| Summary: | 博士 === 國立台北護理學院 === 護理研究所 === 97 === The Effects of Improving Quality of Sleep Interventions on
PerimenopausalWomen with Sleep Disturbance in Taiwan
Abstract
Quality of sleep is a crucial indicator to predict one’s health condition.
Perimenopausal women face significant changes in the body, the mind, and
social functions. Therefore, middle-aged women are the primary group
seeking medical help with sleep disturbance. However, there is little
information regarding improving sleep quality intervention for perimenopausal
women with sleep disturbances.
The purposes of this study were to examine the following questions: (1)to
examine the distribution of subjective as well as objective quality of sleep on
menopausal women in this present study, (2) to compare the effects of
improving quality of sleep interventions on perimenopause women with sleep
disturbance, (3) to explore the effects of improving quality of sleep
interventions on perimenopasual women’s psychological status, and
menopausal symptoms influencing sleep quality, finally to predict the
explaination of locus control on quality of sleep. An experimental with repeat
measure was used. 59 suitable subjects were recruited from a small town in
middle of Taiwan. The subjects were divided with block randomization into
experimental and control groups, and the improving quality of sleep
intervention was provided only in experimental group.
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The duration of this intervention was totally 4 weeks, 2 hours for each
week. Post test was collected after one week intervention, and post- post test
was collected after four weeks intervention. Chinese version Pittsburgh Sleep
Quality Index, Menopausal disturbed syndromes influencing preimenopausal
sleep quality index, Actiwatch, Beck Depression Index, Beck Anxiety
Inventory, and Multidimentional Health Locus of Control were used for data
collection. Discriptive statistic, t-test, qui-square test, GEE, propensity score,
and hierarchical linear regression were employed to analysis data by using
SPSS 15.00.
The results of this study indicated the following: In the subjective sleep
quality part, both experimental and control groups were identified poor sleeper,
additionally after controlling for confounding variables, the intervention did not
show effectively on the subjective sleep quality, but there was a significant
clinic explaination on the intervention. In the objective sleep quality aspect,
the percentage of waking during the night was significantly reduced , and sleep
efficiency was somewhat increased, but not for sleep latency, snooze time, and
total sleep hours. In the psychological aspect, state of anxiety was
significantly decreased, but not for depression. Also, the disturbed syndrome
did not show effectively improved. Finally, 28.7% covariance of locus
control can be explained on quality of sleep.
In, conclusion, findings demonstrated the Improving Quality of Sleep
Interventions was effected on reducing state anxiety and waking during the
night.
The findings of this study can provide information as a useful reference to
health providers regarding how to take care and sense perimenopausal women
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with sleep disturbance. The suggestion has made such as promoting the
similar relaxation interventions to enhance women’s sleep health knowledge
for self-care, to improve their quality of sleep as well as better quality of life.
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