運動介入對更年期婦女生理症狀及睡眠品質之影響

2005年6月 研 究 生：陳祈維
指導教授：方進隆
摘 要
本研究旨在探討運動介入對更年期婦女生理症狀及睡眠品質的影響，並瞭解更年期婦女生理症狀、睡眠品質之現況及關係。以34位年齡介於45至55歲（M＝49.91歲，SD＝3歲），正處自然停經（M＝49.83歲，SD＝2.56歲）階段之更年期婦女為研究對象。運動介入以每週三次每次50~60分鐘（暖身運動5-10分鐘、主要有氧運動30-40分鐘、緩和運動5-10分鐘）之中低強度（最大心跳數55﹪~75﹪）有氧運動課程，進行二十四週實驗，並於實驗前、後以匹茲堡睡眠品質量表、Greene 更年期症狀量表檢測，藉以評估有氧訓練對更年期婦女「生理症狀」與「睡眠品質」之效益。個案更年期生理症狀得分介於0-11分，平均為3.35±2.68分，睡眠品質得分介於0-13分，平均為5.44±2.71分，其中睡眠品質不佳者(PSQI>5)佔38.2%。將所得的資料，以t-檢定、單因子變異數分析、皮爾森積差相關等分析處理，顯著水準為α＝.05。研究結果得知：
一、不同停經階段之更年期婦女在「生理症狀」表現上呈顯著性差異（p<0.05），即停經後期之「生理症狀」困擾高於停經中期，停經中期高於停經前期；且停經後期生理症狀困擾顯著高於停經前期（p<0.05）。
二、更年期婦女之「生理症狀」及「身體症狀」分別與「主觀睡眠品質認知」、「睡眠困擾」，皆呈現顯著正相關（p<0.05）。
三、有氧運動介入對更年期婦女「身體症狀」有顯著改善效果（p<0.05）；且對「整體睡眠品質」、「主觀睡眠品質認知」、「睡眠潛伏期」、「睡眠時數」、「睡眠效率」、「睡眠困擾」、「白天功能障礙」等變項有顯著改善（p<0.05）。
二十四週有氧運動介入可改善更年期婦女生理症狀及睡眠品質。
關鍵詞：更年期婦女、睡眠品質、生理症狀、有氧訓練

Ⅳ

The Effect of Aerobic Training on the Physical Symptoms and
Sleep Quality of Climacteric Women
Master,s Thesis,2005 Chy-wei Chen
Advisor: Chin-lung Fang, Ph.D.

ABSTRACT
The purposes of this study were to investigate the effect of 24 weeks aerobic training on the physical symptoms and sleep quality of climacteric women, and to understand the situation and relationship between the physical symptoms and sleep quality. The subjects were 34 climacteric women of 45 to 55 years olds (M=49.91 years, SD=3 years) at the stages of natural menopause (M=49.83 years, SD=2.56 years). The exercise training contained 3 times a week, 50 to 60 minutes each session and lasted for 24 weeks. Each session was consisted of 5-10 minutes warming up, 30-40 minutes aerobic exercise, and 5-10 minutes cool down. The intensity of aerobic exercise was low to moderate, about 55-75% maximal heart rate. The Greene Climacteric Scale and Pittsburgh Sleep Quality Index were used to evaluate physical symptoms and sleep quality respectively before and after training program. The physical symptoms ranged from 0 to 11 points and the average was 3.35±2.68. The sleep quality ranged from 0 to 13 points and the average was 5.44±2.71 and 38.2% of them had bad sleep quality (PSQI>5). The collected data were analyzed by Independent t test, one-way ANOVA and Pearson’s product-moment correlation, the significant level was α =.05. The results of this study were as followed:
1.Different menopause stages of climacteric women had significant difference on the physical symptoms (P<.05). There were more disturbances of the physical symptoms during the post-menopause than that of the pre-menopause, and more disturbances during the peri-menopause than that of pre-menopause. Moreover, the physical symptoms of the post-menopause was significantly higher than that of the pre-menopause (P<.05).
2.The body symptoms and the physical symptoms of climacteric women had significant positive correlation with subjective recognition of sleep quality and sleep disturbances (P<.05).
3.The physical symptoms was significantly improved (P<.05) after 24 weeks of training. In addition, the whole sleep quality, the subjective recognition of sleep quality, the sleep incubation period, sleep hours, sleep efficiency, sleep disturbances and day function limitation were significantly improved (P<.05).
24 weeks of aerobic training had improved the physical symptoms and sleep quality of climacteric women.
Key words: climacteric women, sleep quality, physical symptoms, aerobic training.

Ⅴ

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