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  • 學位論文

重鬱症患者睡眠品質及其影響因素之模式建構

The development of sleep quality and its related factors in patients with major depression disorder

指導教授 : 鍾明惠
共同指導教授 : 周桂如(Kuei-ru Chou)
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摘要


本研究主要的目的為了解住院中重鬱症個案其主觀、客觀睡眠品質及睡眠衛生實行之狀況,並探討個案其憂鬱嚴重度、睡眠衛生實行與主客觀睡眠品質之相關性。本研究採橫斷性描述相關性研究,研究對象為台北市及縣區域醫院精神科住院重鬱症個案,研究工具採用漢氏憂鬱量表、睡眠衛生實行量表、匹茲堡睡眠品質量表、睡眠日誌、活動記錄腕錶、多項睡眠記錄器,共30個個案,將所收集的資料進行描述性及推論性統計分析。 研究結果發現:一、100%住院重鬱症個案其主觀睡眠品質差。二、客觀睡眠方面,總睡眠時數平均為412.35分,入睡後醒來時間平均為34.17分,平均睡眠效率為84.53 %,平均快速動眼期(Rapid eye movement, REM)次數為2.5 次,平均 REM睡眠潛伏期為203.68分。三、住院重鬱症個案其睡眠衛生與主、客觀睡眠無統計上的顯著相關。四、住院重鬱症個案其憂鬱程度與主觀睡眠品質得分上達顯著相關(r=0.388, P<0.05)。五、住院重鬱症個案其憂鬱程度與客觀睡眠品質得分,「REM睡眠比率」(r=-0.515, P<0.01)、「階段四睡眠比率」(r=-0.373, P<0.05)上達顯著相關(r=0.388, P<0.05)。六、住院重鬱症個案其主觀睡眠品質與客觀睡眠品質無統計上的顯著相關本研究顯示憂鬱症狀與主、客觀睡眠具有相關性,建議護理人員在面對憂鬱症個案,應將心理健康評估及睡眠衛生觀念列為重鬱症照護及評估重點。

關鍵字

重鬱症 睡眠品質

並列摘要


The purpose of the study was conducted to investigate the relationship between subjective sleeping quality, objective sleep quality, sleep hygiene practices and depression level of the patients with major depressive disorderin hospital. The study was a cross-sectional description of correlation study. A total of 30 depression inpatients diagnosed by psychiatrists at three local hospitals in Taipei city and County were included. The Hamilton Depression Rating(HAM-D)sleep hygiene practice scale(SHPS), the Pittsburgh Sleep Quality Index(PSQI), sleep diary, Actigraphy and Polysomnography (PSG) were used to investigate. Descriptive and inferential statistical analyses were used for data analysis. The findings are as follows:1. All the patients had the bad subjective sleep quality. 2. In the objective sleep quality, the average total sleep time was 412.35 minutes, the average wake time during sleep period was 34.17 minutes, the average sleep efficiency was 84.53 %, the average number of REM awakenings was 2.5 times and the average sleep latency to first occurrence of REM 203.68 minutes. 3. The sleep hygiene practice scale had no correlation with subjective and objective sleep quality. 4. There was significance correlation for depression and the subjective sleep quality.(r=0.388, P<0.05)5. There was significance correlation for depression and the objective sleep quality in the time in REM and as a % of total sleep time (r=-0.373, P<0.05) and the time in S4 and as a % of total sleep time(r=0.388, P<0.05). 6. There was no significance correlation for the subjective sleep quality and objective sleep quality. The results show significantly relationships between depression syndrome, subjective and objective sleep quality. In the major depression care and assessment, we suggest the nurse should put the mental health assessment and the concept of sleep hygiene as the priorities.

參考文獻


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