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研究生:李秉儀
研究生(外文):Ping-Yi Lee
論文名稱:異位性皮膚炎患童母親睡眠品質及生活品質之相關探討
論文名稱(外文):Sleep Quality and Quality of Life Among Mothers of Children With Atopic Dermatitis
指導教授:張碧真張碧真引用關係
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2008
畢業學年度:96
語文別:中文
論文頁數:113
中文關鍵詞:異位性皮膚炎睡眠品質生活品質
外文關鍵詞:Atopic DermatitisSleep QualityQuality of Life
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異位性皮膚炎是兒童常見之慢性反覆發炎的疾病,主要引起患童抓癢及睡眠困擾,也影響患童母親的睡眠品質,主要照顧者的研究指出不良的睡眠品質會危害身心健康並影響照護能力,且疾病越嚴重,影響可能會越大。然而目前尚未有異位性皮膚炎患童母親的睡眠品質及生活品質之相關探討,因此引發研究之動機。
本研究採橫斷式描述相關性之研究設計,以方便取樣方式選取40位2-6歲異位性皮膚炎患童母親及40位以兒童年齡及性別配對的健康組母親。研究工具是以異位性皮膚炎嚴重度量表(SCORAD Index)評估患童疾病嚴重程度、中文版匹茲堡睡眠量表(CPSQI)評估母親之睡眠品質、生活品質評估量表(SF-36)測量母親生活品質,研究結果是以t檢定及皮爾森相關性檢定推論性統計之分析。
研究結果如下:(1)異位性皮膚炎患童母親在整體的睡眠品質顯著的比健康兒童母親較差;(2)異位性皮膚炎患童母親的整體心理構面及整體生理構面的生活品質顯著的低於健康兒童母親;(3)整體睡眠品質可以解釋24.1%之「整體生理構面」的生活品質,和患童疾病嚴重度一起共同解釋43.4%「整體生理構面」的生活品質;此外,整體睡眠品質可以解釋15.3%之「整體心理構面」的生活品質,和患童疾病嚴重度一起共同解釋32.2%之「整體心理構面」的生活品質。
本研究結果發現睡眠品質同時影響患童母親生理及心理健康相關之生活品質,而且患童母親的生活品質也受患童疾病嚴重度影響,因此建議藉由緩解患童的疾病和改善母親的睡眠品質可以進一步提升其生活品質。
Atopic dermatitis (AD) is a chronic inflammatory skin disease among children. It mainly lead to children itching and decrease sleep quality of these children. It also affects sleep quality and quality of life of their mothers, that may reduce their ability of caring for their children. Furthermore, as the severity of AD increases, the impact increases. However, none of the study has been focused on the relationship between quality of life and sleep quality of mothers of AD children. Thus, the aim of this study is to exam the relationship between sleep quality and quality of life among mothers.
The study is a cross-sectional descriptive correlational design. Convenient sampling was used to select 40 mothers of AD children and 40 mothers of healthy, age and gender matched children as control group. The severity of the disease was measured by Severity Scoring of Atopic Dermatitis Index (SCORAD). Furthermore, the sleep quality and quality of life were measured by Chinses version of Pittsburgh Sleep Quality Index (CPSQI) and Short Form-36 (SF-36) respectively. SPSS 13.0 was used to analyze data for the descriptive and inferential statistics.
Research results are the followings. First, the mothers with AD exhibits a poorer sleep quality、sleep latency、sleep duration、sleep efficiency, daytime dysfunction, and global sleep quality, compared to the mothers with healthy children. Second, the disease group of mothers also has a poor life quality in sub-scale levels and mental health components. Third, the global sleep quality explains 24.1% of effects on physical health components (PCS). The globe sleep quality and the disease severity of children can explain 43.4% of PCS. Moreover, the global sleep quality can explain 15.3% of mental health components in life quality (MCS).This score along with the disease severity can explain 32.2% of MCS.
In conclusion, sleep quality can have effect on both mental and physical health of the mothers with AD children. In addition, these quality of life is affected by children’s disease severity. Thus, in order to improve these mothers’ life quality, relieve the symptoms of the children and promote sleep quality of mothers are necessary.
目 錄
頁數
致謝………………………………………………………………….Ⅰ
中文摘要……………………………………………….……………Ⅲ
英文摘要……………………………………….……………………Ⅴ
目錄……………………………………………….…………………Ⅶ
附錄……………………………………………………….…………Ⅹ
圖表目次……………………………...……………….…………ⅩⅠ

第一章 緒論
第一節 研究動機與重要性 1
第二節 研究目的 3
第三節 名詞界定 3
第二章 文獻查證
第一節 異位性皮膚炎 5
第二節 睡眠品質 10
第三節 生活品質 15
第四節 睡眠品質與生活品質之相關性 22
第五節 研究架構 25
第六節 研究假設 25
第三章 研究方法
第一節 研究設計 27
第二節 研究對象 27
第三節 研究工具 28
第四節 研究過程 37
第五節 研究倫理考量 38
第六節 資料處理與統計 38
第四章 分析與結果
第一節 研究對象之基本資料 41
第二節 研究對象之睡眠品質 46
第三節 研究對象之生活品質 50
第四節 異位性皮膚炎患童母親睡眠品質與生活品質結果 52
第五節 異位性皮膚炎患童母親之生活品質的預測結果 55
第五章 討論及建議
第一節 異位性皮膚炎患童母親與健康兒童母親的睡眠品質的比較 59
第二節 異位性皮膚炎患童母親與健康兒童母親的生活品質的比較 63
第三節 異位性皮膚炎患童母親的睡眠品質與生活品質的相關性 65
第四節 患童的疾病嚴重度及母親的睡眠品質對生活品質的影響 66
第五節 研究限制 67
第六節 建議 69
參考文獻
中文部份 72
英文部分 73

附 錄
頁數
附錄一 兒童基本資料 96
附錄三 家庭社經地位劃分方式 98
附錄四 中文版匹茲堡睡眠量表 100
附錄五 中文版SF-36量表 102
附錄六 異位性皮膚炎嚴重度指標 106
附錄七 臺北醫學大學人體試驗同意證明書 107
附錄八 臺北醫學大學人體試驗志願書 108
附錄九 英文版匹茲堡睡眠量表作者同意書 111
附錄十 中文版匹茲堡睡眠量表作者同意書 112
附錄十一 中文版SF-36量表作者同意書 113

圖表目次
頁數
圖一 研究架構…………………………………………………26
圖二 收案流程…………………………………………………39
表一 SCORAD之評量者間信度相關……………………………36
表二 資料統計分析方法………………………………………40
表三 研究對象之基本屬性……………………………………43
表四 異位性皮膚炎患童疾病資料……………………………45
表五 兩組研究對象之PSQI睡眠品質差異……………………48
表六 有無睡眠問題之兩組研究對象在睡眠品質的差異……49
表七 兩組研究對象之SF36生活品質差異……………………51
表八 異位性皮膚炎患童母親的睡眠品質與生活品質之相關53
表九 有無睡眠問題的異位性皮膚炎患童母親在生活品質上的差異54
表十 疾病嚴重度和睡眠品質預測「整體生理構面」之階層迴歸分析56
表十一 疾病嚴重度和睡眠品質預測「整體心理構面」之階層迴歸分析…58
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