機構老人之睡眠品質及其相關因素

Quality of Sleep and Its Associated Factors in the Institutionalized Elderly

林嘉玲(Chia-Ling Lin) ； 蘇東平(Tung-ping Su) ； 張媚(Mei Chang)

《台灣醫學》 7卷2期 (2003/03) Pp. 174-184

https://doi.org/10.6320/FJM.2003.7(2).03

摘要

The purpose of this study was to investigate the sleep quality of elderly residents of institutes and the related influence factors. The retrospective and descriptive method was utilized in this study. Two hundred and five subjects were selected from the residents of residential care institutes in 4 public or private residential care institutes in Taipei by the systematic random sampling. All subjects must fit in following condition: (1) over 65 years old；(2)no delirium, dementia or psychosis；(3)speaking Mandarin or Taiwanese；(4)stay in institutes over six months. Using PSQI to measure sleep quality, Barthel index to measure activity of daily living (ADL), and CES-D to measure depression, the average PSQI global score of total subjects was 9.53±4.89. There were 63(30.7%) subjects in good sleep quality (PSQI≦5), while the other 142(69.3%) were in poor sleep quality (PSQI＞5). The most serious problem is the increasing sleep latency. There was 59% subjects dissatisfied in self-perceived quality of sleep, There was significant correlation among the number of chronic disease, the ADL, depression and sleep quality, and could explain 36.8% variation of sleep quality. This study show the subjects with defect of ADL, their odd ratio of poor quality of sleep is 2.35 times to the normal. The 10.11 times of subjects with the trend to depression compared with those didn't. The 4.14 times of subjects with chronic diseases ＞1 type compared with 0-1 type. The high-risk group of poor quality of sleep is the subject with defect of ADL、trend to depression and suffer from＞1 type chronic diseases. The results of this study show the depression is a very important predictor of sleep quality. The study finding can help health care personnel to identify suffer from poor sleep quality, in order to offer appropriate prevention and management, and improve the life quality of elderly residents of institutes.

關鍵字

機構老人 ； 睡眠品質

並列摘要

The purpose of this study was to investigate the sleep quality of elderly residents of institutes and the related influence factors. The retrospective and descriptive method was utilized in this study. Two hundred and five subjects were selected from the residents of residential care institutes in 4 public or private residential care institutes in Taipei by the systematic random sampling. All subjects must fit in following condition: (1) over 65 years old；(2)no delirium, dementia or psychosis；(3)speaking Mandarin or Taiwanese；(4)stay in institutes over six months. Using PSQI to measure sleep quality, Barthel index to measure activity of daily living (ADL), and CES-D to measure depression, the average PSQI global score of total subjects was 9.53±4.89. There were 63(30.7%) subjects in good sleep quality (PSQI≦5), while the other 142(69.3%) were in poor sleep quality (PSQI＞5). The most serious problem is the increasing sleep latency. There was 59% subjects dissatisfied in self-perceived quality of sleep, There was significant correlation among the number of chronic disease, the ADL, depression and sleep quality, and could explain 36.8% variation of sleep quality. This study show the subjects with defect of ADL, their odd ratio of poor quality of sleep is 2.35 times to the normal. The 10.11 times of subjects with the trend to depression compared with those didn't. The 4.14 times of subjects with chronic diseases ＞1 type compared with 0-1 type. The high-risk group of poor quality of sleep is the subject with defect of ADL、trend to depression and suffer from＞1 type chronic diseases. The results of this study show the depression is a very important predictor of sleep quality. The study finding can help health care personnel to identify suffer from poor sleep quality, in order to offer appropriate prevention and management, and improve the life quality of elderly residents of institutes.

並列關鍵字

sleep quality ； institutionalized elderly