探討自覺壓力對便祕與睡眠品質的影響

研究目的：本研究之目的在於探討自覺壓力對於便祕與睡眠品質的影響，並了解三者之相關性。材料與方法：研究採橫斷式研究設計，以臺中市某科技大學學生為母體，抽樣方法採用配額便利抽樣來選取研究樣本，研究工具採用結構式問卷施測，問卷內容包含人口學資料、便祕量表、壓力評估量表與匹茲堡睡眠品質量表，有效回收樣本數為514份。研究結果：受訪樣本以女性居多（佔60.7％），受訪者中約有1％有便祕問題，超過1／2受訪者感覺其睡眠品質不佳（佔52.7％），74.9％受訪者自覺無明顯壓力。另在研究模型分析上，便祕狀態對於睡眠品質或自覺壓力的預測力，各為27.1％與22.1％均達顯著之水準（p＜.05）。另外，便祕狀態與自覺壓力兩者對於睡眠品質有顯著之正向影響。這表示便祕狀態或自覺壓力越高的受訪者，其睡眠品質越差。研究結論：研究結果顯示，不同便祕狀態對睡眠品質有顯著之差異性與相關性。同時，自覺壓力對便祕程度與睡眠品質皆有顯著之干擾，即自覺壓力對便祕與睡眠品質具有顯著調節作用。研究建議：便祕程度或自覺壓力越高者，其睡眠品質越差。研究建議受訪者應重視個體之生理健康狀態、睡眠程度及情緒壓力問題，對於高危險族群則應進行長期追蹤，協助其均衡飲食、規律排便、適足睡眠與良好情緒管理。

關鍵字

自覺壓力；便祕；睡眠品質；匹茲堡睡眠品質量表

並列摘要

Purpose: This study aimed to analyze the effect of perceived stress (PS) on constipation and sleep quality (SQ), and to know the relationship among them. Methods: This study used a cross-design study, and used samples who were students in a science-technology university in Taichung to be as a studying population. Using a quota convenient sampling for selection of samples. The questionnaire used a structure question for surveying the demography data, Constipation Scoring System (CSS) and Depression Anxiety and Stress Scales (DASS), and Pittsburgh Sleep Quality Index (PSQI). The received questionnaire was 514 cases. Results: In this study, the enrolled cases, the female was the most part (60.7%), and 1% of cases had the situation of constipation, more than 50% of participants felt SQ was not good (52.7%), and 74.9% of participants felt without PS. In the analysis of the inferred model, constipation existed a significant prediction (p＜ 0.05) on PS and SQ, there were 27.1% and 22.1%, respectively. In addition, constipation and PS both they existed a significant positive effect on SQ, which means if the score of CSS and DASS is higher, then sleep quality is worse. Conclusions: Based on our results, different levels of constipation there existed a significant difference and relationship on SQ. Meanwhile, PS is related to the constipation level and SQ significantly. Therefore, PS existed a regulating effect on constipation and SQ. Suggestions: more score of constipation or PS, it means a bad SQ. Therefore, we suggest people who need to care the physical health, SQ, and emotional pressure, if you are a high-risk case in these three syndromes, a long-term monitor, a balanced diet, a regulation defecation, a good sleep, and a good emotion management are necessary.