探討台灣民眾睡眠障礙之因素

Explore the Factors of Sleep Disturbance in Taiwanese

張惠閔(Hui-Min Chang) ； 吳文祥(Wen-Hsiang Wu)

《健康管理學刊》 18卷2期 (2020/12) Pp. 15-32

摘要

睡眠是臨床上作為衡量健康水平的一項基本指標，與生理和心理功能有密切關係。長期睡眠障礙易造成腦細胞死亡、器官功能失調及代謝異常問題，衍生疾病並提高死亡率；近年身心健康問題大幅提升，且伴隨睡眠障礙問題，因此本研究將以台灣地區成年人作為研究對象探討身心健康對睡眠障礙的影響。本研究資料來源為「台灣社會變遷基本調查」2010年及2015年資料，有效樣本各為1,895人及2,034人；運用華人健康量表進行因素分析後，再運用平均數檢定、迴歸分析了解人口學變項、身心健康對睡眠障礙影響。結果：睡眠障礙問項中「比平時還覺得」及「比平時更覺得」各佔25.59%及23.4%；透過平均數檢定發現：女性，30-39歲，經濟狀況使用很不足夠者在發生睡眠障礙最多。運用因素分析將華人健康量表分為三個構面：「心理」、「生理」及「社會」，進一步運用迴歸分析發現心理及生理是導致睡眠障礙的主要因素，年齡及社會則是睡眠障礙的次要因素。結論：本研究顯示在台灣地區成年人的年齡及身心健康問題中的心理、生理是造成睡眠障礙的相關因子，年紀較輕及身心健康問題愈大則愈容易產生睡眠障礙情形。

關鍵字

身心健康 ； 心理 ； 生理 ； 社會 ； 睡眠障礙

並列摘要

Slumber is a basic indicator for measuring health in clinical practice, and it is related to physiological and psychological functions closely. Long-term insomnia is easy to cause brain cell death, organ dysfunction and metabolic abnormalities, der.iving diseases and increasing mortality; In recent years, mental health problems have increased significantly, and accompanied by sleep disturbance , so this study will use adults in Taiwan as a research object to explore the impact of mental health on sleep disturbance. The data sources for this study are the 2010 and 2015 issues of the ＂Taiwan Social Change Survey＂, A total of 1,895 & 2,034 subjects were included in the study; Factor analysis was conducted on the mental health scales, and then the impact of demographic variables and psychological health on sleep disturbance was probed into utilizing T-test and regression analysis. Sleep disturbance asked items ＂worse than usual＂ and ＂much worse than usual,＂ each accounted for 25.59% and 23.4%; The analysis of T-test and ANOVA discovered that females,30-39 years old, had insufficient economic status and were most likely to suffer from sleep disturbance. Through factor analysis on the mental health scales, the factors were divided into three categories: ＂mental＂, ＂physiological＂, and ＂social＂. Further use of regression analysis found that psychology and physiology are the main factors leading to sleep disturbance, and age and society are secondary factors affecting sleep disturbance. Conclusion: This study shows that age and mental health problems in Taiwan adults in psychological, physiological sleep disturbance is caused by the relevant factor, younger and mental health problems is to suffer prone to sleep disturbance situation.

並列關鍵字

Physical and mental health ； psychological ； physiological ； society ； sleep disorder