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研究生:朱泳家
研究生(外文):Yeong-Jia Chu
論文名稱:社區老人及其家屬健康生活品質之探討
論文名稱(外文):A Study of Health-Related Quality of Life Among Community Elders and Their Families
指導教授:高森永高森永引用關係林金定林金定引用關係
指導教授(外文):Sen Yeong KaoJin Ding Lin
學位類別:碩士
校院名稱:國防醫學院
系所名稱:公共衛生學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:中文
中文關鍵詞:社區老人家屬健康相關生活品質health utility
外文關鍵詞:community elderfamilyhealth related quality of lifehealth utility
相關次數:
  • 被引用被引用:25
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  • 收藏至我的研究室書目清單書目收藏:5
人口老化是世界性的趨勢,台灣亦不例外。老人乃罹患慢性疾病的高危險群,且多屬於需長期休養的慢性病;人口老化對醫療保健以及長期照護體系必然產生重大的衝擊。因此,若能瞭解老人及其家屬對於健康相關生活品質的情形,在政策考量上會更周延。
本研究目的主要是探討台灣北部地區的社區老人及其家屬的健康相關生活品質及其影響因素。本研究以台灣北部七縣市的社區老人及其家屬為研究對象,共面訪575對老人及其家屬。主要結果顯示:
一 受訪社區老人及其家屬健康相關生活品質(世界衛生組織簡明版問卷),平均總分各為53.16分、56.02分(四個範疇總計80分),屬於中上程度。就老人及其家屬健康相關生活品質四個範疇而言,老人主要以社會範疇最為滿意,家屬以生理範疇最滿意,老人及其家屬均以心理範疇最不滿意。
二 受訪社區老人及家屬健康效用量測,自評健康分數平均總分各為65.63分、74.38分,而時間替代法中社區老人及其家屬願意替換者,健康效用值各為0.554(N=132)、0.221(N=123)。
三 社區老人整體範疇之健康相關生活品質,經由逐步迴歸分析,重要的預測變項「日常活動能力」、「自覺快樂程度」、「自評健康分數」等,可解釋整體迴歸模式總變異量為57.4%。
四 家屬整體範疇健康相關生活品質,經由逐步迴歸分析,重要預測變項「自覺健康狀況」、「自覺快樂程度」、「自評健康分數」等,可解釋整體迴歸模式總變異量為57.0%。
五「自覺快樂程度」為社區老人及其家屬各範疇的迴歸模式中共同出現的重要預測變項,亦顯示心情對於生活品質具有重要影響。
本研究結果可以瞭解台灣北部社區老人及其家屬的健康相關生活品質不錯,但是分別受到不同因素的影響,可以作為政府相關部門提升生活品質參考。
Aging is a worldwide trend, and this phenomenon could also be observed in Taiwan. Elderly people have high risk of chronic diseases, and they will need long-term recuperation if they suffer from these diseases. Therefore, the systems of health care and long-term nursing would be heavily struck when the population structure shifts. We believe that the government would have a better policy if we understand more about the health-related life quality of the old and their families.
The objective of this study is exploring the health-related life qualities and other influential factors of the community elders and their family in northern Taiwan. We interviewed 575 community elders and their families in 7 counties / cities in this area, and we found:
1.The mean score of health-related quality of life (WHOQOL-BREF questionnaire) of the participating community elders and their families were 53.16 and 56.02 respectively (total 4 sections added up to 80). Both were above average. Regarding all four sections, the elders were most satisfied with the social one, and their families scored the physiological condition as the highest. Both the elders and their families dissatisfied with the psychological condition section.
2.The mean score of health utility measurement and self-reported physical condition of the participating community elders and their families were 65.63 and 74.38. We also investigated a Time Trade-Off (TTO) question, and we found that the health utility value of the elders and their families who would like to trade off were 0.554 (N=132) and 0.221 (n=123).
3.We analyzed these data by stepwise regression, the best independent variables of integrated section in health-related quality of life of these community elders were: abilities in daily activity, self-reported happiness level, and the score of self-reported physical condition. The reasonable variance of the whole regression model was 57.4%.
4.We also analyzed other data from the families by the same criteria, and we found that the best independent variables of integrated section in health-related quality of life of these people were: self-reported physical condition, self-reported happiness level, and the score of self-reported physical condition. The reasonable variance of the whole regression model was 57.0%.
5.The level of self-reported happiness level was the most important independent variable of all because it appeared in both regression model of the community elders and their families. This showed that the mood affected their life quality very well.
This study showed that the health-related life qualities of the community elders and their families who lived in northern Taiwan were good, but affected by different factors. It could help the related authorities to elevate the quality of life of the countryman.
第一章 緒論
第一節 研究動機-----------------------------------------1
第二節 名詞解釋-----------------------------------------4
第二章 文獻探討
第一節 生活品質----------------------------------------5
第二節 影響社區老人及其家屬生活品質之因素--------------10
第三章 研究架構與假設
第一節 社區老人之研究架構------------------------------16
第二節 社區老人之研究假設------------------------------17
第三節 家屬之研究設------------------------------------18
第四節 家屬之研究假設----------------------------------19
第四章 研究方法與工具
第一節 研究對象----------------------------------------20
第二節 研究工具----------------------------------------22
第三節 量表信效度檢定----------------------------------30
第四節 資料收集----------------------------------------32
第五節 資料處理與統計分析------------------------------34
第六節 研究變項操作型定義------------------------------37
第五章 研究結果與分析
第一部分 訪視情形----------------------------------------43
第二部分 社區老人部分
第一節 特質分佈情形------------------------------------44
第二節 生活品質之分佈情形------------------------------47
第三節 健康效用量測之分佈情形--------------------------49
第四節 生活品質影響因素--------------------------------51
第三部分 家屬部分
第一節 特質分佈情形------------------------------------71
第二節 生活品質之分佈情形------------------------------74
第三節 健康效用量測之分佈情形--------------------------76
第四節 生活品質影響因素--------------------------------78
第六章 討論
第一部分 社區老人部分
第一節 特質分佈情形及健康效用量測----------------------103
第二節 基本特質與生活品質相關探討----------------------106
第三節 健康狀況與生活品質相關探討----------------------109
第四節 健康效用量測與生活品質相關探討------------------111
第二部分 家屬部分
第一節 特質分佈情形及健康效用量測----------------------112
第二節 基本特質與生活品質相關探討----------------------115
第三節 照顧老人負擔情形與生活品質相關探討--------------118
第四節 健康狀況與生活品質相關探討----------------------120
第五節 健康效用量測與生活品質相關探討------------------122
第三部分 研究限制與缺失----------------------------------123
第七章 結論與建議
第一節 結論--------------------------------------------124
第二節 建議--------------------------------------------135
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