透析病人睡眠品質及知覺壓力之探討

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Title:	透析病人睡眠品質及知覺壓力之探討 A Study of Dialysis Patients’Sleep Quality and Perceived Stress
Authors:	戴姵嵐
Contributors:	醫務管理系隋安莉
Keywords:	透析病人睡眠品質知覺壓力 dialysis patients sleep quality perceived stress
Date:	2017
Issue Date:	2018-01-11 11:43:58 (UTC+8)
Abstract:	本研究為探討透析病人的睡眠品質及知覺壓力，研究目的為 (1)透析病人之知覺壓力與睡眠品質之分析； (2)透析病人之個人變項對知覺壓力與睡眠品質之影響； (3)透析病人睡眠品質之預測因子分析。以南部區域教學醫院血液透析中心，長期血液透析及腹膜透析病人為研究對象，研究工具以匹茲堡睡眠品質量表與知覺壓力量表做為評估依據，採立意取樣，共調查120位長期透析病人。所得資料以SPSS22.0版進行統計分析，分析方法包含描述性統計、Kolmogorov-Smirnov檢定、信度檢定、無母數分析、相關檢定與二元邏輯斯迴歸。研究結果發現： (1)透析病人的睡眠品質分數平均為8.91±4.26分，睡眠品質不佳者佔76.7%。睡眠品質七個因素中最差的是「入睡容易度(睡眠潛伏期)」，有30%的透析病人超過一小時才能入睡。壓力平均分數為10.60分，標準差為7.40。壓力感受較低者占58.3%(70人)，壓力感受較高者占41.7%(50人)，各項壓力中以「感到事情順心如意」平均數1.53為最高。 (2)透析病人的睡眠品質會因不同經濟來源、工作狀況、透析方式、婚姻狀況、是否服用安眠藥與如何來醫院來透析而有差異。但不受年齡、性別、接受透析的時間與教育程度的影響。透析病人知覺壓力會因年齡、接受透析的時間、教育程度、透析方式、婚姻狀況與是否服用安眠藥而有差異。但是透析病人的性別、經濟來源、工作狀況與如何來醫院來透析對壓力無影響。 (3)經二元邏輯斯迴歸分析發現，透析病人的睡眠品質預測因子為壓力。壓力每增加1分，睡眠品質困擾風險增為1.146倍，代表壓力越大，睡眠品質會愈差。 The purpose of this study is to explore the sleep quality and its associated factors in dialysis patients, the goals of the study are as follows: (1) analysis of sleep quality and perceptional stress of dialysis patients (2) the influencing effects of demographic variables in sleep quality and perceptional stress of dialysis patients (3) explore the predictive factors for sleep quality of dialysis patients by logistic regression. This cross sectional study included 120 long-term hemodialysis and peritoneal dialysis patients in hemodialysis centers of Southern Local Community Teaching Hospitals. Data were collected with structured questionnaire included three main aspects: Personal characteristics, Pittsburgh Sleep Quality Index (PSQI), and Perceived Stress Scale (PSS). Data were analyzed by using SPSS 22, and descriptive statistics, reliability analysis Kolmogorov-Smirnov test, nonparametric statistics and logistic regression analysis were used. The results showed that: (1) Dialysis patients’ PSQI score was 8.91 ± 4.26. 76.7% patients were poor sleepers (PSQI≧5). The most common problem of sleep quality is "long sleep latency". Average PSS was 10.60±7.40. The highest score of pressure went to "all was well with me". (2) Patient sleep quality was significantly different in variable source of finance, occupational status, dialysis and marital status. However, age, gender, dialysis history and education status showed no effect.The stress level of patients was significantly different in age, dialysis history, education status, dialysis and marital status. However, there were no significant correlation between sleep disturbance and other personal characteristics, such as gender, source of finance and occupational status. (3) The logistic regression analysis showed that the most important predictive factor for dialysis patient sleep quality was stress and OR is 1.146.
Relation:	電子全文公開日期：2022-07-29，學年度：105，86頁
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Dissertations and Theses

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