台灣地區18歲以上成人自評睡眠品質及其相關因素之探討

Self-Evaluated Sleep Quality and Its Related Factors for Adults or Older in Taiwan

陳敬中(Ching-Chung Chen)

指導教授 ： 張明正 ； 邱政元

亞洲大學/健康學院/健康管理研究所/碩士(2008年)

摘要

本研究目的在探討台灣地區18歲以上成人之睡眠品質現況以及相關因素為何，使用行政院主計處 2005 年「台灣地區社會發展趨勢調查訪問表－健康安全」次級資料庫，進行橫斷研究與資料分析。
研究資料庫中的睡眠品質自我評估表量表是依據「世界衛生組織」的「睡眠與健康全球專案計畫」所建議之「失眠症自我評估表」之12個評估問項，內容包括入睡困難、睡眠維持困難、過早清醒以及睡眠不足等問項。
研究結果發現夜間睡眠困擾較嚴重的特性包含女性(vs男性)、65歲以上(vs 25-44歲)、喪偶(vs未婚)、不識字(vs國小)、未滿20萬(vs 40-80萬)、待業、其他(vs受雇者)、規律運動 (vs無運動)、自覺不太健康(vs健康)、身體質量指數肥胖(vs標準)、其他就寢時間 (vs 10-12時)、睡眠時數短、精神狀況不良、個人生活感受不良等。
睡眠不足困擾較嚴重的特性包含女性(vs男性)、25-44歲(vs 65歲以上)、有配偶 (vs未婚)、大學專科以上(vs不識字)、年收入未滿20萬(vs 40-60萬)、受雇者(vs家管)、無運動(vs規律運動)、自覺不太健康(vs健康)、身體質量指數標準(vs肥胖)、就寢時間2-6時(vs 10-12時)、睡眠時數短、精神狀況不良、個人生活感受不良等。
而預測台灣地區18歲以上成人睡眠品質之複迴歸模型可解釋夜
間睡眠困擾複迴歸模型總變異量的38%，睡眠不足困擾複迴歸模型總變異量的35%，主要影響其睡眠品質之相關因素為精神狀況、自覺健康狀況、個人生活感受以及睡眠時數等因素。
本研究的結果對台灣地區成人自評睡眠品質狀況及影響睡眠品質之相關因素有更多的了解，若能注意這些相關因素，將有助於改善成人睡眠品質，進而提升其生活品質。

關鍵字

睡眠 ； 自評睡眠品質

並列摘要

The purpose of this study is to explore the self-evaluated sleep quality and its related factors for adults or older in Taiwan. A cross-sectional design and secondary dataset, 2005 Survey of Social Development Trends – Health and Security were used in this study. The data set was conducted by Directorate General of Budget, Accounting and Statistics, Executive Yuan, R.O.C.
The questionnaire of assessing sleep quality in this study was designed by the WHO worldwide project on sleep and health; it included questions of “difficulty in falling asleep”, “waking up frequently during the sleeping”, “waking up too early in the morning”, and “insufficient sleeping time”.
This study found that groups of female, age of 65 above (vs. 25-44), widowed (vs. single), illiterate (vs. elementary school), personal yearly income less than NT$200,000 (vs. NT$400,000-NT$800,000), unemployed and others (vs. employed), regular exercise (vs. not regular), poor self assessed health (vs. good), obesity (vs. normal), other sleep time (vs. 10PM-12AM), less sleep hours, more daytime sleepiness and bad feeling for personal life are more likely to have night time sleep disturbance; female, age of 25-44 (vs. 65 above), married (vs. single), college and above (vs. illiterate), personal yearly income less than NT$200,000 (vs. NT$400,000-NT$600,000), employed (vs. homemaker), not regular (vs. regular exercise), poor self assessed health (vs. good), normal (vs. obesity), sleep time of 2AM-6AM (vs. 10PM-12AM), less sleep hours, more daytime sleepiness and bad feeling for personal life are more likely to have daytime sequelae of poor sleep.
The results of multiple linear regression could explain 38% of total variance for the model of night time sleep disturbance, and 35% of total variance for the model of daytime sequelae of poor sleep. The study results showed that the main factors affecting sleep quality were daytime sleepiness, self assessed health, personal feelings of life, and hours of sleeping.
This study adds to current knowledge of sleep quality of adults in Taiwan. Policymakers could focus on these significant findings to improve adults’ sleep quality, furthermore to enhance their quality of life.

並列關鍵字

Sleep ； Self-Evaluated Sleep Quality

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