芳香療法對舒緩壓力及睡眠品質之影響

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標題:	芳香療法對舒緩壓力及睡眠品質之影響 The Effects of Aromatherapy on Adults’ Stress and Sleep Quality 背景：近年國內外研究證實芳香療法(亦稱輔助芳療)的效益，醫療與相關從業人員開始提倡其使用。民眾受自然醫學及輔助醫學影響，預防勝於治療的觀念提高，因此養生保健的概念亦漸風行。國內外文獻研究顯示，芳療可以提供生理和心理方的療效，對於一般人之壓力、失眠與焦慮有放鬆的效果。本研究旨在調查民眾使用芳香療法的現況，對芳香療法的知識、態度與行為，以及使用芳香療法是否能舒緩壓力並提升睡眠品質。方法：本研究經成功大學人類研究倫理審查委員會申請通過(案號108-069)。對象為中、南部地區成年人，採便利取樣，問卷內容包括基本資料、芳療使用調查、自覺壓力量表(PSS10)與匹茲堡睡眠量表(PSQI)。有效樣本共計443 份，採SPSS套裝軟體進行統計分析。問卷各構面之Cronbach’s α值皆> 0.7，統計方法包含敘述性統計，卡方分析，無母?分析與邏輯斯迴歸。結果：樣本平均年齡36.9歲，女性佔82%(364)人。曾使用芳療之受訪者佔53%，女性使用芳療的比率(58.5%)顯著高於男性(31.6%，p<0.001)，已婚者使用比率(58.3%)顯著高於未婚者(48.8%，p<0.05)。使用時間以3年以上為最多，其次為3個月內。個人變項僅有婚姻與年齡在使用芳療時間的長短有差異，其他如性別，教育，職業，平均收入均無影響。受訪民眾使用芳療的主要目的是舒緩壓力(65.5%)，其次為助眠(21%)。有使用芳療經驗的民眾在知識、態度與行為之得分均高於未曾使用者(p<0.000)。女性在芳療的知識(p<0.01)、態度(p<0.01)與行為(p<0.05)得分均顯著高於男性。使用時間以三年以上為最多，其次為3個月內。有使用芳療者之自覺壓力(18.58±5.73)低於未曾使用者(19.52±4.73，p<0.05)，使用芳療時間較久者之自覺壓力亦顯著低於使用時間較短者(p<0.001)。睡眠品質不佳之受訪者佔30.5％，睡眠時數不足六小時者佔20.7%。睡眠品質的七項因素中，最差的前三名依序為不易入睡，睡眠困擾與睡眠主觀滿意度。年齡、職業與使用芳療的方式均顯著影響睡眠品質，但是有無使用芳療者之間無顯著差異。採按摩方式使用芳香療法者的睡眠品質(4.22±2.76)較採薰香方式者為佳(5.44±3.17，P<0.05)。邏輯斯迴歸分析顯示，民眾的睡眠品質會受壓力(OR=1.104) 與不同教育程度影響，教育程度較高者之睡眠品質較差(OR=2.598)。結論：民眾採用芳療來紓壓，最喜歡花香類香氣。女性或已婚者使用芳療的比率較高。整體而言，民眾對芳香療法的知識越高、態度越正向，會促進其使用的行為。使用芳療能降低自覺壓力，使用時間較久者其自覺壓力亦較低。以按摩方式進行芳香療法之睡眠品質顯著較佳。睡眠品質的預測因子為教育程度與壓力。民眾持續使用芳療不僅可紓緩壓力，較易入睡，亦能間接提升睡眠品質。建議經由適當管道提高民眾的芳療知識、強化態度，進而增加芳療的使用。 Background: Aromatherapy, also known as aroma auxiliary, had been devoted much attention by scientific researcher and health care workers recently. Under the influence of complementary alternative medicine, people had cogitation for prevention is better than cure, and the concept of regimen gradually became popular. Literature research showed that aromatherapy could provide physical and psychological curing efficacy, and had a relaxing effect on stress, insomnia and anxiety. Thus, we would like to study current aromatherapy usage, knowledge, attitude and behavior toward aromatherapy, and if aromatherapy could reduce stress and enhance sleep quality. Methods: The research was approved by Human Research Ethics Review Committee of NCKU (Case No. 108-069). A total of 443 valid samples were collected from adults in central and southern Taiwan by convenient questionnaire survey. Questionnaires include basic data, knowledge- attitude-behavior of aromatherapy, perceived stress scale (PSS10) and Pittsburgh sleep scale (PSQI). Cronbach ’s α of all questionnaire domains were > 0.7. Statistical methods were descriptive statistics, chi-square analysis, non-parametric analysis and logistic regression. Results：The mean age of respondents was 36.9 years. Of the 443 respondents, most were women (82%), and 53% had used aromatherapy. Female (58.5%, P <0.001) or married (58.3%, P <0.05) had higher aromatherapy experience rate.Most experience period of aromatherapy was 3 years, followed by 3 months. There were aromatherapy experience time differences among marriage and age, but not among gender, education level, occupation, and income. Most people (65.5%) used aromatherapy to relieve stress, followed by assisting sleep (21%). People with experience in aromatherapy had higher knowledge, attitude and behavior scores than those who did not (P <0.000). Women’s knowledge (P <0.01), attitude (P <0.01) and behavior (P <0.05) scores were significantly higher. The most people of experience time in aromatherapy was 3 years or more, followed by 3-month. The perceived stress (18.58 ± 5.73) of those using aromatherapy was lower than that of non-users (19.52 ± 4.73, P <0.05), and varied among different period of aromatherapy usage. Person used aromatherapy within one year had higher perceived stress than those who experienced longer (P<0.001). 30.5% of the people were poor sleeper, and 20.7% slept less than six hours per day. The first three problems were latency of sleep, sleep disturbance and satisfaction. Personal variables, such as age, occupation and way of using aromatherapy, significantly affected sleep quality, but there was no difference between those who used and not used aromatherapy. Sleep quality of people witharomatherapy massage (4.22 ± 2.76) was better than that of inhaling essential oils (5.44 ± 3.17, P <0.05). Logistic regression analysis showed that sleep quality was affected by stress (OR = 1.104) and education level;people with higher education (OR = 2.598).Conclusion: people used aromatherapy to release pressure, and the most favorite fragrances was flower. The rates of using aromatherapy in women or married people were higher. The higher knowledge score indicated a more positive attitudes towards aromatherapy usage. Aromatherapy could reduce stress, and its effect was proportional to usage time. Aromatherapy massage could improve sleep quality. Predictors of sleep quality were education and stress level. Thus, continued use of aromatherapy could not only relieve one’s stress, but also make him easier to fall asleep, and then indirectly improve sleep quality. We suggested increasing people's aromatherapy knowledge through appropriate propaganda, which would strengthen positive attitudes to achieve promotion of aromatherapy.
作者:	陳姿均
貢獻者:	醫務管理系隋安莉
關鍵字:	芳香療法知覺壓力睡眠品質匹茲堡睡眠品質量表 Aromatherapy Perceptive Stress Sleep Quality Pittsburgh Sleep Quality Index
日期:	2020
上傳時間:	2022-10-21 10:28:09 (UTC+8)
關聯:	電子全文公開日期：2025-06-18 學年度：108， 180頁
顯示於類別:	[醫務管理系(所)] 博碩士論文

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