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研究生:李聖威
研究生(外文):Li, Sheng Wei
論文名稱:環狀運動對失眠患者心率變異與睡眠品質之影響
論文名稱(外文):The Effects of Circuit Exercise Training on the Heart Rate Variability and Sleep Quality for the Patients with Insomnia
指導教授:林晉榮林晉榮引用關係
指導教授(外文):Lin, Zin-Rong
口試委員:許文蔚陳俊忠余松年
口試日期:2012-06-26
學位類別:碩士
校院名稱:國立中正大學
系所名稱:運動與休閒教育研究所
學門:教育學門
學類:專業科目教育學類
論文種類:學術論文
論文出版年:2012
畢業學年度:99
語文別:中文
論文頁數:114
中文關鍵詞:睡眠品質自律神經心率變異
外文關鍵詞:sleep qualityautonomic nervous systemHRV
相關次數:
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本研究旨在探討環狀運動介入對於失眠患者之心率變異及睡眠品質之影響,並分析失眠患者心率變異及睡眠品質兩者之間的差異。本研究以嘉義某醫學中心精神科門診主訴有失眠困擾,並經由醫生轉介之患者42名(年齡:53.40±10.8歲;身高:159.27±6.97cm;體重59.87±10.32kg)為研究對象。實驗流程為運動組進行12週環狀運動介入,強度介於60-80%,並配帶Polar心率監測器,進行強度控制。研究工具依據匹茲堡睡眠品質量表(PSQI)、HRV專用分析儀作為評估方法,所得資料以SPSS 17.0統計套裝軟體進行描述性統計、相依樣本t檢定等統計方法分析處理。綜合本研究結果如下:
一、心率變異是依據自律神經活性為判斷基準。在環狀運動訓練前後結果高頻
(HF)、高頻活性指標(HFnu)有顯著提升,低頻(LF)、低頻活性指標(LFnu)
有顯著下降及低高頻比趨近平衡;睡眠品質部分共分為八個面向,其總得
分大於五分較差,受試者在12週環狀運動介入後,其分數有顯著降低。
二、失眠患者進行12週環狀運動介入,心率變異方面:運動組在年齡、性別、 午睡習慣、喝茶習慣、藥物使用等變項,高頻(HF)有顯著提升,低頻(LF) 有顯著降低;意指失眠患者在心率變異有所改善。
三、失眠患者進行12週環狀運動介入後,睡眠品質方面:運動組在年齡、性別、 午睡習慣、喝茶習慣、藥物使用等變項,得分有顯著降低;意指失眠患者 在睡眠品質有所改善。
四、睡眠品質與心率變異之相關性,失眠患者在HRV中「HF」、「HFnu」、「LFnu」 、及「LF/HF」要素間具有較高負相關,亦即HRV數值越高,睡眠品質 得分越低,對於睡眠品質的提升有較大的幫助。

The purpose of this study was to explore the effects of circuit exercise training on the heart rate variability and sleep quality for the patients with insomnia and to analyze the difference between HRV and Sleep Quality. Purposive sampling was conducted on 42 insomnia patients as subjects (Age : 53.40 ± 10.8 years old ; Height : 159.27 ± 6.97cm ; Body Weight 59.87±10.32kg) in a psychiatric department of the example of hospital at Chiayi county. The experimental procedure for the exercise group involved 12 weeks circuit exercise training, the intensity ranged between 60-80%, and was equipped with the Polar heart rate monitor in order to intensity control. Based on the Pittsburgh Sleep Quality Index (PSQI) and HRV analyzer as assessing instruments, the collecting data was analyzed and processed by descriptive statistics and paired-sample t test using SPSS 17.0 statistical package. The results of this research are as follows:
1. The results of pre and post 12 weeks circuit exercise training was presented a significant increase on HF and HFnu a significant decrease on LF and LFnu and balancing on LF/HF. The questionnaire of sleep quality was divided into eight dimensions: subjective sleep quality, sleep latency, sleep time, sleep efficiency, sleep disturbance, drug use, daytime dysfunction, and sleep quality. The total score was worse more than five points. There were a marked improvement due to a significant decreasing the points after 12 weeks circuit exercise training.
2. After 12 week’s circuit exercise training, the exercise group had a significant increase on the HF and decrease LF, which divided by the variables of age, gender, taking nap, drinking tea behavior, drug usage so that the HRV had gradually improvement for the people with insomnia.
3. After 12 week’s intervention of circuit exercise training, the exercise group had a significant decrease the score on the dimension of sleep quality included age, gender, napping habits, drinking tea habits, drug usage so that the sleep quality had improved.
4. Regarding the correlation between sleep quality and HRV, there were a highly negative correlation among HF, HFnu, LFnu, and LF/HF for the people with insomnia, which means that it had helpful for improving sleep quality, if the value of HRV was gradually increase and the score of sleep quality was decrease.

目錄
第壹章 緒論 10
第一節 研究背景 10
第二節 研究目的 3
第三節 研究問題 4
第四節 名詞解釋 6
第五節 研究範圍 8
第貳章 文獻探討 9
第一節 環狀運動 9
第二節 心率變異 11
第三節 睡眠生理與相關理論 16
第四節 睡眠品質 23
第五節 失眠症 26
第六節 本章總結 31
第參章 研究方法 33
第一節 研究架構與設計 33
第二節 研究對象 35
第三節 實驗流程及步驟 36
第四節 研究工具 39
第五節 資料處理 46
第肆章 結果 47
第一節 失眠患者基本資料分布情形 47
第二節 失眠患者進行12週環狀運動介入HRV之差異情形 50
第三節 失眠患者12週環狀運動介入睡眠品質之差異情形 60
第四節 心率變異(HRV)與睡眠品質之相關程度 69
第伍章 討論 72
第一節 失眠患者生活習慣、心率變異和睡眠品質之目前情形 72
第二節 失眠患者12週環狀運動介入之心率變異之差異情形 75
第三節 失眠患者12週環狀運動介入睡眠品質之差異情形 79
第四節 睡眠品質與心率變異之相關情形 82
第陸章 結論與建議 83
第一節 結論 83
第二節 建議 86
參考文獻 87
附錄 98

參考文獻

方進隆(1995)。體適能與全人健康。中華體育季刊,9(3),62-69。

方揪淑(2006)。外科加護病房病患睡眠品質及其相關因素。未發表碩士論文,
高雄:高雄醫學大學護理研究所。

王百合(1999)。簡明基本護理學-原理與技術。臺北:偉華書局有限公司。

早石修、井上昌次郎(2001)。優質睡眠。臺中:晨星出版社。

朱嘉華、方進隆(1997)。運動與睡眠品質之探討。中華體育11(2),98-108。

朱嘉華、方進隆(1997)。國小教師運動習慣對睡眠品質影響之研究。體育學報,26,217-224。

李宇宙 (2000)。身心疾病之睡眠障礙。台灣醫學,4(6),673-680。

李佳倫、鄭景峰(2011)。攝取咖啡因對心率變異性及反覆高強度衝刺的影響。體育學報,44(3),351-465。

林嘉慶、黎俊彥(2008)。規律運動訓練對心率變異性之影響。中華體育季刊,22(4),13-22。

洪淑真 (2005)。機構老人白天睡眠行為之因素及其與睡眠品質之相關性探討。
未發表碩士論文,高雄:輔英科技大學護理系。

莊海華、陳昭源、林忠順(2009)。宿醉的症狀、機轉及處置。家庭醫學與基層醫療,24(5),178-182。

徐欣億、李文志、何正峰、羅仁駿(2009)。二週不同強度訓練對代謝適能及自律神經系統之影響。大專體育學刊,11(1),105-116。


郭正典、陳高揚(1997)。心率變異度及心肺功能失常。臨床醫學,39(5),
271-274。

陳美妃(1994)。老年婦女睡眠品質及其相關因素探討。未發表碩士論文,高雄:高雄醫學院護理研究所。

陳淑如、蔡月霞、羅映琪、蔡宜珊、鄭綺(2005)。心率變異度的簡介及護理上的應用。新臺北護理期刊,7(1),1-11。

陳濘宏、吳家碩(2008)。讓你睡好眠。臺北市:文經社。

葉世彬(2006)。睡眠疾患手冊。臺北:合記圖書出版社。

黃勝宏、林榮輝、黃崇儒、洪聰敏(2008)。心率變異度與焦慮之關係。中華體
育季刊,22(1),72-79。

鄒秀菊 (1994)。養老院老人睡眠品質與健康狀況之探討。未出版論文,國防醫學院護理學研究所,台北市。

曾齡慧 (2002)。社區老人睡眠品質失眠類型與求助方式之探討:以台北市基督教長老會松年大學為例。未出版論文,國立台灣師範大學衛生教育研究所,台北市。

趙懷慶(1993)。解夢書。臺北:揚智文化事業股份有限公司。

楊智超(1999)。失眠怎麼辦?台大醫院神經科,1-3。

楊建銘(2000)。失眠的行為及心理治療。台灣醫學,4(6),694-703。

熊道芬、張怡媛、周幸生、邱豔芬(2009)。重症病人睡眠品質及其影響相關因
素之探討。榮總護理,26(3),274-281。

蔡玲玲(2006)。睡眠醫學相關專有名詞翻譯Unpublished manuscript.

蔡政楒(2001)。認識睡眠障礙。臺北市:宏欣文化。

謝文順(2002)。身體活動與睡眠品質的關係。中華體育,14(4),97-106。
蕭伃伶、劉淑娟(2004)。老年人的健康體適能。長期照護雜誌,8(3),300-310。

謝善德(1992)。尿毒朋友您為失眠煩惱嗎﹖健康世界,11,91-93。

Abby C. King., Roy F. Oman., Glenn S. Brassington., Donald L. Bliwise., William L. Haskell. (1992). Moderate-Intensity Exercise and Self-rated Quality of Sleep in Older Adults. JAMA, 277, 32-37.

Adam, K, & Oswald, I. (1984). Sleep helps healing. British Medical Journal., 289(24), 1400-1401.

Ako M, Kawara T, Uchida S, Miyazaki S, Nishihara K, Mukai J, Hirao K, Ako J, Okubo Y. (2003). Correlation between electroencephalographic and heart rate variability during sleep. Psychiatry Clin Neurosci, 57(1):59–65

Akselrod, S., Gordon, D., Ubel, F. A., Shannon, D. C., Barger, A. C., & Cohen, R. J.(1981). Power spectrum Analysis of heart rate fluctuation: a quantitative probe ofbeat-to-beat cardiovascular control. Science, 213, 220-222.

Ancoil-Israel S, Poceta JS, Stepnowsky C, Martin J, and Gehrman P. (1997). Identification and treatment of sleep problems in the elderly. Sleep Med Rev, 1, 3-17.

Aserinsky E., Kleitman N.(1953). Regularly occurring periods of eye motility and concomitant phenomena during sleep. Science, 118, 273-274.

Backhaus,J., Junghanns,K., Broocks,A., Riemann,D., Hohagen,F. (2002). test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. Journal of Psychosomatic Research,53(3),737-740.

Banca, RM., Obermeyer, WH.,Thisted, RA., et. al. (1992). Sleep and psychiatric disorders. A meta-analysis. Arch Gen Psychiatry. 49, 651-668.

Bhambhan, Y., Rowland, G., & Farag, M. (2005). Effects of circuit training on body composition and peak cardiorespiratory responses in patients with moderate to severe traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 86(2), 268-276.


Brassington, G, S., & Hicks, R. A. (1995). Aerobic exercise and self-reported sleep qualitu in elderlu individuals. Journal of Aging and Physical Activity, 3(2), 120-134.

Buysse,D.J.,ReynoldsIII,C.F.,Monk,T.H.,Berman,S.R.,&Kupfer,D.J.,(1989).The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research.Journal of Psychiatric Research,28(2),193-213.

Carrier J, Land S, Buysse DJ, and Monk TH. (2001). The effects of age and gender on sleep EEG power spectral density in the middle years of life (ages 20-60 years old).Psychophysiology. 38, 232-242.

Carter, J. B., Banister, E. W., & Blaber, A. P. (2003). Effect of endurance exercise onautonomic control of heart rate. Sports Medicine, 33(1), 33-46.

Christou, D. D., Jones, P. P., & Seals, D. R. (2003). Baroreflex buffering in sedentaryand endurance exercise-trained healthy men. Hypertension. 41(6), 1219-1222.

Consensus Conference of National Institute of Health (1984). Drugs and Insomnia:The use of medications to promote sleep. JAMA 251, 2410-2414.

Cowan, M. J. (1995). Measurement of heart rate variability. Western Journal ofNursing Research, 17, 32-48.

Craddock, I. J., Klemm, M., Leendertz, J., Preece, A. W. & Benjamin, R. (2008). Development and Application of a UWB Radas System for Breast Imaging.Loughborough Antennas & Propagation Conference, 26, 341-367.

Crust, L.(2008).Perceived importance of components of asynchronous music duringcircuit training. Journal of Sports Science, 26(14),1547-1555.

Edinger JD, Bonnet MH, Bootzin RR, et al. (2004). Derivation of research diagnostic criteria for insomnia: report of an American Academy of Sleep Medicine WorkGroup. Sleep, 27, 1567-1596.

Ewing, D. J., Martyn, C. N., Young., R. J., & Clarke, B. F. (1985). The value of cardiovascular autonomic function test: 10 years experience on diabetes. Diabetes Care, 8(5),491-498.

Felber Dietrich, D., Ackermann-Liebrich, U., Schindler, C., Barthelemy,J. C., Brandli,O., Gold, D. R., et al. (2008). Effect of physical activity on heart rate variability
in normal weight, overweight and obese subjects: Results fromthe SAPALDIA study. Eur J Appl Physiol, 104(3), 557-565.

Ford DE, Kramerow DB (1989). Epidemiological study of sleep disturbances andpsychiatric disorders. JAMA, 262 , 1479-1484.

Gazmaraian, J., Baker, D., Parker, R., & Blazer, D. G. (2000). A multivariate analysisof factors associated with depression : evaluating the role of health literacy as a
potential contributor. Archives of International Medicine, 160(21), 3307-3314.

Goldberge, J. J., Challapalli, S., Tung, R., Parker, M. A., & Kadish, A. H. (2001).Relationship of heart rate variability to parasympathetic effect. Circulation,103(15), 1977-1983.

Gottlieb,S. E.(1991). Keys to Children's Sleep Problems.(1st ed.).New York:
Borron's Educational Series Inc.

Gregoire, J., Tuck, S., Yamamoto, Y., & Hughson, R. L. (1996). Heart rate variabilityat rest exercise: influence of age, gender, and physical training CanadianJournal of Applied Physiology, 21(6), 455-470.

Hasan, J., Urponen, H., Vuori, L., & partinen, M. (1988). Exercise habits and sleep ina middle-aged Finnish population. Acta Physiological Scandinavica, 133, 574,
34-35.

Hauri P, Olmstead E.(1980). Childhood-onset insomnia. Sleep, 3, 59-65.

Hon, E. H., & Lee, S. T. (1965). Electronic evaluation of the fetal heart rate patterns proceeding fetal death, further observations. American Journal of Obstet Gynecol, 87, 814-826.
Horsten, Erigson, Perski, Wamala, Schenck-Gustafsson, Orth-Gomer. (1999).Psychosocial Factors and Heart Rate Variability in Healthy Women.Psychosomatic Medicine. 61(1):49-57.

Kamath, M. V., & Fallen, E. L. (1991). Diurnal variations of neurocardiac rhythms in acute myocardial infarction. American Journal of Cardiol, 68, 155-160.

Kao, C. C., Huang, C. J., Wang, M. Y., & Tsai, P. S. (2008). Insomnia: Prevalenceand its impact on excessive daytime sleepiness and psychological well-being in
the adult Taiwanese population. Quality of Life Research, 17(8), 1073-1080.

Kienzle, M. G., Ferguson, D. W.,Birkett, C. L., Myers, G. A., Berg, W.J., & Mariano,J. (1992). Clinical hemodynamic and sympathetic neural correlates of heart rate
variability in congestive heart failure. American Journal of Cardiology, 69, 761-767.

King, A. C., Oman, R. F., Brassington, G. S., Bliwise, D. L., Hasken, W. L. (1997). Moderate-intensity exercise and self-rated quality of sleep in older adults.,
JAMA., 277(1), 32-37.

Klein, M. H., Greist, J. H., Gurman, A. S., Neimeyer, R. A., & Lesser, D. P., etal.(1985). A comparative outcome Study of group Psychotherapy vs exercisetreatments for depression. International Journal of Mental Health, 13, 148-177.

Kuo TB., Lin T., Yang C.C., Li CL., Chen CF., Chou P. (1999). Effect of aging ongender differences in neural control of heart rate. Am J Physiology,277(6),2233
-2239.

Landis, C. A. (2002). Sleep and methods of assessment. The Nursing Clinics of NorthAmerica, 37(4), 583-597.

Larry Culpepper (2005). J Clin Psychiatry. 66(9), 14–17.

Levy, W. C., Cerqueira, M. D., Harp, G. D., Johannessen, K. A., Abrass I. B., chwartz,R. S., & Stratton, J. R. (1998). Effect of endurance exercise training on heart rate variability at reat in healthy young and older men. The A merican Journal
of Cardiology, 82(10), 1236-1241.
Lee, I. M., Buchner, D. M. (2008). The importance of walking to public health.
Medicine & Science in Sports & Exercise, 40, 512-518.


Lown B, Verrier R.L. (1976). Neural activity and ventricular fibrillation. N Engl J Med, 294, 1165-1170.

Macor, F., Fagard, R., & Amery, A. (1996). Power spectral-analysis of RR interval
ndblood-pressure short-term variability at rest and during dynamic exercise: omparisonbetween cyclists and controls. International Journal of Sports Medicine, 17, 175-181.
Malfatto, G., Facchini, M., Bragato, R., Branzi, G., Sala, L., & Leonetti, G. (1996).Short and long term effects of exercise training on the tonic autonomicmodulation of heart rate variability after myocardial infarction European Heart
Journal, 17(4), 532-538.

McCall WV, Edinger JD.(1992). Subjective total insomnia: An example of sleep statemisperception. Sleep,15, 71-73.

Monahan, K. D., Dinenno, F. A., Tanaka, H., Clevenger, C. M., DeSouza, C. A., &Seals, D. R. (2000). Regular aerobic exercise modulates age-associated declinesin cardiovagal baroreflex sensitivity in healthy men. Journal of Physiology,529(1), 263-271.

Nishijima, Y., Ikeda, T., Takamatsu, M., Kiso, Y, Shibata, H., & Fushiki, T., &Moritani T.(2002). Influence of caffeine ingestion on autonomic nervousactivity during endurance exercise in humans. European Journal of AppliedPhysiology, 87(6), 475-480.

Niu, S. F., Chung, M. H., Chen, C. H., Hegney, D., O’Brien, A., & Chou, K. R. (2011).disorders in the French general population. Encephale.Sep-Oct;28(5 Pt 1):420-8. prescription for the prevention and treatment of cardiovascular diseases:Part i.Journal of Cardiovascular Medicine, 9 (5), 529-544.

Ohayon, M. M., Lemoine, P., Arnaud-Briant, V. & Dreyfus, M. (2002). Prevalence and consequences of sleep disorders in a shift worker population. J. Psychosom. Res., 53, 577-583.

Paul P. Doghramji. (2004). Consequences of sleep disorders in Health adult. J Clin Psychiatry, 65(16), 23-26.

Perini, R., Fisher, N., Veicsteinas, A., & Pendergast, D. R. (2002). Aerobic training
and cardiovascular responses at rest and during exercise in older men and women. Medicine and Science in Sports and Exercise, 34(4), 700-708.

Porter, J. M., & Horne, J.A. (1981). Exercise and sleep behaviour: a questionnair approach. Ergonomics, 24, 511-521.

Reardon, M., &Malik, M. (1996). Change in heart rate variability with age. Pacing & Clinical Electrophysiology, 19(11 part 2), 1863-1866.

Rechtschaffen, Kales A, (1968). A manual of standaAHIzed terminology, techniques and scoring system for sleep stages of human of human subjects. Los Angeles: Brain Information Service/Brain Research Institute.
Roth, T., Ancoli-Israel, S.(1999). Daytime consequences and correlates of insomniainthe United States : results of the 1991 national sleep foundation survey. Sleep,22( 2), 354-358.

Schenck, CH., Mahowald, MW.(1994). Review of nocturnal sleep-related eatingdisorders. Int J Eating Disord. 15, 343-356.

Sherrill, D. L., Kotchou, K., & Quan, S. F. (1998). Association of physical activity and human sleep orders. Archieve of International Medicine, 158(17),1894-1898.

Singh, D. L., Kotchou, K., & Fiatarone, M. A. (1997). A randomized controlled trial of the effect of exercise on sleep. Sleep, 20(2), 95-101.

Sinclair, C. J., & Geiger, J. D. (2000). Caffeine use in sports. A pharmacologicalreview. Journal of Sports Medicine and Physical Fitness, 40(1), 71-79.

Sondermeijer, H. P., Van Marle, A. G., Kamen, P., & Krum, H. (2002). Acute effectsof caffeine on heart rate variability. The American Journal of Cardiology, 90(8),906-907.

Shin, K., Minamitani, H., Onishi, S., Yamazaki, H., & Lee, M. (1997).Autonomicdifferences between athletes and nonathletes: Spectral analysis approach. Medicine and Science in Sports and Exercise, 29(11), 1482-1490.

Spielman AJ., Saskin P., Therapy MJ.(1987). Treatment of chronic insomnia byrestriction of time in bed. Sleep, 10, 45-46.

Stepansky EJ. (2000). Behavioral Therapy for Insomnia. In:Principles and Practice ofSleep Medicine (3rd) , Philadelphia, Saunders, 647-656.

Takeshima, N., Rogers, M. E., Islam, M. M., Yamauchi, T., Watanabe, E., & Okada,A.(2004). Effect of concurrent aerobic and resistance circuit exercise trainingon fitness in older adults. European Journal of Applied Physiology, 93(1-2),173-182.

Tatro, D. L., Dudley, G. A., & Convertion, V. A. (1992). Carotid-cardiac baroreflexresponse and LBNP tolerance following resistance training. Medicine &Science in Sports & Exercise, 24(7), 789-796.

Vaara J, Kyröläinen H, Koivu M, Tulppo M, Finni T. (2008). The effect of 60-h sleepdeprivation on cardiovascular regulation and body temperature. Eur J ApplPhysiol. Nov 12. [Epub ahead of print].

Vuori, I., Urponen, H., Hasan, J., & Partinen, M. (1988). Epidemiology of exerciseeffects on sleep. Acta Physiologica Scandinavica, 133, 574,3-7.

Waring, W. S., Goudsmit, J., Marwick, J., Webb, D. J., & Maxwell, S. R. (2003).Acute caffeine intake influences central more than peripheral blood pressure in
young adults. American Journal of Hypertension, 16(11 pt 1), 919-924.

Wolf, M. M., Varigos, G. A., Hunt, D., & Sloman, J. G. (1978). Sinus arrhythmia inacute myocardial infarction. Medical Journal of Australia,2(2), 52-53.

Yamamoto, Y., Hughson, R. L., & Peterson, J. C. (1991). Autonomic control of heartrate during exercise studied by heart rate variability spectral analysis. Journal of Applied Physiology, 71(3), 1136-1142.

Yang, C. M., Spieman, A. J. & Glovinsky, P. (2006). Nonpharmacologic strategies inthe management of nsomnia . The Psychiatric Clinics of North America, 29, 898.

Zhong X, Hilton H. J., Gates , et al. (2005). Increased sympathrtic and decreased parasympathetic cardiovascular modulation in normal humans with acute sleepdeprivation. J Appl Physiol, 98, 2024-2032.

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1. 謝善德(1992)。尿毒朋友您為失眠煩惱嗎﹖健康世界,11,91-93。
2. 蕭伃伶、劉淑娟(2004)。老年人的健康體適能。長期照護雜誌,8(3),300-310。
3. 謝文順(2002)。身體活動與睡眠品質的關係。中華體育,14(4),97-106。
4. 楊建銘(2000)。失眠的行為及心理治療。台灣醫學,4(6),694-703。
5. 陳濘宏、吳家碩(2008)。讓你睡好眠。臺北市:文經社。
6. 黃勝宏、林榮輝、黃崇儒、洪聰敏(2008)。心率變異度與焦慮之關係。中華體
7. 陳淑如、蔡月霞、羅映琪、蔡宜珊、鄭綺(2005)。心率變異度的簡介及護理上 的應用。新臺北護理期刊,7(1),1-11。
8. 郭正典、陳高揚(1997)。心率變異度及心肺功能失常。臨床醫學,39(5),
9. 徐欣億、李文志、何正峰、羅仁駿(2009)。二週不同強度訓練對代謝適能及自 律神經系統之影響。大專體育學刊,11(1),105-116。
10. 莊海華、陳昭源、林忠順(2009)。宿醉的症狀、機轉及處置。家庭醫學與基層 醫療,24(5),178-182。
11. 洪淑真 (2005)。機構老人白天睡眠行為之因素及其與睡眠品質之相關性探討。
12. 林嘉慶、黎俊彥(2008)。規律運動訓練對心率變異性之影響。中華體育季刊, 22(4),13-22。
13. 李宇宙 (2000)。身心疾病之睡眠障礙。台灣醫學,4(6),673-680。
14. 朱嘉華、方進隆(1997)。運動與睡眠品質之探討。中華體育11(2),98-108。
15. 朱嘉華、方進隆(1997)。國小教師運動習慣對睡眠品質影響之研究。體育學報, 26,217-224。