本研究主要在於探討大學生之生活型態與排便習慣的相關性。研究對象為台中縣某私立大學的大一學生,以主觀自評問卷方式進行調查。問卷內容包括有基本資料、排便狀況、生活壓力狀況、生活型態及匹茲堡睡眠品質量表等五部份。調查人數總計有763人(男生320人及女生443人),有效問卷回收率為91.71%。 分析資料結果得知,受測男生較受測女生明顯傾向於每天會在固定的時間排便,而排便時的排氣、腹痛、腹脹及腹鳴程度明顯較受測女生為高。而受測女生的排便容易度明顯高於受測男生,但其糞便乾硬度明顯高於受測男生。學校及課業方面的壓力是受測者最主要的生活壓力源;在所有的生活壓力分項上,受測男生的壓力均明顯大於受測女生。在飲食狀況上,受測者在正面行為的得分較高而負面行為的得分較低。但受測者出現早餐選擇可能缺乏均衡與多樣化,奶類製品及鈣質與蔬菜水果的攝取量可能不足的現象,因此受測者的飲食習慣及內容有改善與加強的空間。受測者的睡眠品質差,其每晚平均睡眠時數並不充足,最常見的睡眠困擾為半夜醒來後不易睡著,而且大多數有白天功能運作受到影響的感覺。 生活壓力與飲食狀況皆與排便狀況呈現相關性。總生活壓力與排便時的排氣、腹痛、腹鳴及腹脹程度較為相關,壓力分項中以學校及課業與人際關係方面較為相關,而且其與受測男生之排便狀況的相關性大於受測女生。飲食狀況與排便狀的相關性,亦有性別上的差異性。 因此,本研究結果顯示大學生的排便習慣與生活型態的可能相關性,而兩者之相關項目的關聯性會因性別而有所不同。
Abstract The main purpose of the present study was to evaluate the relationship between lifestyle factors and bowel habits. Seven hundred and sixty-three first-year university students (320 males and 443 females) of a university located in central Taiwan were recruited to complete a self-reported questionnaire and the response rate was 91.71%. Results indicated that males tended to defecate at the same time and their defecation characteristics, such as gas passing and abdominal pain, distension, and murmur, were significantly greater than those of females. However, the ease of bowel movements and stool hardness of females were significantly greater than those of males. Academic stress was the most considerable stressor to the subjects and the levels of various stresses were significantly higher in males than in females. Generally, the subjects seemed to have positive dietary behaviors, but their food choices for breakfast were nutritionally imbalanced and lack of variety, and their daily intakes of dairy products, vegetables and fruits were inadequate. The sleep quality of the subjects was poor as measured by the Pittsburgh sleep quality index (PSQI). The sleep duration of most subjects was less than 7 hours and the most frequent sleep disturbance was wake after sleep onset. There were significant associations between life stress, dietary status, and bowel habits as analyzed by chi-square test and the associations were influenced by gender. In conclusion, the results of the present study suggest that there might be a relationship between bowel habits and lifestyle factors, especially dietary status and life stress, in university students.