社區中老年原住民新陳代謝症候群、 睡眠障礙、憂鬱傾向之盛行率及其間之相關性探討

Prevalence and Correlates Associated with Metabolic Syndrome, Sleep Disturbance and Depression among Community-Dwelling Adult Aborigines

陳奕如(Yi-Ju Chen)

指導教授 ： 楊美賞

高雄醫學大學/護理學院/護理學系研究所/碩士(2009年)

https://doi.org/10.6832/KMU.2009.00101

摘要

新陳代謝症候群(Metabolic syndrome)已被證實為形成心血管疾
病及第二型糖尿病的重要危險因子，而睡眠是人類所不可避免的生理活動，不良的睡眠品質會降低生活品質，導致精神疾病及增加罹病率和死亡率，憂鬱則是社區成人常見的心理健康問題，更是老人自殺常見的危險因子，這三大身心疾病已成為公共衛生必須重視的健康問題。本研究為橫斷性相關性設計，採立意取樣，樣本取自某山地鄉衛生所參與98年度成人健康檢查者，共收案558人，男性191人，女性367人，採結構式問卷收集資料，問卷內容包括：社會人口學屬性、家庭關懷度指數量表、匹茲堡睡眠品質量表及台灣人憂鬱量表等評估工具，所得資料以統計軟體 JMP 6.0版進行描述性及推論性統計分析。研究結果：新陳代謝症候群盛行率為30.6 % (計171人)，睡眠障礙盛行率為35.3 % (計197人)，憂鬱傾向盛行率為15.4 % (計86人)。女性和有嚼食檳榔者為新陳代謝症候群的顯著危險因子；教育程度在國中(或)、以上者、近半年內生活有重大壓力事件經驗者、有憂鬱傾向及有嚼食檳榔之生活嗜好者為睡眠障礙的顯著危險因子；而國中(或)以上教育程度者、無同住者、近半年有生活重大壓力事件、有睡眠障礙和有嚼食檳榔者則為憂鬱傾向的顯著危險因子。新陳代謝症候群與睡眠障礙以及新陳代謝症候群與憂鬱傾向之相關性未達統計顯著性意義，而睡眠障礙與憂鬱傾向則互為顯著危險因素。本研究結果，日後可作為公衛護士在社區推行慢性病防治及心理健康促進之衛生保健工作依據。

關鍵字

新陳代謝症候群 ； 睡眠障礙 ； 憂鬱傾向

並列摘要

Metabolic syndrome has been confirmed to increase the risk of developing cardiovascular diseases and Type II diabetes mellitus. Sleep is vital to life, and poor sleep quality may lead to lower quality of life, cause mental disorders, and induce morbidity and mortality. Depression, which is a common mental problem among community-dwelling adults, has
become a critical risk factor for elderly suicide. These three major psychosomatic diseases have been considered as serious public health problems that must be paid great attention to. The study conducted a cross-sectional correlational design and adopted a purposive sampling to recruit subjects who had undergone the adult health examination in 2009 from a health center in aboriginal areas.Total 558 subjects (191 males and 367 females) were enrolled in the study.Structured questionnaires including demographic data sheet, the Chinese version of the Family APGAR Index, Pittsburgh sleep quality Index (PSQI), and Taiwanese depression questionnaire (TDQ) were utilized to
collect data. Descriptive statistics and inferential statistics were derived by applying statistical analysis software JMP version 6.0. Results indicated: (1) the prevalence of metabolic syndrome was 30.6% (n=171),
sleep disturbance, 35.3% (n=197), and depression, 15.4% (n=86); (2)females and betel nut chewing were significant risk factors for metabolic syndrome; junior high school educated or above, having experienced critical incident stress in recent six months, depression, and betel nut
chewing were significant risk factors for sleep disturbance; the junior high school educated or above, living alone, having experienced critical incident stress in recent six months, sleep disturbance, and betel nut
chewing were significant risk factors for depression; (3) statistical significance existed neither in the correlates between metabolic syndrome and sleep disturbance, nor in those between metabolic syndrome and depression. However, sleep disturbance was a significant risk factor for
depression, and vice versa. This research could be used for future reference for public health nursing staff in implementing community-based health care services such
as chronic disease prevention as well as mental health promotion.

並列關鍵字

Metabolic syndrome ； Sleep disturbance ； Depression

參考文獻

行政院衛生署統計資料(2009)•97年死因統計結果分析•98年6月24日，取自http://www.doh.gov.tw/CHT2006/DisplayStatisticFile

行政院衛生署國民健康局高血脂防治手冊(2004)•高血脂防治手冊•冠狀動脈疾病與腦血管疾病致病因子之分析，97年6月1日，取自http://www.bhp.doh.gov.tw/health91/1-5-4-02.pdf

行政院衛生署統計資料(2009)•96年原住民十大死因分析•98年7月17日，取自http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx? now_fod_list_no=10188&class_no=440&level_no=3

行政院衛生署國民健康局•台灣地區高血糖、高血脂、高血壓盛行率調查•97年3月29日，取自http://www.bhp.doh.gov.tw/BHPnet/Portal/

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