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題名:第二型糖尿病門診病患心理困擾、運動習慣與睡眠品質之相關性研究
書刊名:長庚護理
作者:賴宜萍李維玲闕可欣
作者(外文):Lai, Yi-pingLee, Wei-lingChueh, Ke-hsin
出版日期:2015
卷期:26:3=91
頁次:頁243-258
主題關鍵詞:第二型糖尿病患睡眠障礙運動心理困擾Type II diabetesT2DSleep disturbanceExercisePsychiatric distress
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:9
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背景:第二型糖尿病患比一般民眾有較多的睡眠障礙。目的:探討影響第二型糖尿病門診病患心理困擾、運動習慣與睡眠品質之現況與關係。方法:為橫斷性之問卷調查,採立意取樣,招募北部某地區教學醫院門診患有第二型糖尿病病患為對象,收案條件為大於20歲以上成人,並排除認知功能不良、無法以國台語溝通、生命徵象不穩定者,使用心理困擾症狀量表簡版、匹茲堡睡眠品質量表及運動習慣量表進行資料蒐集。結果:共發出問卷170份,回收有效問卷110份,回收率64.7%,研究對象心理困擾得分為3.66(滿分20),49位(44.5%)有規律運動習慣。睡眠品質量表平均得分為5.56(滿分21),44位(40.0%)的睡眠品質量表分數大於5,睡眠品質差,影響第二型糖尿病患睡眠障礙的重要原因是「心理困擾」、「中強度運動習慣」。結論:心理困擾愈嚴重者睡眠品質愈差,中強度運動習慣者較無運動習慣者睡眠品質佳。建議:護理人員可加強對第二型糖尿病病患養成規律中強度運動習慣之護理指導。背景:第二型糖尿病患比一般民眾有較多的睡眠障礙。目的:探討影響第二型糖尿病門診病患心理困擾、運動習慣與睡眠品質之現況與關係。方法:為橫斷性之問卷調查,採立意取樣,招募北部某地區教學醫院門診患有第二型糖尿病病患為對象,收案條件為大於20歲以上成人,並排除認知功能不良、無法以國台語溝通、生命徵象不穩定者,使用心理困擾症狀量表簡版、匹茲堡睡眠品質量表及運動習慣量表進行資料蒐集。結果:共發出問卷170份,回收有效問卷110份,回收率64.7%,研究對象心理困擾得分為3.66(滿分20),49位(44.5%)有規律運動習慣。睡眠品質量表平均得分為5.56(滿分21),44位(40.0%)的睡眠品質量表分數大於5,睡眠品質差,影響第二型糖尿病患睡眠障礙的重要原因是「心理困擾」、「中強度運動習慣」。結論:心理困擾愈嚴重者睡眠品質愈差,中強度運動習慣者較無運動習慣者睡眠品質佳。建議:護理人員可加強對第二型糖尿病病患養成規律中強度運動習慣之護理指導。
Background: Patients with type II diabetes (T2D) exhibit a higher rate of sleep disturbance than that of the general population. Purpose: To investigate the relationship among psychiatric distress, exercise habits, and sleep quality in patients with T2D. Methods: This cross-sectional study recruited patients 20 years and older who were diagnosed with T2D from the outpatient department of a teaching hospital in northern Taiwan. Patients who had limited cognitive function, difficulty in communication, or unstable vital signs were excluded. Each subject was required to answer a structural questionnaire, which included a Brief Symptom Rating Scale (BSRS-5), a Pittsburgh Sleep Quality Index (PSQI), and an exercise habit questionnaire. Results: The response rate was 64.7% (110/170). The average BSRS-5 score was 3.66 (full score 20). Forty-nine (44.5%) subjects had regular exercise habit. The average PSQI score among the subjects was 5.56 (the full score, 21). Forty-four (40%) subjects had sleep disturbances (PSQI score > 5). Psychiatric distress and exercise intensity were associated with the quality of sleep. Conclusion: The more severity of psychiatric distress were associated with the worse sleep quality. Subjects who exercised with moderate intensity had a better sleep quality. Suggestion: Nurses can promote regular exercise habits with moderate intensity among T2D patients.
期刊論文
1.Bai, Y. L.、Chiou, C. P.、Chang, Y. Y.、Lam, H. C.(2008)。Correlates of depression in type 2 diabetic elderly patients: A correlational study。International Journal of Nursing Studies,45(4),571-579。  new window
2.Peduzzi, P.、Concato, J.、Kemper, E.、Holford, T. R.、Feinstein, A. R.(1996)。A simulation study of the number of events per variable in logistic regression analysis。Journal of Clinical Epidemiology,49(12),1373-1379。  new window
3.錢桂玉、許美智(20051200)。第二型糖尿病病人(Type 2 DM)運動建議--從運動強度到身體活動量。國立體育學院論叢,16(3),259-268。new window  延伸查詢new window
4.Kruse, J.、Schmitz, N.、Thefeld, W.(2003)。On the association between diabetes and mental disorders in a community sample。Diabetes Care,26(6),1841-1846。  new window
5.Yoshioka, E.、Saijo, Y.、Kita, T.、Satoh, H.、Kawaharada, M.、Fukui, T.、Kishi, R.(2012)。Gender differences in insomnia and the role of paid work and family responsibilities。Social Psychiatry and Psychiatric Epidemiology,47(4),651-662。  new window
6.姜明凱、楊宜青、吳晉祥、孫子傑、張尹凡、盧豐華、張智仁(20081200)。臺灣地區成人睡眠時數與肥胖的相關性研究。臺灣家庭醫學雜誌,18(4),199-209。  延伸查詢new window
7.Spiegel, K.、Leproult, R.、Van Cauter, E.(1999)。Impact of sleep debt on metabolic and endocrine function。Lancet,354,1435-1439。  new window
8.王治元、張天鈞(20070200)。胰島素增敏藥物Thiazolidinedione治療第2型糖尿病之實證醫學證據。內科學誌,18(1),11-19。  延伸查詢new window
9.白玉玲、王魯梅、洪士元、丘周萍(20120900)。運動對老年糖尿病患者的健康效益。臺灣腎臟護理學會雜誌,11(3),1-7。  延伸查詢new window
10.白玉玲、丘周萍(20121200)。老年糖尿病長期合併症患者安全的運動。護理雜誌,59(6),81-85。new window  延伸查詢new window
11.吳淑芳、梁淑媛、李玉嬋、李梅琛、余仁龍(20130600)。糖尿病患者自我效能與情緒困擾之相關因素。北市醫學雜誌,10(2),120-131。  延伸查詢new window
12.林嘉玲、連心瑜、吳雪菁、張媚(20130700)。第二型糖尿病患者之睡眠品質。臺灣醫學,17(4),441-446。  延伸查詢new window
13.施孟涵(20140600)。影響第2型糖尿病患血糖控制方式、心理困擾及生活品質相關因素之研究。臺灣老人保健學刊,10(1),19-43。new window  延伸查詢new window
14.洪瑄曼、林麗娟、王惠玲(20110300)。有氧運動與中老年婦女的睡眠問題。長庚護理,22(1)=73,53-61。new window  延伸查詢new window
15.洪瑄曼、陳彰惠(20110200)。運用輔助療法於睡眠障礙。護理雜誌,58(1),73-78。new window  延伸查詢new window
16.徐欣億(20101100)。高強度運動對肥胖及其相關影響之探討。淡江體育,13,27-34。new window  延伸查詢new window
17.張燕筠(2008)。老年人睡眠障礙的相關因素及治療。職業與健康,24(19),2083-2084。  延伸查詢new window
18.黃俊仁、蘇清泉、李維仁、謝坤忠、楊明仁(20050300)。門診追蹤糖尿病患者心理健康調查。東港安泰醫護雜誌,11(1),11-17。  延伸查詢new window
19.蔣尚霖、林佳慧、何振文、蔡高宗、丘周萍(20031200)。有氧運動訓練對第二型糖尿病患胰島素抗阻性、血清脂質與心肺耐力之成效。復健醫學會雜誌,31(4),207-215。  延伸查詢new window
20.American Diabetes Association(2008)。Economic costs of diabetes in the U.S. In 2007。Diabetes Care,31(3),596-615。  new window
21.Chao, C. Y.、Wu, J. S.、Yang, Y. C.、Shih, C. C.、Wang, R. H.、Lu, F. H.、Chang, C. J.(2011)。Sleep duration is a potential risk factor for newly diagnosed type 2 diabetes mellitus。Metabolism,60(6),799-804。  new window
22.Cheung, N.、Wang, J. J.、Klein, R.、Couper, D. J.、Sharrett, A. R.、Wong, T. Y.(2007)。Diabetic retinopathy and the risk of coronary heart disease: The atherosclerosis risk in communities study。Diabetes Care,30(7),1742-1746。  new window
23.Goldney, R. D.、Phillips, P. J.、Fisher, L. J.、Wilson, D. H.(2004)。Diabetes, depression, and quality of life: a population study。Diabetes Care,27,1066-1070。  new window
24.Jean-Louis, G.、Magai, C.、Casimir, G. J.、Zizi, F.、Moise, F.、McKenzie, D.、Graham, Y.(2008)。Insomnia symptoms in a multiethnic sample of American women。Journal of Women's Health,17(1),15-25。  new window
25.Jin, Q. H.、Chen, H. H.、Yu, H. L.、Li, T. L.(2012)。The relationship between sleep quality and glucose level, diabetic complications in elderly type 2 diabetes mellitus。Zhonghua Nei Ke Za Zhi,51(5),357-361。  new window
26.Knutson, K. L.、Ryden, A. M.、Mander, B. A.、Van Cauter, E.(2006)。Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus。Archives of Internal Medicine,166(16),1768-1774。  new window
27.Lai, Y. J.、Lin, C. L.、Lin, M. C.、Lee, S. T.、Sung, F. C.、Chang, Y. J.、Kao, C. H.(2013)。Population-based cohort study on the increase in the risk for type 2 diabetes mellitus development from nonapnea sleep disorders。Sleep Medicine,14(9),913-918。  new window
28.Lin, J. L.、Lin, Y. H.、Chueh, K. H.(2013)。Somatic symptoms, psychological distress and sleep disturbance among infertile women with intrauterine insemination treatment。Journal of Clinical Nursing,23,1677-1684。  new window
29.Liu, J.、Hay, J.、Faught, B. E.(2013)。The association of sleep disorder, obesity status, and diabetes mellitus among US Adults--The NHANES 2009-2010 Survey Results。International Journal of Endocrinology,2013,34129。  new window
30.Maiorana, A.、O'Driscoll, G.、Cheetham, C.、Dembo, L.、Stanton, K.、Goodman, C.、Taylor, R.、Green, D.(2001)。The effect of combined aerobic and resistance exercise training on vascular function in type 2 diabetes。Journal of the College of Cardiology,38(3),860-866。  new window
31.Makhlouf, M. M.、Ayoub, A. I.、Abdel-Fattah, M. M.(2007)。Insomnia symptoms and their correlates among the elderly in geriatric homes in Alexandria, Egypt。Sleep Breath,11(3),187-194。  new window
32.Morin, C. M.、Hauri, P. J.、Espie, C. A.、Spielman, A. J.、Buysse, D. J.、Bootzin, R. R.(1999)。Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review。Sleep,22(8),1134-1156。  new window
33.Naismith, S. L.、Rogers, N. L.、Lewis, S. J.、Terpening, Z.、Ip, T.、Diamond, K.、Hickie, I. B.(2011)。Sleep disturbance relates to neuropsychological functioning in late-life depression。Journal of Affective Disorders,132(1/2),139-145。  new window
34.Najafian, J.、Mohamadifard, N.、Siadat, Z. D.、Sadri, G.、Rahmati, M. R.(2013)。Association between sleep duration and diabetes mellitus: Isfahan healthy heart program。Nigerian Journal of Clinical Practice,16(1),59-62。  new window
35.Shim, U.、Lee, H.、Oh, J. Y.、Sung, Y. A.(2011)。Sleep disorder and cardiovascular risk factors among patients with type 2 diabetes mellitus。The Korean Journal of Internal Medicine,26(3),277-284。  new window
36.Tsujimura, T.、Matsuo, Y.、Keyaki, T.、Sakurada, K.、Imanishi, J.(2009)。Correlations of sleep disturbance with the immune system in type 2 diabetes mellitus。Diabetes Research and Clinical Practice,85(3),286-292。  new window
37.Van Cauter, E.、Spiegel, K.、Tasali, E.、Leproult, R.(2008)。Metabolic consequences of sleep and sleep loss。Sleep Medicine,9(1),23-28。  new window
38.Wild, S.、Roglic, G.、Green, A.、Sicree, R.、King, H.(2004)。Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030。Diabetes Care,27(5),1047-1053。  new window
39.吳淑芳、楊麗瑟、葉芳枝、簡鈺玫、鄭貴真、李梅琛(20130600)。Correlations Among Social Support, Depression, and Anxiety in Patients With Type-2 Diabetes。The Journal of Nursing Research,21(2),129-138。new window  延伸查詢new window
40.Young, M. J.、McCardle, J. E.、Randall, L. E.、Barclay, J. I.(2008)。Improved survival of diabetic foot ulcer patients 1995-2008: possible impact of aggressive cardiovascular risk management。Diabetes Care,31(11),2143-2147。  new window
41.趙明玲、林怜利、余秋霖、方郁文(20070300)。有氧運動訓練對臺灣第二型糖尿病中老年患者的血液生理指標及體適能之影響。實證護理,3(1),27-34。new window  延伸查詢new window
42.Avidan, A. Y.、Fries, B. E.、James, M. L.、Szafara, K. L.、Wright, G. T.、Chervin, R. D.(2005)。Insomnia and hypnotic use, recorded in the minimum data set, as predictors of falls and hip fractures in Michigan nursing homes。Journal of the American Geriatrics Society,53(6),955-962。  new window
43.Blay, S. L.、Andreoli, S. B.、Gastal, F. L.(2008)。Prevalence of self-reported sleep disturbance among older adults and the association of disturbed sleep with service demand and medical conditions。International Psychogeriatrics,20(3),582-595。  new window
44.Egede, L. E.(2007)。Major depression in individuals with chronic medical disorders: Prevalence, correlates and association with health resource utilization, lost productivity and functional disability。General Hospital Psychiatry,29(5),409-416。  new window
45.Ohayon, M. M.、Sagales, T.(2010)。Prevalence of insomnia and sleep characteristics in the general population of Spain。Sleep Medicine,11(10),1010-1018。  new window
46.Driver, H. S.、Taylor, S. R.(2000)。Exercise and sleep。Sleep Medicine Reviews,4(4),387-402。  new window
47.Buysse, D. J.、Reynolds, C. F. III、Monk, T. H.、Berman, S. R.、Kupfer, D. J.(1989)。The Pittsburgh sleep quality index (PSQI): A new instrument for psychiatric practice and research。Psychiatry Research,28(2),193-213。  new window
48.李明濱、廖士程、李宇宙、吳佳璇、曾美智、高淑芬、饒紀倫(20031000)。Development and Verification of Validity and Reliability of a Short Screening Instrument to Identify Psychiatric Morbidity。臺灣醫學會雜誌,102(10),687-694。  延伸查詢new window
學位論文
1.黃俊仁(2011)。糖尿病合併精神疾病患者盛行率、醫療資源耗用、死亡率及相關因子探討(博士論文)。高雄醫學大學。  延伸查詢new window
圖書
1.Rosner, B.(2006)。Fundamentals of biostatistics。Belmont, CA:Thomson Brooks。  new window
2.林正常(2005)。運動生理學。台北:師大書苑。  延伸查詢new window
3.American Psychiatric Association(2013)。Diagnostic And Statistical Manual Of Mental Disorders。American Psychiatric Association。  new window
 
 
 
 
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