背景：由內政部2012 年第一季身心障礙者人數統計報表，目前台灣通報患失智症者 有36,204 人，依失智症社區盛行率，推估社區中約近12 萬失智症老人，失智症者照顧者 相關議題已成為台灣重要課題。目的：本研究以Hilgeman 等人於2009 年之壓力歷程模式 為基礎，探討女性失智症家庭照顧者其因應模式在正向照顧經驗與睡眠品質間的關係。方 法：採用因應方法量表（RWCC）、中文化匹茲堡睡眠品質量表（CPSQI）和正向照顧經 驗量表（PAC）、背景資料和睡眠日誌調查84 位失智症的女性家庭照顧者。此外照顧者 需配戴3 天2 夜睡眠活動量手錶（Actiwatch）收集客觀睡眠資料。結果：本研究發現有 92.4% 女性家庭照顧者主觀覺得有睡眠困擾; 客觀睡眠指標上75.6% 的受試者的睡眠效率 則未達85% 切結點。然而正向照顧經驗與因應模式會產生交互作用影響女性失智症家庭 照顧者主觀或客觀的睡眠品質。結論：以心理介入的角度，建議未來可增強個案的正向照 顧經驗、教導合適的因應技巧，可減緩不合適之因應與正向照顧經驗不足所產生的不佳睡 眠品質。

Background: According to The Ministry of the Interior year 2012 first season National survey, there are 36,204 dementia patients in Taiwan. However, base on dementia community prevalence survey, there are approximate 120 thousands patients in Taiwan. Dementia family caregivers issues become important issue. Purpose: This study will focus on the relationship between sleeping quality and the experience of positive aspects of caregiving by the stress process model which Hilgeman and other researchers purpose in 2009. Methods: The questionnaires composed of the Revised Ways of Coping Checklist(RWCC), Chinese Pittsburgh Sleep Quality Index(CPSQI), Positive Aspects of Caregiveing(PAC), demographic information and Sleep Diary was used to investigate 84 caregivers. In addition, caregivers have to wear the actiwatch for three days and two nights for collecting objective sleep informaiton. Results: The results revealed that 92.4% female caregivers report have poor sleep quality and 75.6% caregivers’ objective sleep efficiency are lower than 85% cut off point. The interaction between positive aspects of caregiving and coping style predicted both subjective and objective sleeping quality in female dementia family caregivers. Conclusions: One the intervention in the future, focusing on enhancing the caregiver’s positive aspects of caregiving and coping appropriately will buffer poor sleeping quality.