南華大學機構典藏系統:Item 987654321/28365
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    题名: 孕期疲憊、睡眠品質與中醫體質之相關性研究
    其它题名: The Relationship among Fatigue, Sleep Quality and TCM Body Constitution during Pregnancy
    作者: 周英芝
    CHOU, YING-CHIH
    貢獻者: 自然生物科技學系自然療癒碩士班
    陳秋媛
    CHEN, CHIU-YUAN
    关键词: 孕期疲憊;孕期睡眠品質;中醫體質
    Pregnancy Fatigue;Sleep Quality;TCM Body Constitution
    日期: 2020
    上传时间: 2022-05-23 11:20:56 (UTC+8)
    摘要: 　　背景及目的：妊娠失眠與疲憊對母嬰均可能將造成許多不良影響。在與懷孕有關的睡眠困擾項目中，佔較多數的是難以進入或維持睡眠或難以再次恢復睡眠。從中醫觀點看睡眠是陰陽氣血自然而有規律的結果，這種規律因體內臟腑氣血的失衡被打破，使心神不寧，引致睡眠障礙表現。研究發現中醫體質是失眠的影響因素之一，因此，中醫體質自我認知在孕產婦保健上有重要的意義。本研究擬探討孕期疲憊、睡眠品質與中醫體質之相關性。　　研究對象及方法：本研究為橫斷式問卷調查 (cross-section design)，於南投及台中兩間婦產科醫院招募20-50歲之孕婦，以結構式問卷進行調查。問卷內容包含個人基本資料、中文維辛式睡眠量表(VHS)、台灣版簡明疲憊量表(BFI-T)及中醫體質量表(CCMQ)等。使用SPSS 18.0套裝統計軟體，以次數分布、皮爾森積差相關、卡方及T檢定分析。　　研究結果：本研究共發出95份問卷，回收89份，扣除基本資料部分與中醫體質量表填寫不完整或回答不清楚的部分，總計有效問卷75份，回收率為84.3%。中醫體質分布部分，符合單一體質計分標準者僅有平和質5人(6.7%)，其餘皆屬二種以上複合體質，出現頻次以平和質(90.67%)、陰虛質(69.3%)、氣虛質(58.7%)居多。疲憊量表部分，BFI ≦3分佔1.3%，4-6分占22.7%，BFI ≧7分佔76%，疲憊影響以情緒及日常工作居多。孕期疲憊與睡眠品質之相關性部分，除補足睡眠未達顯著外，孕期疲憊與睡眠品質、睡眠受擾及有效睡眠皆呈顯著負相關。中醫體質與疲憊之相關性部分，除平和質與疲憊呈負相關之外，其他偏頗體質之氣虛質、痰濕質、血瘀質、氣鬱質及特稟質皆與疲憊呈顯著正相關。中醫體質與睡眠之相關性部分，睡眠品質與平和質呈正相關，與氣虛質、痰濕質、濕熱質、血瘀質、氣鬱質及特稟質等六種偏頗體質均呈顯著負相關。　　結論：孕期疲憊與睡眠品質、睡眠受擾及有效睡眠息息相關。趨近平和質者疲憊程度愈低；睡眠品質較佳。本研究結果可作為孕期體質養生之參考。
    　　Background and Purpose: Insomnia and fatigue maybe will cause many adverse effects on mothers and infants during pregnancy. From the perspective of TCM, sleep is the natural and regular result of circulation balanced in the yin, Yang , Qi and blood, which is broken by the imbalance of Qi and blood in the internal organs of the body, causing restlessness and sleep disorder. The purpose of this study was to explore the relationship between fatigue, sleep quality, and the constitution of TCM during pregnancy.　　Materials and Methods: A cross-sectional study design was used in this study. Data were collected from pregnant women at two obstetrics and gynecology hospitals, they are between 20 -50 years of age. Four structured questionnaires were used to collect data: basic information, and the Verran and Snyder-Halpern Sleep Scale (VSHSS), and the Brief Fatigue Inventory Short Form BFI-Taiwan Form (BFI-T), and the Constitution in Chinese Medicine Questionnaire (CCMQ).　　Results: A total of 89 questionnaires were recovered and 75 valid questionnaires were obtained with a recovery rate of 84.3%. The TCM Constitutional Types of subjects are sequentially Neutral type (90.67%), Yin deficiency type (69.3%), and Qi deficietcy type (58.7%). The BFI-T is positive related to unbalanced body constitutions and the VSHSS is negative related to unbalanced body constitutions.　　Conclusion: The results obtained that fatigue during pregnancy is closely related to sleep quality, sleep disturbance, and effective sleep. Those who approach Neutral type will have a lower degree of fatigue and better sleep quality. The results of this study can be used as a reference for health during pregnancy.
    显示于类别:[自然生物科技學系(自然療癒碩士班)] 博碩士論文-自然療癒碩士班

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