Relationships between Personal, Depression and Social Network Factors and Sleep Quality in Community-Dwelling Older Adults_

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題名：	Relationships between Personal, Depression and Social Network Factors and Sleep Quality in Community-Dwelling Older Adults
書刊名：	The Journal of Nursing Research
作者：	姚克武／于漱／鄭舜平／陳怡如
作者(外文)：	Yao, Ke-wu／Yu, Shu／Cheng, Shun-ping／Chen, I-ju
出版日期：	2008
卷期：	16:2
頁次：	頁131-139
主題關鍵詞：	老人；社會網絡；憂鬱；睡眠品質；Older adult；Social network；Depression；Sleep quality
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:2 共同引用:8 點閱:65

改善睡眠品質是增進老年生活品質的關鍵之一，為豐富臨床老年護理知識與護理措施的成效，了解睡眠的本質與影響因子是重要的議題。本研究目的包括描述睡眠品質、確認會影響老年人睡眠品質的個人、憂鬱和社會網絡因子。本研究採橫斷式調查法，以兩階段隨機方法進行取樣，共有187位台北市社區老人參與。經研究者說明並得到個案同意後，以問卷收集個人（人口學資料、生活型態行為）、憂鬱，社會網絡（與家人的關係、家人的支持、與親友的關係、親友的支持），與睡眠品質（中文版「匹茲堡睡眠品質量表」，C-PSQI）資料。研究結果發現25.7%的老人屬於「差的睡眠品質者」（C-PSQI總得分>5）。此外，本研究確認三項個人變項（憂鬱、飲酒、教育程度）、一項社會網絡變項（與親友的關係）與睡眠品質的關係。憂鬱、與親友的關係、具大學或以上的教育程度、飲酒行為可以解釋46.1%睡眠品質的變異量。本研究結果充實了護理知識，所發現的個人、憂鬱和社會網絡因子，可以協助護理人員更全面的來評估老人的睡眠。護理人員在照護老年人時，應考慮憂鬱與社會網絡因子（尤其是與親友關係，此一變項可能扮演區辨性角色）對於睡眠品質的重要性。

以文找文

Improving sleep quality is key to increasing life quality for the elderly. Clarifying the nature of sleep conditions and the factors that influence such is necessary to enrich the base of knowledge available to the clinical nursing profession and encourage effective nursing interventions in older populations. Purposes of this study were to describe sleep quality and identify the personal, depression and social network determinants of sleep quality among older people living independently. A cross-sectional research design was used, and 187 persons 65 years of age or older were recruited using two-stage random sampling from communities in Taipei City, Taiwan. All subjects were informed by the researchers and were asked to provide personal (demographic data, lifestyle behavior), depression, social network (perceived the relationships with and support from family, relatives/friends), and sleep quality (Chinese version of the Pittsburgh Sleep Quality Index, C-PSQI) information. Findings revealed that 25.7% of subjects were "poor sleepers" (attaining C-PSQI global scores > 5). The study identified significant relationships between three personal variables (alcohol consumption, educational level, and depressive tendencies), one social variable (relationships with relatives/friends) and sleep quality. Depression tendency, relationships with relatives/friends, college and above educational level, and habitual alcohol consumption accounted for 46.1% of sleep quality variance. Findings enrich the knowledge base by highlighting specific personal, depression and social network factors that could help nurses to assess sleep conditions more comprehensively. Nurses caring for older people should consider depression and social network factors (particularly the relationships with relatives/ friends may play a discriminating role) as important determinants of sleep quality.

以文找文

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