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研究生: 陳昶濬
Chen, Chang-Chun
論文名稱: 大學生族群體表溫度與其睡眠品質之關聯性
Association between skin temperature and sleep quality among university students
指導教授: 柯乃熒
Ko, Nai-Ying
學位類別: 博士
Doctor
系所名稱: 醫學院 - 護理學系
Department of Nursing
論文出版年: 2022
畢業學年度: 110
語文別: 英文
論文頁數: 95
中文關鍵詞: 遠近端體表溫度梯度睡眠品質大學生穿戴式設備
外文關鍵詞: Distal-to-proximal skin temperature gradient, sleep quality, university student, wearable device
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  • 中文摘要 I ABSTRACT III ACKNOWLEDGEMENT V TABLE OF CONTENTS VI LIST OF FIGURES XI LIST OF TABLES XIII CHAPTER ONE: INTRODUCTION 1 Background 1 Significance 3 The thermoregulation of core body temperature during nocturnal sleep 3 The correlation between distal-to-proximal skin temperature gradient and sleep 3 Body temperature and sleep quality 5 Research purpose 6 CHAPTER TWO: LITERATURE REVIEW 7 Thermo-physiology during sleep 7 The mechanism for circadian body temperature rhythms 7 The interaction of core body temperature and skin temperature 8 Relationship between thermoregulation and sleep regulation 9 Sleep quality and skin temperature 10 A higher distal skin temperature can improve sleep 10 The effect of skin temperature manipulation on sleep quality 12 Instruments used to measure sleep quality and skin temperature 13 CHAPTER THREE: MATERIALS AND METHODS 17 Study design and participants 17 Study framework 17 Measurement 18 Primary outcome: Sleep quality 18 Objective sleep quality: Wristband actigraphy 18 Subjective sleep quality 19 Body temperature 20 Proximal body temperature (Core body temperature): Temp Pal® 20 Distal body temperature: HEARThermoTM 20 Distal-to-proximal skin temperature gradient (DPG) Temperature 22 Environmental indexes 22 Stress 23 Data collection 23 Data analysis 26 Linear mixed effect model 26 Data quality issues 26 Functional ANOVA 30 Hierarchical clustering on principal components 30 CHAPTER FOUR: RESULTS 32 Characteristics of participants 32 Comparison of environmental parameters and sleep quality in different sleep locations 34 Associated factors of subjective and objective sleep quality 37 Factors that affected the skin body temperature (SBT) curves during sleep 39 Subjective measurements 40 Mean of single-item sleep quality score 40 Mean of daily stress score 41 Physiological measurements 42 Skin body temperature 42 Peak flow level 43 Median of heart rate during sleep 44 Environment measurements 45 Mean ambient temperature during sleep 45 Mean CO2 levels during sleep 46 Skin body temperature curves in different subjective sleep quality levels 47 CHAPTER FIVE: DISCUSSION 50 Analytic methods for large data paradigm 50 The skin temperature and sleep quality 51 DPG is a crucial index related to subjective sleep quality 51 DPG curve pattern in different sleep quality level 51 The factors associated with sleep quality 52 Ambient temperature is related to subjective sleep quality 52 High daily stress is associated with poor subjective sleep quality 53 The factors affect the skin body temperature curves during sleep time 54 CHAPTER SIX: CONCLUSION 56 Limitation and recommendations for future study setting 56 Application and future research 57 Conclusion 57 REFERENCES 59 Appendices 78 Appendix 1. Pre-test questionnaires 78 Appendix 2. Post-test questionnaires 83 Appendix 3. Sleep diary 86 Appendix 4. The p-value of covariates in each round selection 88

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