更年期婦女停經疲憊經驗、量表建構及其相關因素探討

目的：建立停經疲憊理論，建構本土量表，探討影響疲憊的相關因素。方法：以質量混合法，質性以紮根理論；量表以驗證性因素分析，單因子變異數及t檢定基本屬性與疲憊困擾之關係，多元逐步迴歸探討預測因子。結果：停經疲憊經驗為：感受「能量降低精疲力竭」，進入「蠟燭多頭燒」的生活，過程為「自覺缺乏效率」、「要與身體不舒適共存」、「不想出門」、「想睡又睡不著」。量表Cronbach's α .90，驗證性因素分析配適度可接受。疲憊持續時間、無運動、慢性病者疲憊程度高。預測因子為更年期症狀總分、疲憊持續時間、運動、慢性病等解釋度為75.3%。結論：蠟燭多頭燒是婦女疲憊的心聲，需主動關懷更年期婦女的停經疲憊，量表可作為篩檢更年期婦女健康之參考。

關鍵字

更年期婦女；停經疲憊；紮根理論；驗證性分析

並列摘要

Objective: To establish a descriptive theory of menopausal fatigue, this study aimed to develop a questionnaire, and explore the related factors that affect fatigue. Methods: The study was conducted by the triangulation method. The qualitative research was based on grounded theory. The confirmatory factor analysis of menopause fatigue scale was analyzed by items, and the difference between the basic attributes and the degree of fatigue and distress were determined by one-way ANOVA, t test and multiple stepwise regression analysis. Results: The reasons of the fatigue experiences were as follows: Women begin to feel that ＂their energy was reduced and felt exhausted＂, and then entered the stage that they were busy around family and self-treated exhaustion so that their lives were like ＂burning the candle at both ends＂. During this process, the following categories of interactive behaviors were shown: less efficiency, living with body discomforts, unwillingness to go outdoors, and unmet sleeping needs but difficulty to sleep. Cronbach's α of the scale is .90, and confirmatory factor analysis is acceptable. People with fatigue duration, irregular exercise, and chronic diseases have higher levels of fatigue. The predictive factors are the total score of menopausal symptoms, duration of fatigue, regular exercise, and chronic diseases. The explanation degree is 75.3%. Conclusions: ＂Burning the candle at both ends＂ is the symptom of the women's fatigue. It is necessary to actively take care of women with menopausal fatigue. The menopausal fatigue scale can be used as a reference for screening menopausal women's health.

並列關鍵字

perimenopausal women ； menopause fatigue ； grounded theory ； confirmatory factor analysis

參考文獻

李碧娥、林秋菊（2002）‧疲憊的概念分析‧長庚護理，13(4)，339-344。https://doi.org/10.6386/CGN.200212_13(4).0006

劉淑樺（2001）‧ 疲憊之概念分析‧護理雜誌，48(4)，73-77。https://doi.org/10.6224/JN.48.4.73

Chang, Y. C., Jou, H. J., Hsiao, M. C., & Tsao, L. I. (2010). Sleep quality, fatigue, and related factors among perimenopausal women in Taipei City. J Nurs Res, 18(4), 275-282. https://doi.org/10.1097/JNR.0b013e3181fc6471

Du, L., Xu, B., Huang, C., Zhu, L., & He, N. (2020). Menopausal Symptoms and Perimenopausal Healthcare-Seeking Behavior in Women Aged 40-60 Years: A Community-Based Cross-Sectional Survey in Shanghai, China. Int J Environ Res Public Health, 17(8), 2640. https://doi.org/10.3390/ijerph17082640

Estévez-López, F., Maestre-Cascales, C., Russell, D., Álvarez-Gallardo, I. C., Rodriguez-Ayllon, M., Hughes, C. M., Davison, G. W., Sañudo, B, McVeigh, J. G. (2020). Effectiveness of Exercise on Fatigue and Sleep Quality in Fibromyalgia: A Systematic Review and Meta-analysis of Randomized Trials. Arch Phys Med Rehabil. https://doi.org/10.1016/j.apmr.2020.06.019

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更年期婦女停經疲憊經驗、量表建構及其相關因素探討

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