| 研究生: |
林欣諭 Lin, Xin-Yu |
|---|---|
| 論文名稱: |
提升中年族群睡眠品質之枕頭形狀設計 Pillow Shape Design to Enhance the Sleep Quality of Middle-Aged Groups |
| 指導教授: |
吳豐光
Wu, Fong-Gong |
| 學位類別: |
碩士 Master |
| 系所名稱: |
規劃與設計學院 - 工業設計學系 Department of Industrial Design |
| 論文出版年: | 2015 |
| 畢業學年度: | 103 |
| 語文別: | 英文 |
| 論文頁數: | 58 |
| 中文關鍵詞: | 枕頭 、睡眠品質 、頸部疼痛 、打鼾 |
| 外文關鍵詞: | pillow, sleep quality, neck pain, snoring |
| 相關次數: | 點閱:116 下載:1 |
| 分享至: |
| 查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
量測睡眠品質的方法有許多種,睡眠干擾事件的量測就屬其中之一。為增進睡眠品質,減少睡眠干擾事件(如:打鼾、睡眠呼吸中止症、頸部疼痛導致中途醒來)是很重要的。目前很少研究同時研究減少打鼾、緩解頸部疼痛與減少接觸面受壓。因此本研究的目的為瞭解枕頭形狀與減少打鼾、預防頸部疼痛與接觸面受壓的關聯,以增進睡眠品質。
第一階段實驗選擇了四種類型市面現有枕頭(包括止鼾枕與舒緩頸部不適枕),分別做了三個晚上的枕頭形狀與睡眠品質的關聯性測試。睡眠過程中以Arduino記錄打鼾情況,壓力墊紀錄頭頸部動作與受壓,並用腕動儀偵測客觀睡眠品質。受測者醒來之後,請他們填寫頸部痠痛主觀評量問卷,以瞭解頸部痠痛情形。接著以文獻探討為依據建立一形態分析圖表,再以焦點團體法分析討論,據以決定提升睡眠品質之枕頭形狀。
經過設計的枕頭模型完成後,進行了六晚的評估實驗。實驗方法與第一階段實驗相同。根據實驗結果所得的數據,分析此設計產品的優劣,並提供後續改良設計的準則。
本研究實驗調查特定使用者(年齡介於40~60歲之間)之睡眠品質,並據以重新設計枕頭的形狀,驗證提高睡眠品質的枕頭應有的特徵。
There are many ways to measure sleep quality, in which sleep disruptive events are included. To improve sleep quality, it is important to reduce sleep disruptive events such as snoring, apnea, and neck pain resulting to waking symptoms. Few pillow studies have been researched on reducing snoring, relieving neck pains, and enhancing comfort at the same time. Thus the purpose of this papers is to investigate the relationship between pillow shapes and reducing snoring, preventing neck pains, as well as comfort so as to improve sleep quality.
3 anti-snore and neck-pain-relieving pillows and 1 conventional polyester pillow are chosen to be respectively tested for 3 nights on the relationship between the pillows' shapes and the subjects’ sleep quality. One male and one female, who are 40 to 60 years old, participated in this experiment. The sound of snoring was recorded, and the head and neck’s pressure was recorded by a pressure mat during the whole night. This study used Jawbone to test the subjects’ objective sleep quality. After subjects woke up, the subjective evaluation scale of neck pain were filled out to show the subjects’ neck pains condition. Then, I formed a morphological chart based on literature review and used the data got from the pressure mat accompanying with a focus group to determine a pillow design to enhance the sleep quality of middle-aged groups.
After the pillow design was built up, I conducted a 6 nights’ experiment for 6 persons respectively to evaluate the product, with a method same as the previous experiment. Then, according to the data gained from a series of experiments, we could analyze and find out the design’s pros and cons, which nevertheless would provide guidelines for researcher to determine a pillow revision furthermore.
This study investigated the sleep quality of particular users and new-designed pillow shape to enhance the sleep quality of middle-aged groups as better as possible, and in the meantime, to verify the characteristics and features of pillows which could improve sleep quality.
Andrew, D. K., & Jack, D. E. (2008). Measuring sleep quality. Sleep Medicine, 9(1), 10–17.
Andersson, H. I. (1994). The epidemiology of chronic pain in Swedish rural area. Qual Life Res, 3, 19-26.
Ambrogio, N., Cuttiford J., Lineker S., & Li L. (1998). A comparison of three types of neck support in fibromyalgia patients. Arthritis Care Res,11(5), 405-10.
Borazio, & Van Laerhoven. (2012). Combining wearable and environmental sensing into an unobtrusive tool for long-term sleep studies. ACM, 12(1), 28–30.
Bovim, G., Schrader, H., & Sand T. (1994). Neck pain in the general population. Spine, 19, 1307-1309.
Bland , J. (1987). Disorders of the Cervical Spine. Philadelphia, PA: Saunders.
National Sleep Foundation. (n.d.). Sleep and snoring. Retrieved August 13, 2014, from http://sleepfoundation.org/sleep-disorders-problems/other-sleep-disorders/snoring
Bovim, G., Schrader, H., & Sand, T. (1994). Neck pain in the general population. Spine, 19, 1307-1309.
Burns, G. (1999). Clinical practice. The effect of the purity health pillow on subjects experiencing chronic benign cervical pain: a pilot study. Journal of Vertebral Subluxation Research, 3, 74-77.
Bliwise, D. L., Irbe, D., & Schulman, D. A. (2004). Improvement in obstructive sleep apnea in the supine ‘‘knees-up’’ position. Sleep Breath, 8, 43–47.
Bernateck, M., Karst, M., Merkesdal, S., Fischer, M.J., & Gutenbrunner, C. (2008). Sustained effects of comprehensive inpatient rehabilitative treatment and sleeping neck support in patients with chronic cervicobrachialgia: A prospective and randomized clinical trial. Int J Rehab Res, 31(4), 342–346.
Cartwright, R. D. (1984). Effect of sleep position on sleep apnea severity. Sleep, 7, 110–114.
Clete, A. K., Candida, M. S., Seung, C. H., Palombini, L., Hyde, P., & Dement, C. W. (2001). Cervical positioning for reduction of sleep-disordered breathing in mild-to-moderate OSAS. Sleep Breath, 05(2), 071-078.
Cohen, D.C., Eisdorfer, C., Prize, P., Breen, A., Davis, M., & Dadsby, A. (1993). Sleep disturbances in the institutionalized aged. Journal of the American Geriatrics Society, 31,79-82.
Cheng, C. M. (2007). Develpoment of a Portable Device for Tele-Monitoring of Sleep in a Home Environment. Ph.D. thesis, Yuan Ze University, Taiwan.
Chang, W. L. 1995, Effects of Exercise on Cardiopulmonary Function. Practical Exercise Physiology Answers, 97-122.
Donald, L. B., Irbe, D., & Schulman, D.A. (2004). Improvement in obstructive sleep apnea in the supine “knees-up” position. Sleep and Breathing, 8(1), 43-47.
DeKoninck, D. L., & Gagnon, P. (1992). Sleep positions and position shifts in five age groups: An ontogenetic picture. Sleep, 15, 143–149.
Erfanian Parham, Tenzif, Siamak, Guerriero, & Rocco C. (2004). Assessing effects of a semi-customized experimental cervical pillow on symptomatic adults with chronic neck pain with and without headache. The Journal of the Canadian Chiropractic Association, 48(1), 20-8.
Erfanian, P., Hagino, C., & Guerriero, R. (1998). Pilot study: An investigation on the relationship between external cervical measurements and the preference of cervical pillow thickness. JCCA, 42(2), 83–89.
Gordon, S. J., Grimmer, K. A., & Trott, P. (2007). Sleep position: Age, gender, sleep quality and waking cervico-thoracic syptoms. The Internet Journal of Allied Health Sciences and Practice, 5, 2.
Gordon, S. J., Grimmer, K. A., & Trott, P. (2002).Waking cervical pain and stiffness, headache, scapula or arm pain: Gender and age effects. Australis Journal of Physiotherapy 48:9-15
Guilleminault, C., van den Hoed J., & Mittler, M. M. (1978). Clinical overview of the sleep apnea syndromes. in: C Guilleminault, W.C. Dement (Eds.) Sleep apnea syndromes. Alan R Liss, New York.
Gutenbrunner, C., Gundermann, G., Hager, G., Hager, V., & Gehrke, A. (1999). Long-term effect of clinical rehabilitation in patients suffering from chronic cervicobrachialgia influence of a special pillow. Rehabilitation, 38(3),170-6.
Grieve, G. P. (1988). Common vertebral joint problems. 2nd Edition. Edinburgh, UK: Churchill Livingston.
Gordon, G.S., & Trott. (2011). A randomized, comparative trial: does pillow type alter cervico-thoracic spinal posture when side lying? J Multidiscip Healthc, 4, 321-7.
Helewa, A, Goldsmith, C. H., Smythe, H. A., Lee, P., Obright, K., & Stitt, L. (2007). Effect of therapeutic exercise and sleeping neck support on patients with chronic neck pain: a randomized clinical trial. J Rheumatol, 34(1),151-158.
Hinwood, J. A., & Richardson, P. (1991). Architecture of the cervical spine: measurement of certain characteristics. Chiro J Aust, 2(2), 47–52.
Hou, J. J., Shen L. M., Song J., & Zhu Y. D. (2012). Influence of the materials of pillow core on sleeping comfort in lateral position. Journal of Northwest Forestry University, 27(5), 217-221.
Hou, J. J., Shen L. M., Zhu Y. D., & Song J. (2012). Journal of Northwest Forestry University, 27(4), 218-222.
Chen, H. L. & Cai, D.C. (2012). Body dimension measurements for pillow design for Taiwanese. Work, 41,1288-1295.
Krystal, D. A. , & Edinger, D. J. (2008) Measuring sleep quality. Sleep Medicine, 9(1),10-17.
Kramer, J. (1990). Intervertebral disk diseases: causes, diagnosis, treatment and phophylaxis. New York, NY: Thieme Medical Publishers Inc.
Kushida, C. A., Rao S., Guilleminault, C., Giraudo, S., Hsieh, J., Hyde, P., & Dement, W. C. (1999). Cervical positional effects on snoring and apneas. Sleep Res Online, 2(1), 7-10.
Kroemer, K. H., Kroemer, H.B., & Kroemer-Elbert, K. E. (1994). Ergonomics: how to design for ease and efficiency. New Jersey: Prentice Hall.
Jokic, R., Klimaszewski, A., Crossly, M., Sridhar, G. & Fitzpatric, M. (1999). Positional treatment vs continuous positive airway pressure in patients with positional obstructive sleep apnea syndrome. Chest, 115, 771–781.
Jackson, R. (1976). The Cervical Spine. 3rd ed. Springfield, Il: Charles C. Thomas.
Lee, J. B., Park, Y. H., Hong, J. H., Lee, S. H., Jung, K. H., Kim, J. H., Yi, H. & Shin, C. (2009). Determining optimal sleep position in patients with positional sleep-disordered breathing using response surface analysis. J. Sleep Res,18, 26–35.
Jennifer H. Walsh, Kathleen J. Maddison, Peter R. Platt, David R. Hillman, & Peter R. Eastwood. (2008). Influence of head extension, flexion, and rotation on collapsibility of the passive upper airway. Sleep, 31(10), 1440–1447.
Hannon, J. C. (1999). Pillow talk: the use of props to encourage repose. Journal of Bodyworkand Movement Therapies, 3(1), 55-64.
Hodkinson, B. J., Gordon, J. S., Crowther, G. R., & Buettner, G. P. (2013). Time to stabilisation of the cervical spine when supported by a pillow in side lying. Ergonomics, 56(9), 1474–1485.
Lavin, R., Pappagallo, M., & Kuhlemeier, K. (1997). Cervical pain: a comparison of three pillows. Archives of Physical Medicine and Rehabilitation , 78, 193-198.
Persson, L. (2006). Neck pain and pillows – A blinded study of the effect of pillows on non-specific neck pain, headache and sleep. Advances in Physiotherapy, 8(3),122-127.
Lerner, R. (1982). Sleep loss in the aged: implications for nursing practice. Journal of Gerontological Nursing, 8, 323-328.
Bernateck, M. MD. (2008). Sustained effects of comprehensive inpatient rehabilitative treatment and sleeping neck support in patients with chronic cervicobrachialgia: a prospective and randomized clinical trial. International J Rehab Research, 31, 342-46.
McDonnell, J. (1946). Sleep posture: its implications. Br J Phys Med, 9, 46–52.
Skinner, A. M., Kingshott, N. R., Jones, R. D., Sean D.R. Homan, & D. RobinTaylor. (2004). Elevated Posture for the Management of Obstructive Sleep Apnea. Sleep and Breathing, 8(4),193-200.
Najeeb A. Zuberi, Kamel Rekab, Hal V. Nguyen. (2004) Sleep Apnea Avoidance Pillow Effects on Obstructive Sleep Apnea Syndrome and Snoring. Sleep and Breathing, 8(4), 201-207.
Oksenberg, A., & Silverberg, D. S. (1998). The effect of body posture on sleep-related breathing disorders: factors and therapeutic implications. Sleep Med. Rev, 2, 139–162.
Persson, L. (2006). Neck pain and pillows—a blinded study of the effect of pillows on non-specific neck pain, headache and sleep. Adv Physiother, 8(3),122-7.
Penzel, T., Moler, M., Becker, H. B., Knaack, L., & Peter, J. H. (2004). Effect of sleep position and sleep stage on the collapsibility of the upper airways in patients with sleep apnea. Sleep, 24, 90–95.
Parham Erfanian, Siamak Tenzif, & Guerriero, C. R. (2004). Assessing effects of a semi-customized experimental cervical pillow on symptomatic adults with chronic neck pain with and without headache. J Can Chiropr Assoc, 48(1), 20–28.
Roehrs, T., & Roth, T. (2005). Sleep and pain: interaction of two vital functions. Semin Neurol, 25, 106-116.
Wei, R., Li, X., Kim, H.S., Im, J. J. & Kim, H. J. (2010). A development of mechanism for reducing snoring. IEEE, 2, 242-245.
Skinner, M. A., Kingshott, R. N., Jones, D. R., Homan, S. D. R., & Taylor, D. R. (2004). Elevated posture for the management of obstructive sleep apnea. Sleep Breath, 8, 193–200.
Gordon, J. S., Karen A. G. S., & Trott, H. P. (2010). Pillow use: the behavior of cervical stiffness, headache and scapular/arm pain. J Pain Res, (3),137-145.
Liu, S. F., Lee, Y.L., & Liang, J.C. (2011). Shape design of an optimal comfortable pillow based on the analytic hierarchy process method. Journal of Chiropractic Medicine, 10, 229–239.
The Snoring. (n.d.) Retrieved August 17, 2014 from http://www.orthoapnea.com/snoring/thesnoring.php
Taiwan sleep disorders association.(n.d.) Snoring? Or "obstructive sleep apnea"? Retrieved from August 13, 2014, from http://www.sleep.org.tw/ugC_News_Detail.asp?hidID=82&hidPage1=1
Warwick, R., & Williams, P.L. (1973). Gray’s anatomy, 35th ed, London: Longman, 284.
Yaggi, H. K., Concato, J., Kernan, W.N., Lichtman , J.H., Brass, L.M., & Mohsenin, V. (2005). Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med, 353, 2034–41.
校內:2020-08-14公開