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研究生:于普華
研究生(外文):Pu-hua Yu
論文名稱:女性護理人員睡眠品質之探討
論文名稱(外文):Investigation of Sleeping Quality in Female Nurses
指導教授:辜美安辜美安引用關係
指導教授(外文):Mei-an Ku
學位類別:碩士
校院名稱:南華大學
系所名稱:自然醫學研究所
學門:醫藥衛生學門
學類:其他醫藥衛生學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:133
中文關鍵詞:睡眠品質睡眠干擾護士健康失調
外文關鍵詞:health disorderssleep disturbancenursessleeping quality
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  本研究是針對臨床護士進行睡眠品質調查,以問卷調查探討護理人員睡眠品質之影響因素。共發出問卷150份,回收率為100%,有效問卷128份,有效問卷回收率為84.7%。睡眠品質以匹茲堡睡眠量表(Pittsburgh Sleep Quality Index, PSQI) 測量,結果得知護士睡眠品質不佳者達54.0%,入眠需時30分以上的人佔20.3%,睡眠時間平均6.4±1.5小時,而睡眠未達7小時以上的人佔51.6%。
  
  護理人員睡眠品質與健康失調之狀況有顯著相關性(P=0.001),健康失調得分愈高睡眠品質愈差。睡眠品質與睡眠干擾影響有顯著相關性(P<0.001)得分愈高睡眠品質愈差。睡眠品質與改善策略使用有顯著相關性(P=0.039),得分愈高睡眠品質愈差。睡眠品質與三班輪班亦有顯著相關性(P=0.002)。經由迴歸分析檢測得知睡眠品質影響之因素為入睡困難(P<0.001)、健康失調得分(P<0.001)、服用安眠藥(P=0.014)及倦怠頭昏(P=0.023)。
  The objective of this research was to evaluate the sleeping quality of nurses and to investigate factors associated with their sleeping quality. One-hundred fifty questionnaires were sent to nurses. The response rate was 100%. Of those, 128 contained complete responses to the questions. Sleeping quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Results indicated that 54.0% of nurses reported poor sleep quality and 20.3% required more than 30 minutes to fall asleep. The mean duration of sleep was 6.4 hours±1.5 hours. In addition, 51.6% of the nurses sleep less than 7 hours per day.
  
  Worse sleeping quality of nurses was significantly correlated to worse health disorder (P=0.001), increased sleeping disturbance (P<0.001), increased usage of sleeping improvement strategy (P=0.039), and those working in shifts (P=0.002). Results from multiple linear regression analysis found that difficult in falling asleep (P<0.001), presence of health disorders (P<0.001), usage of sleeping pills (P=0.014), and tiredness (P=0.023) were associated with sleeping quality in nurses.
中文摘要..........i
英文摘要..........ii
目次..........iii
表目次..........vi
圖目次..........viii
  
第一章 緒論
1.1 研究背景與重要性..........1
1.2 研究目的與動機..........2
1.3 研究問題..........3
1.4 名詞解釋..........4
  
第二章 文獻查證
2.1 睡眠品質影響因素..........6
2.2 睡眠影響因素..........8
2.3 輪班工作..........11
2.4 輪班與睡眠干擾..........13
2.5 睡眠品質評估..........15
  
第三章 研究材料與方法
3.1 研究設計..........17
3.2 研究對象..........17
3.3 研究工具..........17
3.4 研究架構與流程..........20
3.5 研究對象權益與倫理考量..........22
3.6 統計方法..........22
  
第四章 研究結果與討論
4.1 基本資料及工作狀況調查..........24
4.2 健康失調狀況..........26
4.3 睡眠干擾影響分析..........40
4.4 睡眠改善策略使用..........63
4.5 睡眠品質(PSQI)內容統計分析..........71
4.6 睡眠品質(PSQI)與影響因素統計分析..........98
4.7 睡眠品質之迴歸分析檢測..........100
  
第五章 討論
5.1 睡眠品質影響因素工具討論..........102
5.2 睡眠品質得分討論..........102
5.3 睡眠品質內容討論..........105
5.4 睡眠品質與健康失調討論..........112
5.5 睡眠品質與睡眠干擾影響討論..........113
5.6 睡眠品質影響因素討論..........114
  
第六章 結論與建議
6.1 結論..........118
6.2 研究限制與建議..........123
  
參考文獻..........124
附件1 調查同意書..........128
附件2 調查問卷..........129
中文文獻

石東生(2006)。我國職業安全衛生研究策略規劃與展望。工業安全衛生月刊。3,8-12。

行政院主計處(2002)。九十年臺灣地區社會發展趨勢調查統計結果。

林冠宇(2006)。勞工睡眠品質管理先驅研究。行政院勞工委員會勞工安全衛生研究所。研究主持人。台北市。台灣。

林佩蓁、洪信嘉、潘致弘、陳秋蓉、石東生、吳明蒼(2008)。國道女性收費人員的輪班工作狀態與睡眠品質以及工作壓力之相關性。勞工安全衛生研究季刊,16(3),233-245。

吳明昌、洪信嘉(2007)。非典型工時職業婦女身心健康評估研究(二)。行政院勞工委員會勞工安全衛生研究所。研究主持人。台北市。台灣。

吳明昌(2006)。非典型工時職業婦女身心健康評估研究。行政院勞工委員會勞工安全衛生研究所。研究主持人。台北市。台灣。

洪瑜嬬、林佩蓁、潘純媚、陳秋蓉、何啟功、吳明蒼(2006)。護理人員的輪班工作與睡眠品質、身心健康及家庭功能之間的相關性。勞工安全衛生研究季刊,15(1),17-30。

陳春萬、張振平(2005)。台灣地區勞工輪班情形介紹。勞工安全衛生簡訊,69,16- 17。

黃介良(2009)。失眠原因大探索。睡眠醫學專刊,68,15-16。
  
英文文獻

Benca, R. M. (2005). Diagnosis and treatment of chronic insomnia: A review. Psychiatric Services, 56(3), 332-343.

Breslau, N., Roth, T., Rosenthal, L., & Andreski, P. (1996). Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biological Psychiatry, 39, 411-418.

Buysse, D. J., Reynolds, C. F. 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburg Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.

Cohen, D., Eisdorfer, C., Prinz, P., Breen, A., Davis, M. & Gadsby, A. (1983). Sleep disturbances in the instutionalized aged. Journal of the American Geriatrics Society, 31(2), 79-82.

Davis, S. & Mirick, D. K. (2006). Circadian disruption, shift work and the risk of cancer: A summary of the evidence and studies in Seattle. Cancer Causes Control, 17(4),539-545.

Doghramji, K. (2006). The epidemiology and diagnosis of insomnia. American Journal of Managed Care, 12(8 Suppl), S214-S220.

Ha, M. & Park, J. (2005). Shift work and metabolic risk factors of cardiovascular disease. Journal of Industrial Health, 47, 89-95.

Harrington, J. M. (2001). Health effects of shift work and extended hours of work. Occupational and Environmental Medicine,58, 68-72.

Knauth, P. & Hornberger, S. (2003). In-depth review: shiftwork preventive and compensatory measures for shift workers. Occupational Medicine, 53, 109-116.

Knutsson, A. (2003). In-depth review: shiftwork health disorders of shift workers. Occupational Medicine, 53,103–108.

Kripke, D. F. (2003). Sleep and mortality. Psychosomatic Medicine, 65(1), 74.

Marquie, J. C. & Foret, J. (1999). Sleep, age, and shiftwork experience. Journal of Sleep Research. 8(4), 297-304.

Mellinger, G. D., Balter, M. B., & Uhlenhuth, E.vH. (1985). Insomnia and its treatment prevalence and correlates. Archives of General Psychiatry, 42, 225-232.

Morin, A. K. (2006). Strategies for treating chronic insomnia. American Journal Managed Care, 12, S230-S245.

Nahin, R. L., Dahlhamer, J. M .,Taylor, B. L., Barnes, P. M., Stussman, B. J., Simile, C. M., Blackman, M. R., Chesney, M. A., Jackson, M., Miller, H., & McFann, K. K. (2007). Health behaviors and risk factors in those who use complementary and alternative medicine. Biomed Central Public Health, 7, 217.

Neubauer, D. N. (1999). Sleep problems in the elderly. American Family Physican. 59(9), 2551-2558.

Owens, J. F., & Matthews, K. A. (1998). Sleep disturbances in healthy middle-aged women. Maturitas, 30(1), 41-50.

Redline, S., Kirchner, H. L., Quan, S. F., Gottlieb, D. J., Kapur, V. & Newman, A. (2004). The effects of age, sex, ethnicity, and sleep- disordered breathing on sleep architecture. Archives of Internal Medicine, 164 (4), 406-418.

Sedgwick, P. M. (1998). Disorders of the sleep-wake cycle in adults. Postgraduate Medicine Journal ,74,134-138.

Stepnowsky, C. J. & Ancoli-Israel, S. (2008). Sleep and its disorders in seniors. Sleep Medicine Clinics, 3(2):281-293.

Summers, M. O., Crisostomo, M.I., & Stepanski, E. J. (2006). Recent developments in the classification, evaluation, and treatment of insomnia. CHEST, 130(1), 276–286.

van Mark, A., Spallek, M., Kessel, R., & Brinkmann, E. (2006). Shift work and pathological conditions. Journal of Occupational Medicine and Toxicology, 1, 25.
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