老年婦女睡眠品質及其相關因素

Quality of Sleep and Its Related Factors Among Elderly Women

陳美妃(M. F. Chen) ； 王秀紅(H. H. Wang)

《護理研究》 3卷4期 (1995/12) Pp. 323-334

https://doi.org/10.7081/NR.199512.0323

摘要

本研究在於探討老年婦女的睡眠品質及影響睡眠品質的重要因素。研究對象爲200位社區中年滿六十五歲以上老年婦女，平均年齡爲74.44±6.11歲。研究方法採面對面問卷訪談法，研究工具之內容包括筱人基本資料、睡眠品質、睡眠現況、睡眠環境、生活事件等。本研究是由專家對研究工具的內容做效度鑑定，信度採重測信度及訪員間一致性，再測信度之百分比由73.3%至100%，訪員間一致性爲98%。
由複迴歸公式中發現，年齡、自覺身體疾病總數、運動總數、睡眠環境、生活事件、夜裡醒來次數及總睡眠時數等七個變項對受訪老年婦女的睡眠品質最具影響力，可預測睡眠品質的總變異量爲50.8%。基於研究發現，提出對護理實務、教育及研究等方面的建議，以期早期發現老年婦女睡眠問題，提供適當護理措施，進而提高其睡眠品質。

關鍵字

老年婦女 ； 睡眠品質 ； 睡眠型態

並列摘要

The purpose of this study was to explore the elderly women’s quality of sleep and related factors. A total of 200 elderly women over 65 years of age were selected to be the sample in the community. The mean of their age is 74.44±6.11. On the completion of questionnairs face-to-face interviews were conducted in the subjects’home. The research instruments included the Demographic Inventory, Quality of Sleep, Sleep Condition, Sleep Routine, Environment of Sleep, and Life Event. The instruments were evaluated by experts to measure the content validity. Test-retest stability and inter-rater consistency were used to measure the reliability of the instruments.
The test-retest reliability ranged from 73.3% to 100%. The inter-rater reliability was 98%.
Stepwise multiple regressions were used to identify the predictors of the quality of sleep. The age, self-preceived disease, exercise, environment of sleep, life event, times of waking up during night and total sleep time were the most powerful predictors. Together they explained 50.8% of the variance in the quality of sleep. Based on the research, the nursing implications in practice, education and research were discussed. Pin pointing the sleep problems early and providing the appropriate nursing interventions will futher promote the quality of sleep of the elderly women.

並列關鍵字

elderly women ； quality of sleep ； sleep pattern