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研究生: 鄧錦榮
論文名稱: 松年大學老人身體活動與睡眠品質之研究
A Study of the Physical Activity and Sleep Quality in Senior Community College
指導教授: 方進隆
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2003
畢業學年度: 91
語文別: 中文
論文頁數: 81
中文關鍵詞: 松年大學老人睡眠品質身體活動
英文關鍵詞: Senior Community College elders, Sleep quality, Physical activity
論文種類: 學術論文
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  • 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.

    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

    中文部分:
    1. 內政部統計處:中華民國八十九年老人狀況調查報告。內政部,民89。
    2. 行政院主計處:中華民國八十三年台灣地區國民休閒生活調查報告。行政院,民84。
    3. 行政院衛生署:民國八十五年台灣地區中老年保健與生涯規劃調查報告。行政院衛生署家庭計劃研究所,民88。
    4. 朱嘉華。(民88)。國小教師身體活動與睡眠品質之相關研究。國立台灣師範大學體育學研究所碩士論文,台北市:台灣。
    5. 何瑞麟、何邦立。﹙民77﹚。睡眠與睡眠醫學簡介。中華民國航空醫學會會刊,2。67-72
    6. 李宇宙。(民89)。睡眠醫學。台北:健康世界雜誌社。
    7. 林嘉玲。(民89) 。自費安養機構老人睡眠品質及其相關因素之探討。國立台灣大學醫學院護理學研究所碩士論文,台北市:台灣。
    8. 林志堅。﹙民88﹚。http://www.3.vghtc.gov.tw:8082/psy/forum/edu.sleepdisorder.htm.
    9. 吳佳儀。(民91) 。社區老人睡眠品質與身體活動憂鬱之相關性探討。國立台灣大學醫學院護理學研究所碩士論文,台北市:台灣。
    10. 柏黛兒。(民81)。睡眠管理手冊。台北:台灣。
    11. 夏一新、何瑞麟。﹙民82﹚。老人的睡眠障(上)。醫學繼續教育,3(2),260-267。
    12. 陸圴玲。(民88)。健康促進觀點之運動生活品質研究。國立台灣大學公共衛生學院衛生政策與管理研究所博士論文,台北:台灣。
    13. 莊淑芹。﹙民86﹚。怎樣睡最健康。台北市:紅螞蟻圖書有限公司。
    14. 陳美妃。﹙民83﹚。老人婦女會睡眠品質及其相關因素探討。高雄醫學院護理學研究所碩士論文,高雄:台灣。
    15. 陳揚燕。﹙民85﹚。大學新生睡眠品質與飲食因子之關係探討。國防醫學院公共衛生研究所碩士論文,台北市:台灣。
    16. 張芳杰。(民81)。牛津高級英英、英漢雙解辭典。台北:東華。
    17. 張春興。(民81)。現代心理學。台北市:東華書局。
    18. 曾齡慧。(民90)。社區老人睡眠品質、失眠類型與求助方式之探討-以台北市基督長老教會松年大學為例。國立台灣師範大學衛生教育研究所碩士論文,台北:台灣。
    19. 葉宏明。(民85)。自然好眠-滿足恬靜睡眠的完全身心計劃。台北:智庫。
    20. 新聞發報。(1999)。http://www.cuhk.edu.hk/ipro/990528c.htm.
    21. 鄒秀菊。(民83)。敬老院老人睡眠品質與健康狀況之探討。國防醫學院護理學研究所碩士論文,台北市:台灣。
    22. 趙建國、林玉財。﹙民85﹚。基層醫療常見之睡眠障礙。國防醫學,23(6),527-539。
    23. 鄭泰安。(民81)。失眠的原因與治療。心身醫學雜誌,3(1),7-13。
    24. 蔡政楒。﹙民89﹚。睡眠圖譜。台北:合記
    25. 蔡宇哲。(民90)。主觀入睡起始的腦波特徵。未出版的碩士論文,國立中正大學心理學研究所碩士論文。嘉義:台灣。
    26. 戴玉慈、陳美津、陳惠姿等。(民87)老人護理學(初版)。台北:空大。
    27. 顏哲傑、林瑞雄。(民79)。台北市北投區中老年人健康危險因素之調查研究,公共衛生,17(2),159-170。

    英文部分
    Adam, K.(1987).Total and percentage REM sleep correlate with body weight in 36 middle-aged people.Sleep,10,69-77.

    Alessi,C.A.,Schnelle,J.F.,MacRae,P.G.,Ouslander,J.G.,AI-Samarrai,N.,Simmons,S.F.,& Traub, S.(1995).Does physical activity improve sleep in impaired nursing home residents. Journal of the American Geriatrics Society, 43,1098-1102.

    Allison, M. J., Keller, C., & Hutchinson, P. L. (1998).Selection of an instrument to measure the physical activity of elderly people in rural areas. Rehabilitation Nursing, 23 (6), 309-14.

    American College of Sports Medicine.(1998). ACSM Fitness Book (2nd ed.). Champaign,IL : Human Kinetics. Asplund, R. (1995). Sleep and hypnotics among the elderly in relation to body weight and somatic disease. Journal of Internal Medicine, 238, 65-70.

    Asplund, R. (1994). Sleep and cardiac diseases among elderly people. Journal of internal Medicine, 236(1), 65-71.

    Astrand, P. (1992). Physical activity and fitness. American Journal of Clinical Nutrition,55,1231S-6S.

    Bliwise, D. L. (1992). Factors related to sleep quality in healthy women. Psychology and Aging, 7(1), 83-88.

    Bliwise, D. L., (1993) Sleep in normal aging and dementia. Sleep, 16(1) 40-81.

    Buysse, D. J., ReynoldIII, C. F., Monk, T. H., Hock, C. C, Yerger, A. L., & Kupfer, D.J.(1991).Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburg sleep quality Index. Sleep, 14(4), 331-338

    Buysse, D. J., Renolds III, C. F., Monk, T. H., Berman, S. U., & Kupfer, D. J. (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28, 193-213.

    Caspersen C. J., Powell, K. E., Christenson, G. M.(1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public health reports, 100, 126-131.

    Chambers, M. J. (1991). Exercise: a prescription for a good night's sleep?The Physician and Sportsmedicine, 19(8), 106-116.

    Driver, .H. S., Meintjes, A. F., Rogers, G. G., & Shapiro, C. M. (1998).Submaximal exercise effects on sleep patterns in young women before and after an aerobic programme. Acta Physiologica Scandinavica, 133, suppl, 574, 8-13.

    Edinger, J. D., Morey, M. C., Sullivan, R. J., Higginbotham, M. B., Marsh, G. R., Dailey, D. S., & McCall, W. A. (1993). Aerobic fitness, acute exercise and sleep in older men. Sleep,16 (4), 351-359.

    Falger, P., Schouten, E., Appels, A. (1998). Sleep Complaints, behavioral characteristics and vital exhaustion in myocardial infarction cases. Psychology and Health,2, 231-258.

    Feinberg, I., Koresko, R. L., &Heller, N. (1967). EEG sleep patterns as a function of normal and pathological aging in man. Journal of Psychiatry Research, 5, 107-44.

    Fletcher, C. S., Creti, L., Amsel, R., Brender. W., Weinstein, N., & Libman, E. (1995). Poor sleepers who do not complain of insomnia:Myths and realities about psychological and lifestyles characteristics of older good and poor sleepers. Journal of behavioral medicine, 18(2), 189-223.

    Ford, D. E., & Kamerow,D. B. (1989). Epidemiological study of sleep disturbances and psychiatric disorders. JAMA,262(11), 1479-1484.

    Gislason, T., Reynisdottir, H., Kristbjarnarson, H., & Benediktsdottir, B. (1993). Sleep habits and sleep disturbance smong the elderly: an epidemiological survey. Journal of Internal Medicine, 234(1), 31-39.

    Gordon, N. F., Kohl, H., & Blair, S. N. (1993). Life style exercise: A new strategy to promote physical activity for adults. Journal of Cardiopulmonary Rehabilitation, 13, 161-3.

    Grayson, D., Creasey, H., Waite, L., & Broe, G.A.(2000). Long-term benzodiazepine use by elderly people living in the community. Australian and New Zealand Journal of Public Health, 24(1),7-10.

    Guyton, A. C. (1986). Texbook of medical physiology.(7thed) (pp670). Philadephia : W.B.Sauders.

    Hajak, G.(2000). Insomnia in primary care. Sleep, 23, Suppl.3, S54-63.

    Hasan, J., Urponen, H., Vuori, I., Partinen, M.(1988). Exercise habits and sleep in a middle-aged Finnish population Acta Physiological Scandinavian, 133, suppl.574,34-35.

    Hayter, J. (1985). To nap or not to nap. Geriatric Nursing, 5(2), 104-106.

    Jacobs, D. R., Ainsworth, B. E., Hartman, T. J., Leon, A. S. (1993) A simultaneous evaluation of 10 commonly used physical activity questionnaires. Medicine and Science in Sports and Exercise, 25,81-91.

    Kearnes, S. (1989). Insomnia in the elderly. Nursing Time. 85(47), 32-33

    Kales, J. D., Kales, A., Bixler, E. O., Soldatos, C. R., et al.(1984). Biopsychobehavioral correlates of insomnia, V: clinical characteristics and behavioral correlates. American Journal of Psychiatry, 141(11), 1371-5.

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

    Kubitz, K. A., Landers, D. M., Petruzzello, S. J., & Han, M. (1996) The effects of acute and chronic exercise on sleep. Sports Medicine, 21(4), 277-291.

    Lacks, P.(1987).Behavioral treatment for persistent insomnia. Oxford: Pergamon Press.

    Libert, J. P., Bach, V., Johnson, L.C., Ehrhart, J., Wittersheim, G., & Keller, D.(1991). Relative and combined effects of heat and noise exposure on sleep in humans.Sleep,14(1),24-31.

    Maggi, S., Langlois, J. A., Minicuci, N., Grigoletto, F., Pavan, M.,Foley, D .J., & Enzi G.(1998). Sleep complaints in community-dwelling older persons : prevalence, associated factors, and reported causes. Journal of the American Geriatrics Society, 46(2), 161-8.

    Marcus, B., Goldstein, M., Jette, A., Simkin-Silverman, L., Pinto, B., Milan, F., & Washburm, R. et al.(1997). Training physicians to conduct physical activity counseling. Preventive Medicine, 26, 382-388.

    Mellinger, G. D., Balter, M. B., & Uhlenhuth, E. H. (1985) Insomnia and its treatment: prevalence and correlates. Archives of general psychiatry, 42(3), 225-232.

    Middelkoop, H. A., Smilde-van den Doel, D. A., Neven, A. K., Kamphuisen, H. A., & Springer, C. P. (1996) Subjective sleep characteristics of 1,485 males and females aged 50-93:effects of sex and age, and factors related to self-evaluated quality of sleep. Journal of Gerontology Series A- Biological Sciences & Medical Sciences, 51(3), M108-M115.

    Montoye, H. J., Kemper, H. C. G., Saris, W. H. M., & Washburn, R. A. (1996). Chap6 : Questionnaires and interviews, in Montoye, H. J., Kemper, H. C. G.,. Saris, W. H. M., Washburn, R. A. (Eds.), Measuring physical activity and energy expenditure. (pp42-71), Champaign, IL : Human Kinetics.

    O'connor, P. J., & Youngstedt, S. D. (1995). Influence of exercise on human sleep. Exercise and Sport Sciences Reviews, 23,105-34.

    Ohayon, M. (1996) Epidemiological study on insomnia in the general population. Sleep, 19(3), S7-15.

    Partinen, M., Purkonen, P. T., Kaprio, J., Koskenvuo, M., & Hilakivi, I. (1982). Sleep disorders in relation to coronary heart disease. Acta Medica Scandinavica, 660, Supple, 69-83.

    Petrella, R. J., & Bartha, C. (2000). Hone-based exercise therapy for older patients with knee osteoarthritis : a randomized clinical trial. Journal of Rheumatlolgy, 27(9), 2215-21.

    Phillips, B., Berry, D., Schmitt, F., Patel, R., & Cook, Y. (1989). Sleep quality and pulmonary function in the elderly. Chest, 95(1), 60-64.

    Phillips, B. A., &Danner, F. J. (1995). Cigarette smoking and sleep disturbance. Archieve of International Medicine, 155(7), 734-737.

    Polit, D. F., & Hungler, B. P. (1995). Nursing Research Principles and methods (Eds.) .Philadelphia:Lippincott company.

    Reynolds III, C. F., Small, G. W., Stein, E. M., & Teri, L. (1994). When depression strikes the elderly patient. Patient Care, 28, 85-102.

    Sallis, . J., F.,. H askell, W. L., Wood,. P. D., Fortmann, S. P., Rogers, T., Blair, S. N., & Paffenbarger, R. S. (9185) Physical activity assessment methodology in five -city project. American Journal of Epidemiology, 121, 91-106.

    Schechtman, K. B., Kutner, N. G., Wallace, R. B., Buchner, D. M. & Ory, M. G. (1997). Gender, self-reported depressive symptoms, and sleep disturbance among older community-dwelling persons. FICSIT group. Frailty and Injuries : Cooperative Studies of Intervention Techniques. Journal of Psychosomatic Research, 43(5), 513-27.

    Schuit, A., Schouten, E., Westerterp, K., & Saris, W. (1997). Validity of the Physical Activity Scale for the Elderly (PASE): according to energy expenditure assessed by the doubly labeled water method. Journal of clinical Epidemiology,50(5),541-546.

    Scully, D., Kremer, J., Meade, M. M., Graham, R., & Dudgeon, K. (1998). Physical exercise and psychological well-being: a critical review. British Journal of Sports Medicine, 32(2), 111-120.

    Singh, N. A., Clements, K. M., & Fiatarone, M. A. (1997). Sleep, sleep deprivation, and daytime activities. A randomized controlled trial of the effect of exercise on sleep. Sleep,20(2),95-101.

    Stephen, J. S., & Topp, R. (1990). Effects of moderate and low intensity long-term exercise by older adults. Research in Nursing Health,13,209-18.

    Taylor, C, B., Coffey, T., Berra, K., Laffaldano ,R., Casey, K., & Haskell, W. L. (1984). Seven-day activity and self-report compared to a direct measure of physical activity.American Journal of Epidemiology,120,818-824.

    Thomas, C. L.(1989). Taber's cyclopedic medical dictionary. (6th ed.) Philadephia : F. A. Davis Co..

    Torsvall, L. (1981). Sleep after exercise: a literature review. Journal of Sports Medicine and Physical Fitness, 21(6), 218-225.

    Vignola, A., Lamoureux, C., Bastien, C.H., Morin, C.M.(2000). Effects of chronic insomnia and use of benzodiazepines on daytime performance in older adults. Journals of Gerontology Series B-Psychological Sciences & Social Sciences, 55B(1), 54-62.

    Vitiello, M. V., Prinz, P. N., & Schwartz, R. S. (1985). Slow wave sleep but not overall sleep quality of healthy older men and women is improved by increased aerobic fitness. Sleep Research.

    Vuori, I., Uropenen, H., Hasan, I., & Partinen, M.(1988). Epidemiology of exercise effects on sleep. Acta Physiologica. Scandinavica,133, Suppl 574,,3-7.

    Washburn, R. A., & Ficker, J. L., (1999). Physical Activity Scale for the Elderly (PASE): the relationship with activity measured by a portable accelerometer. Journal of Sports & Physical Fitness,39(4),336-340.

    Washburn, R. A., Smigh, K. W., Jette, A. M., & Janney, C. A., (1993). Physical The Activity Scale for the Elderly (PASE):Development and evaluation. Journal of Clinical Epidemiology, 46(2), 153-162.

    Youngstedt, S. D., O'Connor, P. J., & Dishman, P. K.(1997). The effects of acute exercise on sleep : a quantitative synthesis. Sleep,20(3),203-214.

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