以行動與多媒體科技改善睡眠之研究

Abstract

此研究發展一套改善睡眠品質的系統，稱之為“穩穩好眠”（Win Win aSleep，WWaS）。認知行為療法（Cognitive Behavioral Therapy for Insomnia，簡稱CBT-I）是綜合心理與行為治療失眠的方式。認知行為療法需要先了解失眠患者生活作息並對此做出調整，從而提升睡眠品質來解除失眠問題。為了解決紙本日誌記錄作息的不便，我們發展一套系統以輔助認知行為療法的治療過程，讓認知行為療法能夠更簡易的執行，此系統為“穩穩好眠” 計劃裡的“電子日誌系統”。電子日誌系統分成雲端應用系統和行動應用系統，雲端應用系統讓治療師能夠管理患者的作息處方，並提供患者作息記錄的分析與睡眠品質量表。行動應用系統則提供患者作息處方的瀏覽與提醒、簡易的記錄方式、放鬆引導影片教學、CBT-I 相關知識的介紹和睡眠狀況的分析。根據使用電子日誌系統的實驗數據，填寫率由紙本日誌的平均75.8% 上升至85.0%，而遵囑率則由紙本日誌的平均53.3% 上升至64.5%。此外，為了提高患者進行放鬆練習的時間，我們研發一款多媒體放鬆引導助眠器，此系統稱為“互動多媒體輔助睡眠系統”（Interactive Multimedia Assisting System for Sleep，iM-asleep）。iM-asleep 同時提供影像與聲音的引導，讓患者可以根據iM-asleep 提供的引導調整呼吸節奏，以此達到放鬆的效果。

In this study, we developed an assisting system Win Win aSleep(WWaS) that improving sleep quality, WWaS included two subsystems, which are “Electronic Diary System” and “Interactive Multimedia Assisting System for Sleep”(iM-asleep). Cognitive Bahavioral Therapy for Insomnia(CBT-I) is a combination of psychological and behavioral therapies for treating insomnia. In CBT-I, the therapist need to know patient’s lifestyle and then give suggestions of modification. For resolved the problem of recording inconvenient, we developed a subsystem “Electronic Diary System”. Electronic Diary System included cloud application and mobile application, cloud application assist therapists managing patients’s behavioral regimen, and analysing patients’s behavioral regimen and trends of sleep quality. Mobile application assist patient browsing prescribed behavioral regimen, reminding prescribed behavioral regimen, recording lifestyle, coaching relaxation, introducing CBT-I knowledge, and analysing sleep quality. We compared the average fill rate and average adherence by using hand-written diary and electronic diary system respectively. Average fill rate of hand-written diary is 75.8% and average fill rate of electronic diary system is 85.0%, average adherence of pa- per diary is 53.3% and average adherence of electronic diary system is 64.5%. Besides, we developed multimedia relaxation guiding machine iM-asleep for promoting more relaxation to patients. iM-asleep guides relaxation by animation and sounds, assists patients adjusting their breathing rhythm and achieve the effect of relaxation.