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系統識別號 U0007-2701201114155600
論文名稱(中文) 老人運動階段與健康相關生活品質之關係:睡眠品質的中介影響
論文名稱(英文) The Correlation Between Exercise Stages and Health-Related Quality of Life Among Elderly: The Mediating Role of Quality of Sleep
校院名稱 臺北醫學大學
系所名稱(中) 護理學研究所
系所名稱(英) Graduate Institute of Nursing
學年度 99
學期 1
出版年 100
研究生(中文) 舒敬媛
研究生(英文) Ching-Yuan Shu
學號 M406097016
學位類別 碩士
語文別 中文
口試日期 2011-01-07
論文頁數 120頁
口試委員 指導教授-李碧霞
委員-曾旭民
委員-黃奕清
中文關鍵字 運動階段  生活品質  睡眠品質  中介影響 
英文關鍵字 Exercise stages  Quality of life  Sleep quality  Mediating effect 
學科別分類
中文摘要 中文摘要
背景:運動階段、睡眠品質及健康相關生活品質之間有密切相關,但過去研究並沒有對三者間的因果關係進行驗證。目的:本研究旨在探討老人運動階段與健康相關生活品質之關係及睡眠品質的中介影響。方法:採橫斷式研究設計,調查臺北市某一行政區250位65歲以上老年人,以運動行為階段量表、SF-36健康狀態調查表及匹茲堡睡眠品質指標量表為研究工具,以平均值、標準差呈現描述性統計,以單因子變異數分析、階層式迴歸分析及sobel test進行推論性統計。結果:研究對象有65.2%運動階段是處於維持期;整體生理功能平均得分為49.16分,整體心理功能為54.67分;睡眠品質平均得分為8.22分,其中72.4%有睡眠品質不良的情形。不同運動階段在整體生理功能(F = 10.93, p < .001)、整體心理功能(F = 2.99, p < .05)及睡眠品質(F = 4.86, p < .05)上有顯著差異。控制性別、年齡及罹病數目後,睡眠品質在運動階段與整體生理功能的關係上扮演著重要的中介角色(β=-0.31, p < .01);在整體心理功能上,睡眠品質的影響力大於運動階段。結論:老人的睡眠品質是運動階段與整體生理功能間的重要中介變項,且是整體心理功能的重要影響變項,醫療衛生專業人員在提升老人的整體生理功能及心理功能時,宜同時考量運動習慣與睡眠品質。

英文摘要 英文摘要
Background: The previous researches never focus the verification for the relationships among exercise stages, sleep quality and health-related quality of life. Aim: To explore the relationships among exercise stages, health-related quality of life, and sleep quality and to test whether sleep quality mediates the effect of exercise stages on health-related quality of life in elders. Methods: A cross-sectional design was conducted with a total of 250 over sixty-five older in one of the district in Taipei City. Instruments used include the Exercise Stages of Change Questionnaire, the Taiwanese version of SF-36, and the Pittsburgh Sleep Quality Index-Taiwan Form. Data were analyzed by mean, standard deviation for descriptive statistics, and one-way ANOVA, hierarchical regression and sobel test for inferential statistics. Results: 65.2% of participants’ exercise stage is under maintenance stage and the average of physical component scale and mental component scale are 49.16 and 54.67. The average of the sleep quality was 8.22, and there was 72.4% participants on a poor sleep quality condition. There was significant differences among physical component scale(F = 10.93, p < .001); mental component scale(F = 2.99, p < .05)and sleep quality(F = 4.86, p < .05)under different exercise stages. Sleep quality significantly mediated(β=-0.31, p < .01)the relationship between exercise stages and physical component scale after control the gender, age and number of diseases, but for the mental component scale, sleep quality does more effects than exercise stages. Conclusions: This study suggested that sleep quality is an important mediating role on the relationship between exercise stages and physical component scale, and a major variable for mental component scale in elderly. When medical and health professional to improve physical and mental component scale of elderly people, need to consider exercise habit and sleep quality simultaneously.

論文目次 致 謝…………………………………………………………
中文摘要…………………………………………………………
英文摘要…………………………………………………………
目 錄…………………………………………………………
圖表目次…………………………………………………………
第一章 緒論
第一節 研究動機及重要性……………………………… 1
第二節 研究目的………………………………………… 4
第三節 研究問題………………………………………… 5
第四節 研究假設………………………………………… 6
第五節 名詞界定………………………………………… 7
第二章 文獻查證
第一節 健康相關生活品質之概念及其相關研究……… 9
第二節 睡眠品質之概念及其相關研究…………………… 16
第三節 運動階段之概念及其相關研究…………………… 20
第三章 研究方法
第一節 研究設計………………………………………… 26
第二節 研究架構………………………………………… 27
第三節 研究對象………………………………………… 29
第四節 研究工具………………………………………… 30
第五節 研究倫理考量資料分析………………………… 34
第六節 研究流程………………………………………… 35
第七節 資料處理分析…………………………………… 36
第四章 研究結果
第一節 個人背景因素、運動階段、睡眠品質及健康相關生 活品質現況…………………………………………38
第二節 不同運動階段對睡眠品質的影響情形…………… 55
第三節 不同運動階段對健康相關生活品質的影響情形… 57
第四節 睡眠品質在運動階段對健康相關生活品質的中介影響…………………………………………………60
第五章 討論
第一節 運動階段、睡眠品質及健康相關生活品質現況… 73
第二節 不同運動行為對睡眠品質的影響情形…………… 81
第三節 不同運動行為對健康相關生活品質的影響情形… 83
第四節 睡眠品質在運動階段對健康相關生活品質的
中介影響……………………………………………84
第六章 結論及建議
第一節 結論……………………………………………… 85
第二節 建議……………………………………………… 86
參考資料
中文部分…………………………………………………… 87
英文部分…………………………………………………… 93
附錄
附錄一 社區老人健康相關生活品質及相關因素探討問卷 ……………………………………………… 101
附錄二 SF-36臺灣版問卷使用授權書…………………… 104
附錄三 運動階段量表使用授權許書……………………… 105
附錄四 匹茲堡睡眠品質量表原文使用授權書…………… 107
附錄五 匹茲堡睡眠品質量表中文使用授權書…………… 108
附錄六 人體研究倫理委員會通過證明函………………… 109
附錄七 受訪者知情同意書………………………………… 110

圖表目次 頁數
圖3-1 研究架構…………………………………………… 28
圖4-1 研究關係圖………………………………………… 61
圖4-2 整體生理功能常態分布圖………………………… 63
圖4-3 整體生理功能線性分布圖 ………………………… 64
圖4-4 整體生理功能殘差圖 ……………………………… 65
圖4-5 整體心理功能常態分布圖 ………………………… 66
圖4-6 整體心理功能線性分布圖 ………………………… 67
圖4-7 整體心理功能殘差圖 ……………………………… 68
圖4-8 運動階段、整體睡眠品質及健康相關生活品質關係圖 …………………………………………………72
表2-1 國內外學者對老年人生活品質的調查…………… 12
表2-2 我國老年人SF-36常模……………………………… 14
表2-3 國內外老年人的運動階段調查…………………… 22
表3-1 對應研究目的、研究問題之統計方法……………… 37
表4-1 研究樣本個人背景因素之分佈…………………… 39
表4-2 不同性別對運動階段造成的差異………………… 41
表4-3 睡眠品質良好及不良人數之分佈………………… 43
表4-4 睡眠品質各因素得分之情形……………………… 45
表4-5 睡眠品質各因素之分佈…………………………… 48
表4-6 睡眠困擾之分佈…………………………………… 50
表4-7 健康相關生活品質得分現況……………………… 52
表4-8 健康相關生活品質各概念之現況………………… 54
表4-9 不同運動階段在睡眠品質上的差異……………… 56
表4-10不同運動階段在健康相關生活品質上的差異……… 58
表4-11健康相關生活品質之階層迴歸分析及中介效果…… 70
表5-1 本研究65至74歲男性生活品質各概念經國內常模轉換之Z分數分佈…………………………………77
表5-2 本研究65至74歲女性生活品質各概念經國內常模轉換之Z分數分佈…………………………………78
表5-3 本研究75歲以上男性生活品質各概念經國內常模轉換之Z分數分佈…………………………………79
表5-4 本研究75歲以上女性生活品質各概念經國內常模
轉換之Z分數分佈…………………………………80
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