老人睡眠品質與相關測量問題之探討

Measurement for Sleep Quality in the Elderly

劉引玉(Yin-Yu Liu) ； 周桂如(Kuei-Ru Chou) ； 謝佳容(Chia-Jung Hsieh)

《長期照護雜誌》 13卷2期 (2009/09) Pp. 231-242

https://doi.org/10.6317/LTC.200909_13(2).0009

摘要

老人的生理、心理或功能障礙會影響睡眠品質，過去文獻中對於老人睡眠品質與相關測量問題尚無完整的介紹。本文目的在讓醫療照護同仁更加瞭解老人睡眠品質測量工具的使用，並期待能運用於老人臨床睡眠品質評估及研究設計中。影響老人睡眠品質的因素，除老化因素外，可從長者基本屬性、生理和心理因素、生活型態、環境因素等方面分別加以探討之。文中分別介紹測量睡眠品質的主、客觀工具，在主觀測量工具方面，包括睡眠日誌、視覺類比量表、中文維辛哈式睡眠量表、中文版－愛潑沃斯思睡量表和匹茲堡睡眠品質量表；在客觀測量工具方面包含多頻道睡眠紀錄圖和睡眠活動紀錄器。本文藉由睡眠相關測量工具介紹，可助於評估、診斷、評值老人的睡眠型態，提供臨床實務處置及管理之方向。

關鍵字

老人 ； 睡眠品質 ； 工具

並列摘要

The physical, psychological and functional disorders common among the elderly may influence sleep quality. Previous literature has not comprehensively addressed methods for measuring sleep quality among elderly people. The purpose of this article is to introduce instruments for measuring sleep quality in elders that can be used by medical staff for assessing patients and to design research on the elderly. Apart from aging itself, factors related to quality of sleep in the elderly may include demographic data, physical and mental conditions, lifestyles, and surroundings. In this context, we present both objective and subjective tools for measuring sleep. Subjective measuring instruments include sleep diaries, visual analogue scales, the Verran and Snyder-Halpern sleep scales, the Epworth sleepiness scale and the Pittsburgh sleep quality index; objective measuring instruments include polysomnography and actigraphy. Wider familiarity with instruments for measuring sleep can help medical professionals assess and diagnose patients, evaluate the style of sleep, and provide direction for clinical intervention aimed at managing the quality of sleep in the elderly.

並列關鍵字

elderly ； quality of sleep ； instrument