異位性皮膚炎患童母親睡眠品質及生活品質之相關探討

Sleep Quality and Quality of Life Among Mothers of Children With Atopic Dermatitis

李秉儀(Ping-Yi Lee)

指導教授 ： 張碧真

臺北醫學大學/護理學院/護理學研究所/碩士(2008年)

摘要

異位性皮膚炎是兒童常見之慢性反覆發炎的疾病，主要引起患童抓癢及睡眠困擾，也影響患童母親的睡眠品質，主要照顧者的研究指出不良的睡眠品質會危害身心健康並影響照護能力，且疾病越嚴重，影響可能會越大。然而目前尚未有異位性皮膚炎患童母親的睡眠品質及生活品質之相關探討，因此引發研究之動機。
本研究採橫斷式描述相關性之研究設計，以方便取樣方式選取40位2-6歲異位性皮膚炎患童母親及40位以兒童年齡及性別配對的健康組母親。研究工具是以異位性皮膚炎嚴重度量表（SCORAD Index）評估患童疾病嚴重程度、中文版匹茲堡睡眠量表（CPSQI）評估母親之睡眠品質、生活品質評估量表（SF-36）測量母親生活品質，研究結果是以t檢定及皮爾森相關性檢定推論性統計之分析。
研究結果如下：（1）異位性皮膚炎患童母親在整體的睡眠品質顯著的比健康兒童母親較差；（2）異位性皮膚炎患童母親的整體心理構面及整體生理構面的生活品質顯著的低於健康兒童母親；（3）整體睡眠品質可以解釋24.1%之「整體生理構面」的生活品質，和患童疾病嚴重度一起共同解釋43.4%「整體生理構面」的生活品質；此外，整體睡眠品質可以解釋15.3%之「整體心理構面」的生活品質，和患童疾病嚴重度一起共同解釋32.2%之「整體心理構面」的生活品質。
本研究結果發現睡眠品質同時影響患童母親生理及心理健康相關之生活品質，而且患童母親的生活品質也受患童疾病嚴重度影響，因此建議藉由緩解患童的疾病和改善母親的睡眠品質可以進一步提升其生活品質。

關鍵字

異位性皮膚炎 ； 睡眠品質 ； 生活品質

並列摘要

Atopic dermatitis (AD) is a chronic inflammatory skin disease among children. It mainly lead to children itching and decrease sleep quality of these children. It also affects sleep quality and quality of life of their mothers, that may reduce their ability of caring for their children. Furthermore, as the severity of AD increases, the impact increases. However, none of the study has been focused on the relationship between quality of life and sleep quality of mothers of AD children. Thus, the aim of this study is to exam the relationship between sleep quality and quality of life among mothers.
The study is a cross-sectional descriptive correlational design. Convenient sampling was used to select 40 mothers of AD children and 40 mothers of healthy, age and gender matched children as control group. The severity of the disease was measured by Severity Scoring of Atopic Dermatitis Index (SCORAD). Furthermore, the sleep quality and quality of life were measured by Chinses version of Pittsburgh Sleep Quality Index (CPSQI) and Short Form-36 (SF-36) respectively. SPSS 13.0 was used to analyze data for the descriptive and inferential statistics.
Research results are the followings. First, the mothers with AD exhibits a poorer sleep quality、sleep latency、sleep duration、sleep efficiency, daytime dysfunction, and global sleep quality, compared to the mothers with healthy children. Second, the disease group of mothers also has a poor life quality in sub-scale levels and mental health components. Third, the global sleep quality explains 24.1% of effects on physical health components (PCS). The globe sleep quality and the disease severity of children can explain 43.4% of PCS. Moreover, the global sleep quality can explain 15.3% of mental health components in life quality (MCS).This score along with the disease severity can explain 32.2% of MCS.
In conclusion, sleep quality can have effect on both mental and physical health of the mothers with AD children. In addition, these quality of life is affected by children’s disease severity. Thus, in order to improve these mothers’ life quality, relieve the symptoms of the children and promote sleep quality of mothers are necessary.

並列關鍵字

Atopic Dermatitis ； Sleep Quality ； Quality of Life

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