- 學位論文
居家運動訓練指導改善癌症病患睡眠障礙與生活品質成效之探討
The Effect of Home Based Exercise Training Education on Sleep Disturbance and Qulity of Life in Cancer Patients
摘要
睡眠障礙已普遍成為癌症病患最明顯的症狀困擾之一，約有五成的癌症病患飽受睡眠障礙之苦，而睡眠品質不佳同時亦會影響病患的生活品質，所以，本研究主要目的為探討居家運動訓練對改善癌症病患睡眠障礙及生活品質之成效。本研究採類實驗法研究設計與前、後測收集資料，以方便取樣於二所區域以上教學醫院之腫瘤科門診選取符合條件之癌症病患，將病患依個人意願分配到實驗組及控制組，二組人數分別為36人與35人，共計71人。控制組病患只接受三次問卷之填寫，實驗組病患則給予居家運動訓練指導，並接受為期八週居家運動訓練之追蹤及填寫三次問卷。二組病患均於居家運動訓練前，填寫一次匹茲堡睡眠品質量表及SF-36生活品質量表，於第四週後及第八週後，二組病患均各自再填寫一次匹茲堡睡眠品質量表及SF-36生活品質量表，以評估病患之睡眠品質與生活品質之程度。收集之資料以描述性統計、獨立t檢定、配對t檢定、卡方檢定及相關等統計分析。結果發現： (1) 控制組病患在睡眠品質方面，於日間功能障礙 (t= 2.49, p=.02) 以及睡眠困擾 (t=2.17, p=.04) 達統計上顯著差異外，其他次概念均未達統計上之顯著差異。 (2) 實驗組病患在睡眠品質方面，於睡眠時數 (t=-10.19, p<.00)、睡眠效率 (t=4.55, p<.00)、睡眠潛伏 (t=5.24, p<.00)、日間功能障礙 (t=3.60, p<.00)、安眠藥物使用 (t=4.45, p<.00)、個人主觀睡眠品質 (t=7.17, p<.00)、以及睡眠品質總分 (t=9.84, p<.00)等，均達統計上之顯著差異。 (3) 控制組病患在生活品質方面，各次概念均未達統計上之顯著差異。 (4) 實驗組病患在生活品質方面，於一般健康 (t=2.42, p=.02)、精力 (t=-3.07, p<.00)、社會功能 (t=-2.35, p=.03)、情緒功能對角色扮演之限制 (t=-3.00, p<.00)、生活品質總分 (t= 2.69, p<.01) 以及心理功能層面 (t= -3.97, p<.00) 等， 均達統計上之顯著差異。
並列摘要
Sleep disturbance is one of the significant symptom disturbance of cancer patients. About 50% cancer patients are suffering from sleep disturbance, and poor sleep quality also effect quality of life, so, the purpose of this study was to explore the effect of home base exercise training education on sleep disturbance and quality of life in cancer patients. A pre-post test quasi-experimental design was used in this study. A convenience sample from oncology out patient department in two local teaching hospitals was recruited. Patients were assigned to control group, experimental group by themselves. There were 36 participants in the experimental group, and 35 participants in the control group, total 71 participants in this study. The experimental group received home based exercise training education, and the control group were not. The two group’s participants were received 3 times questionnaire, include PSQI & SF-36 on pre-test、4th week ＆8th week , to measure patient’s sleeping and life quality. Collected information includes descriptive statistics, independent t-test, paired t-test, x2-test and associated statistical analysis. The result revealed (1) Sleeping quality among patients in controlled group had statistical significance in daytime dysfunction (t=2.49, p=.02) and sleep disturbance (t=2.17, p=.04) ; otherwise was not statistically significant. (2) sleeping quality among patients in experimental group had statistical significance in daytime dysfunction in sleep duration (t=-10.19, p<.01) , sleep efficiency (t= 4.55, p<.01) , sleep latency (t= 5.24, p<.01), daytime dysfunction (t= 3.60, p<.01) , and sleep quality (t= 9.84, p<.01). (3) life quality among patients in controlled group was not statistically significant. (4) life quality among patients in experimental group had statistically significant in general health (t= 2.42, p=.02), vitality (t=-3.07, p=<.01), social function (t=-2.35, p=.03), role-emotional function, role-functioning restriction (t=-3.00, p<.01), and summary of life quality (t=2.69, p<.01) and mental component (t=-3.97, p<.01)﹒