庫,研究樣本數共為36473位(男性18081位,女性18392位),具代表性之樣本。在描述性統計方面,類別變項將以百分比、次數分佈表示;連續變項則以平均值、標準差呈現其特性;推論性統計方面,以t檢定、卡方檢定以及ANOVA檢定人口學變項、個人健康狀態與睡眠品質之間的關係;並使用複迴歸探討影響睡眠品質之相關因素,以及使用邏輯式迴歸探討影響失眠情形之相關因素。

研究結果:
研究結果發現,年齡越大、女性、喪偶、教育程度低、無工作、有宗教信仰以及個人收入較低者、肥胖者(BMI≧27)、自覺健康狀況不佳、就醫次數多、無運動以及睡眠時數小於6小時者的睡眠品質較不理想。但以複迴歸分析控制相關變項後,只有性別、婚姻狀況、教育程度、身體質量指數、自覺健康狀況、就醫次數、運動狀態以及睡眠時數小於6小時者有統計上的顯著差異。
在失眠情形方面,具有一項失眠以上的問題佔25.49%,顯示民眾受到睡眠問題的困擾。研究結果顯示年齡較大、女性、喪偶者、教育程度較低、無工作、自覺健康狀況不佳、就醫次數以及睡眠時數較少者有顯著的失眠問題。以邏輯式迴歸分析影響失眠的因素中,則以年齡、性別、婚姻狀況、教育程度、自覺健康狀況、就醫次數以及睡眠時數呈現顯著相關。

結論:
本研究針對國人睡眠品質以及失眠情形加以探討,研究結果顯示,年齡越大、女性、喪偶、教育程度低、無工作、有宗教信仰以及個人收入較低者、肥胖者(BMI≧27)、自覺健康狀況不佳、就醫次數多、無運動以及睡眠時數小於6小時者的睡眠品質有較嚴重的情形;其中性別、婚姻狀況、教育程度、身體質量指數、自覺健康狀況、就醫次數、運動狀態以及睡眠時數小於6小時者是影響睡眠品質的因素。在失眠方面,年齡較大、女性、喪偶者、教育程度較低、無工作、自覺健康狀態不佳、就醫次數以及睡眠時數較少者有顯著的失眠問題;而在影響失眠的因素中,則以年齡、性別、婚姻狀況、教育程度、自覺健康狀況、就醫次數以及睡眠時數呈現顯著相關。
因此建議在未來的衛生教育介入措施中,應針對民眾進行衛生教育宣導,改變其生活形態如維持運動的習慣、適時的休息、規律的生活作息等,以及加強促進自身健康的觀念,藉此讓民眾養成良好的睡眠習慣,以改善睡眠品質不佳和失眠所帶來的衝擊。
Objective:
People spend one-third of time on sleep every day, their brain and mind take great rest through sleep. The quality of sleep is the important issue for health. But a lot of factors like working pressure, unhealthy status, life style and unfamiliar condition will affect the quality of sleep. Due to the tight relationship between the quality of sleep and related factors, it is worth to explore the quality of sleep in Taiwan and their associated d factors.

Methods:
The data comes from the Survey of Social Development Trend about Health Security, held by Directorate-General Budget, Accounting, Statistics, Executive Yuan 2005. The survey conducted for the total 36,473 national representative samples. The descriptive statistic and inferential statistic were used to illustrate the population character and self-reported health, and to explore the association between the quality of sleep and insomnia problems.

Result:
The results showed that older age, women, widowed, low level education , unemployed, have religious belief and low income, obesity ,unhealth status, many doctor visits, no exercise and low sleep hours have bad quality of sleep. After controlling other factors, multiple regresion analysis showed that sex, marital status, education, body mass index, health status, doctor visits, exercise status and sleep hours under six hours were significant associated with the quality of sleep.
In the insomnia status, 25.49% of people at least have one insomnia types. The results showed that older age, women, widowed, low level education, unhealth status, many doctor visits and low sleep hours have insomnia symptoms. After controlling other factors, logistic regreesion analysis showed that age, sex, marital status, education, health status, doctor visits and sleep under six hours were significant associated with insomnia.

Conclusion:
The results showed that older age, women, widowed, low level education , unemployed, have religious belief and low income, obesity , unhealth status, many doctor visits, no exercise and low sleep hours have bad quality of sleep.The study reveals that the sex, marital status, education, body mass index, health status, doctor visits, exercise status and sleep hours under six hours were significant associated with the quality of sleep.
In the insomnia status, the results showed that older age, women, widowed, low level education, unhealth status, many doctor visits and low sleep hours have insomnia symptoms. The study reveals that age, sex, marital status, education, health status, doctor visits and sleep under six hours were significant associated with insomnia.
The study suggests that health intervention program in the future should be aware of these realated factors in designing to improve the quality of sleep and insomnia programs.
中文摘要………………………………………………………………………………………………I
英文摘要………………………………………………………………………………………………III
目 錄………………………………………………………………………………………………Ⅵ
圖表目次………………………………………………………………………………………………Ⅸ
第一章 緒論
第一節 研究背景與動機………………………………………………………………………1
第二節 研究目的………………………………………………………………………………4
第二章 文獻探討
第一節 睡眠品質與健康………………………………………………………………………5
第二節 睡眠品質的定義與測量………………………………………………………………10
第三節 睡眠障礙的種類與失眠………………………………………………………………13
第四節 影響睡眠品質之相關因素……………………………………………………………17
第三章 材料與方法
第一節 資料來源………………………………………………………………………………25
第二節 研究對象………………………………………………………………………………26
第三節 研究架構………………………………………………………………………………27
第四節 研究變項定義…………………………………………………………………………28
第五節 研究假說………………………………………………………………………………34
第六節 統計方法………………………………………………………………………………35
第四章 研究結果與討論
第一節 樣本之基本人口學變項、個人健康狀態特性描述…………………………………36
第二節 樣本人口學變項、個人健康狀態之整體睡眠品質關聯之探討……………………38
第三節 影響整體睡眠品質相關因素之複迴歸分析…………………………………………40
3-1 人口學變項對於睡眠品質的影響(模式一)
3-2 個人健康狀態對於睡眠品質的影響(模式二)
3-3 人口學變項、個人健康狀態對睡眠品質之的影響(模式三)
第四節 失眠問題與人口學變項、個人健康狀態特性描述…………………………………44
4-1 只具一項失眠問題
4-2 具有一項以上之失眠問題
4-3 同時具有兩項之失眠問題
4-4 同時具有三項失眠問題
第五節 影響失眠問題之相關因素……………………………………………………………65
第五章 討論
第一節 睡眠品質及失眠問題之探討…………………………………………………………74
第二節 人口學變項、個人健康狀態和睡眠品質之間的關係………………………………79
第三節 人口學變項、個人健康狀態和失眠之間的關係……………………………………81
第四節 研究限制……………………………………………………………………………83
第六章 結論與建議
第一節 結論…………………………………………………………………………………84
第二節 建議…………………………………………………………………………………86
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