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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/37284完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 羅美芳(Meei-Fang Lou) | |
| dc.contributor.author | Pei-Lin Yang | en |
| dc.contributor.author | 楊佩陵 | zh_TW |
| dc.date.accessioned | 2021-06-13T15:23:22Z | - |
| dc.date.available | 2016-10-07 | |
| dc.date.copyright | 2011-10-07 | |
| dc.date.issued | 2011 | |
| dc.date.submitted | 2011-08-11 | |
| dc.identifier.citation | 中文部份
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/37284 | - |
| dc.description.abstract | 睡眠品質不佳為冠狀動脈繞道術後常見之健康問題之一，本研究為描述性、相關性之調查研究設計，以立意取樣針對冠狀動脈繞道術後出院後一週及一個月返診病人，以結構式問卷進行睡眠品質及相關因素之探討。研究工具包括匹茲堡睡眠品質量表、疼痛10分量表、疲憊量表與醫院焦慮及憂鬱量表，共收案52人，所蒐集資料以SPSS/Window17.0套裝軟體進行描述性和推論性的統計分析，研究結果如下：
1. 出院後一週時，84.6%研究對象自覺有睡眠問題，根據匹茲堡睡眠品質量表得分，86.5%研究對象有睡眠品質不佳之情形；出院後一個月，73.1%研究對象自覺有睡眠問題，63.5%研究對象有睡眠品質不佳之情形。整體來看，出院後一個月和出院後一週相比，研究對象自覺有睡眠問題人數顯著減少且睡眠品質顯著改善。 2. 研究對象年齡越大、心臟功能越差、疲憊程度越高、焦慮程度越高及憂鬱程度越高者，其睡眠品質越差。「有婚姻伴侶者」比「無婚姻伴侶者」出院後一週之睡眠品質顯著較差。 3.「疲憊」及「焦慮」為研究對象出院後一週睡眠品質顯著預測因子，共可解釋睡眠品質31.8%的變異量；「憂鬱」及「焦慮」為研究對象出院後一個月睡眠品質顯著預測因子，共可解釋睡眠品質61.9%的變異量。 4. 本研究對象睡眠自我處理策略以採取「不理會」居多，「服用安眠藥」次之，約二成(17.4-19.2%)研究對象表示在自我嘗試錯誤後發展出其他睡眠處理策略。但研究對象大多認為睡眠自我處理策略無效，且資訊來源有限。 5. 睡眠問題普遍存在於冠狀動脈繞道術後病人，隨著研究對象之心臟功能、疲憊、焦慮及憂鬱情形改善，其睡眠品質也隨著改善，呈動態變化。 根據本研究結果，建議護理人員應主動評估冠狀動脈繞道術後病人有無睡眠問題，適時主動提供相關資訊，根據造成睡眠品質不佳之因素，提供合適睡眠處理策略。 | zh_TW |
| dc.description.abstract | Poor sleep quality is a common health problem after coronary artery bypass surgery. The aim of this study was to investigate sleep quality and related factors in patients after coronary artery bypass surgery. The design of this study was based on survey research, and the participants were patients who went back to the clinic for follow-up examinations after being discharged from hospitalization from one week to one month, among whom fifty-two patients were recruited. Structural questionnaires, including Pittsburgh Sleep Quality Index, 10 point pain scale, Fatigue Scale, Hospital Anxiety and Depression Scale were used to collect data. The data were analyzed by SPSS/Windows 17.0 software. The results of study were as follow:
1. At one week after being discharged, 84.6% of participants reported sleep problem and the prevalence of poor sleep quality in these participants was 86.5% on Pittsburgh Sleep Quality Index. At one month after being discharged, 73.1% of participants reported sleep problem and the prevalence of poor sleep quality in these participants was 63.5%. In general, the number of participants with sleep problem and the prevalence of poor sleep was significantly reduced from one week to one month post hospitalization. 2. Participants with older age, worse heart function, higher fatigue level, higher anxiety and depression level had poorer sleep quality. In addition, participants with bed partners had significantly poorer sleep quality than participants without bed partners at one week after being discharged. 3. “Fatigue” and “anxiety”were significant predictors of sleep quality and accounted for 31.8% of the total variance at one week after being discharged. ”Depression” and “anxiety”were significant predictors of sleep quality and accounted for 61.9% of the total variance at one month after being discharged. 4. The most frequently used strategy for sleeping problems was “to ignore” and the second one was “to take prescribed medicines”, only 17.4-19.2% of the participants used self-devised strategies to solve their sleeping problems. The result showed that strategies used by these participants were ineffective and their source of information was limited. 5. Sleep problems is common for patients who underwent coronary artery bypass surgery, and it is a dynamic process. With the improvement of their heart function, fatigue level, anxiety and depression level, their sleep quality can also improve as well. According to the research findings, nurses are highly recommended to assess sleep after coronary artery bypass surgery and offer them appropriate sleep hygiene management strategies. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T15:23:22Z (GMT). No. of bitstreams: 1 ntu-100-R97426014-1.pdf: 1019561 bytes, checksum: 337f11f0770d24d0eea217d12e00435c (MD5) Previous issue date: 2011 | en |
| dc.description.tableofcontents | 口試委員會審定書 i
誌謝 ii 中文摘要 iv 英文摘要 vi 目錄 viii 圖表目錄 ix 第一章 緒論 1 第一節 研究動機及重要性 1 第二節 研究目的 3 第二章 文獻查證 4 第一節 冠狀動脈繞道手術之簡介 4 第二節 睡眠相關概念之簡介 6 第三節 睡眠品質之定義與評估 9 第四節 冠狀動脈繞道術後睡眠相關研究 11 第五節 影響冠狀動脈繞道術後睡眠品質之因素 13 第三章 研究方法 20 第一節 研究架構 20 第二節 研究場所與對象 22 第三節 研究工具 23 第四節 資料收集及分析 28 第五節 研究倫理考量 30 第四章 研究結果 31 第一節 研究對象之人口學特性及疾病與治療特性 31 第二節 研究對象之症狀困擾、情緒困擾及變化 36 第三節 研究對象之睡眠品質及變化 42 第四節 研究對象睡眠品質之相關因素 50 第五節 研究對象睡眠品質之預測因子 55 第六節 研究對象之睡眠自我處理策略及其效果 58 第五章 討論 60 第一節 冠狀動脈繞道術後病人之睡眠品質 60 第二節 研究對象人口學特性及疾病與治療特性與睡眠品質 63 第三節 症狀困擾及情緒困擾與睡眠品質 66 第四節 睡眠品質之預測因子 68 第五節 睡眠自我處理策略及其效果 70 第六章 結論與建議 71 第一節 結論 71 第二節 研究限制與建議 73 第三節 臨床應用 75 參考文獻 77 中文部份 77 英文部分 79 附錄 89 附錄一：個案基本資料表 89 附錄二：匹茲堡睡眠品質量表 93 附錄三：醫院焦慮及憂鬱量表 95 附錄四：疲憊量表 97 附錄五：人體試驗計劃同意函 99 附錄六：匹茲堡睡眠品質量表使用同意函 100 附錄七：疲憊量表使用同意函 101 | |
| dc.language.iso | zh-TW | |
| dc.title | 冠狀動脈繞道術後病人睡眠品質及相關因素探討 | zh_TW |
| dc.title | Sleep Quality and Related Factors in Patients after Coronary Artery Bypass Surgery | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 99-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 黃貴薰(Guey-shiun Huang),蔡建松(Chien-Sung Tsai) | |
| dc.subject.keyword | 冠狀動脈繞道手術,睡眠品質,疼痛,疲憊,焦慮,憂鬱, | zh_TW |
| dc.subject.keyword | coronary artery bypass surgery,sleep quality,pain,fatigue,anxiety,depression, | en |
| dc.relation.page | 101 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2011-08-11 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 護理學研究所 | zh_TW |
| 顯示於系所單位： | 護理學系所 | |
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