研究旨在探討癌症住院病人的疼痛、生物節律和睡眠障礙之關係。採立意取樣方式,以橫斷性研究法針對某治癌中心醫院進行為期一年三個月收案期,共收集 68 位住院癌症疼痛病人。使用人口學調查表、簡明疼痛量表、匹茲堡睡眠品質指標量表來瞭解研究對象之基本屬性、疼痛程度和睡眠品質指標。並以活動記錄器(actigraphy)記錄病患連續三天的睡眠及活動量。收集資料以描述性統計、皮爾森積差相關分析、多元迴歸及階層迴歸等方法進行處理。研究所得重要結果如下:病人最劇烈疼痛平均得分為5.47 (SD=2.70)(量表計分範圍為1-10)。病人之匹茲堡睡眠品質指標量表總和平均得分為11.19分(SD=4.05)(量表計分範圍為0-21)。生物節律r24指標平均為 .19(SD=0.16);生物節律 I
In this thesis, we explore the relationships among pain, sleep disturbance, and circadian rhythm of cancer inpatients. Sixty-eight cancer inpatients were recruited during a time span of 15 months. Study participants completed the Demographic form, Pittsburgh Sleep Quality Index (PSQI), and Brief Pain Inventory (BPI-C). Wrist actigraphy worn for 3 consecutive days, were used to measure the patient’s activity, sleep quality, and circadian rhythms. Data were analyzed using descriptive statistics, pearson’s correlation, multiple regression and hierarchical regression.
The major findings of this study were as follows: Pain severity scores ranged from 1 to 10. The mean score of pain severity was 5.47 ± 2.70 for worst pain, Mean Global sleep Quality score was 11.19 ± 4.05. The mean values of the autocorrelation coefficient (r24) was .19 ± 0.16, and the mean values of the dichotomy index (I