台灣地區老人自評睡眠品質與跌倒之相關研究

The Self-Evaluated Sleeping Quality and Falls for Elderly in Taiwan

游凱宇(kai-yu yu)

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(2009年)

摘要

本研究主要探討老年人的睡眠品質與跌倒及影響睡眠與跌倒的重要因素，研究對象為6090位台灣地區65歲以上的老人，平均年齡73.43 ± 6.24歲。研究方法主要是利用行政院主計處2005年「台灣地區社會發展趨勢調查訪問表-健康安全」之次級資料庫，進行橫斷性研究。研究內容包含個人特質變項、心理狀況、生理狀況、睡眠品質及跌倒。
本研究使用複迴歸分析探討影響老人夜間睡眠困擾與睡眠不足(不安)困擾之相關因素；以及使用邏輯斯迴歸分析老人跌倒之相關影響因素。
預測台灣地區老人的夜間睡眠困擾複迴歸分析發現女性、無工作者、有宗教信仰者、個人生活感受不好者、不太健康能自行料理生活者、不太健康不能自行料理生活需他人幫忙者、身體質量指數過輕者、就寢時間在晚上8-10時、睡眠時數較短者、精神狀況不好者越有可能有夜間睡眠困擾。
預測台灣地區老人的睡眠不足（不安）困擾複迴歸分析發現女性、有宗教信仰者、個人生活感受較差者、不太健康能自行料理生活者、不太健康不能自行料理生活需他人幫忙者、凌晨2-6時就寢者、睡眠時數較短者、精神狀況不好者越有可能有睡眠不足（不安）困擾。
預測台灣地區老人是否發生跌倒的邏輯斯迴歸發現不太健康能自行料理生活者、不太健康不能自行料理生活者、身體質量指數過輕者、精神狀況不好者、睡眠品質不佳者都越有可能發生跌倒的情形。
本研究的結果，有助於瞭解老人自評睡眠品質與跌倒及其相關影響因素，期望公部門及制定政策的相關人員在推廣老人長期照護的議題時能注意這些相關因素，以增進老年人的健康與提升其生活品質。

關鍵字

老人 ； 睡眠品質 ； 跌倒

並列摘要

The purpose of this study is to explore the self-evaluated sleeping quality, falls and their related factors for elderly in Taiwan. The study subjects were elder people aged 65 and above, the total number was 6,090. The mean of age was 73.43 ± 6.24. This study was cross-sectional design, and used the secondary data from 2005 Survey of Social Development Trends -Health and Security which was conducted by Directorate General of Budget, Accounting and Statistics Executive Yuan, R.O.C. Study variables included personal characteristics, psychological status, physical condition, sleeping quality and falls.

Multiple regressions were used to explore night time sleep disturbance, daytime sleep insufficiency and their related factors; logistic regression was used to identify the related factors of falls for elderly.

This study found that groups of female, those who didn’t work, had religious belief, bad feeling for personal life, poor self assessed health, low Body Mass Index, sleep time on 8 pm-10 pm, less sleep hours, and bad mental state were more likely to have night time sleep disturbance; groups of female, those who didn’t work, had religious belief, bad feeling for personal life, poor self assessed health, low Body Mass Index, sleep time on 2 am-6 am, and those who had less sleep hours, bad mental state were more likely to have daytime sleep insufficiency.

In the study of elderly falls, groups of poor self assessed health, low Body Mass Index, had bad mental state, bad sleeping quality were more likely to be associated with falls.

Results of this study help better understanding the sleeping quality and falls of elderly. Public sectors and policy makers need to focus those significant results to promote quality life for elderly

並列關鍵字

elderly ； sleeping quality ； falls

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