某漁村老人憂鬱與睡眠品質關係之探討

Depression and Sleep Quality of the Elderly in a Taiwanese Fishing Village

李佳芳(LEE CHA FANG)

指導教授 ： 張明正

亞洲大學/健康學院/健康管理研究所/碩士(2008年)

摘要

本研究目的在探討個案漁村老人憂鬱與睡眠品質間關係，針對宜蘭縣某鎮65 歲以上的老年人為研究對象，以結構式問卷進行普查，研究共計訪問142 名老人。研究工具包括「個人基本屬性」、「健康狀況」「生活壓力事件量表」、「簡短式老人憂鬱量表」、及「匹茲堡睡眠品質量表」等五部分。研究結果顯示：
一、漁村老人憂鬱平均得分為3.58±2.28，有憂鬱情形占38.7%。
二、漁村老人睡眠品質平均得分為5.65±3.27，睡眠品質差者占40.8%。
三、年齡愈大、無工作、無運動習慣、罹患慢性病數愈多與自覺健康狀況較差者，其憂鬱 情形愈嚴重。
四、女性、無運動習慣、罹患慢性疾病數愈多與自覺健康狀況較差其睡眠品質愈差。
五、憂鬱、疾病數與性別共可解釋睡眠品質總變異量的48.5%，其中以「憂鬱」的預測力最高，可單獨解釋睡眠品質分數34.8%的變異量。
六、罹患慢性疾病數目愈多者其發生睡眠品質差的機率為1.72 倍；而有憂鬱情形的老年人較無憂鬱情形者其發生睡眠品質差的機率為2.18 倍。

關鍵字

漁村老人,老人憂鬱,睡眠品質

並列摘要

The objective of this study was to probe into the relationship between senior citizen depressions and sleep quality of the elderly residing in fishing villages. We chose the old folks over 65 years of age living in a certain fishing village located in Yilan County as our study subjects, and did a survey through a structural type questionnaire. Altogether we interviewed 142 such elderly people in this study.The tools and approaches of our study included five items, i.e.demographic characteristics evaluation, health status, life-event scale,geriatric depression scale-short form (GDS-SF), and Pittsburgh sleepquality index (PSQI), and we eventually came up with the followingresults:
1. Such individual old fishing villagers received an average depression score of 3.58±2.28, and the percentage of them showing depressed conditions turned out to be 38.7%.
2. Their individual average score of sleep quality was 5.65±3.27, and 40.8% of them were found suffering from poor sleep quality.
3. It appeared the older the age, without work, and no exercise habit would have resulted in suffering from greater number of chronic ailments, and those who believed themselves being in poor health status would likely be in more serious depressed situation.
4. It also seemed that to be a female without exercise habit would entail the individual to suffer from more chronic diseases, and those who felt having poor health would often have inferior sleep quality.
5. Depression, disease counts, and gender combined could explain 48.5% of the total variations in sleep quality. Among them the predictive power of “depression” is the strongest, which could be accounted for 34.8% of the total variations by it alone.
6. For those who suffered greater numbers of chronic diseases the odds for their sleep quality deteriorating were 1.72 folds than those with fewer chronic ailments. Comparatively, the odds for those elderly folks with depressed situations to have poorer sleep quality was 2.18 folds that for those without.

並列關鍵字

the elderly living in fishing villages,senior citizen depression,sleep quality sleep quality

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