(3.236.228.250) 您好!臺灣時間:2021/04/17 13:48
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:陳啟禎
研究生(外文):Chi-Chen Chen
論文名稱:埔里鎮社區老年人健康相關生活品質之探討
論文名稱(外文):Health-Related Quality of Life among the Communal Elderly in Puli Town
指導教授:錢慶文錢慶文引用關係
指導教授(外文):Ching-Wen Chien
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:醫務管理研究所
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2003
畢業學年度:91
語文別:中文
論文頁數:67
中文關鍵詞:老年人健康相關生活品質
外文關鍵詞:elderlyhealth-related quality of life
相關次數:
  • 被引用被引用:19
  • 點閱點閱:256
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:3
面臨人口老化的趨勢,對於提升老年人的生活品質是目前一大課題,然國內對相關議題大多將重心放在「身體健康狀況」,較少探討「心理健康狀況」。本研究目的遂在探討影響社區老人健康相關生活品質的相關因素,同時考慮身體、心理健康狀況,採用橫斷式設計,研究對象為埔里鎮慈恩社區年滿65歲以上老年人,以系統性抽樣抽取150人為受訪樣本,其中5人有認知功能障礙,因此有效研究樣本為145人。統計方法採用多變項迴歸分析(Multiple Regression Analysis)及多變量共變數分析(Multivariate Analysis of Covariance)探討影響健康相關生活品質各範疇相關因素。
研究結果分為「微觀」及「宏觀」兩部分,前者發現控制其他變項後,在「生理範疇」方面,慢性疾病數越多、自評健康狀況越差、身體功能障礙數越多、憂鬱程度越高之老年人生活品質越低;「心理範疇」方面年齡越高、自評健康狀況越差、身體功能障礙數越多、憂鬱程度越高之老年人生活品質越低;「社會範疇」方面,教育程度為初中以上、有配偶、憂鬱程度越高之老年人生活品質越低;「環境範疇」方面,自評健康狀況越差、身體功能障礙數越多、憂鬱程度越高之老年人生活品質越低。後者則發現年齡、婚姻狀況、教育程度、慢性疾病數、自評健康、身體功能障礙數及憂鬱程度均為影響「整體健康相關生活品質概念」之因素。
研究發現,年齡在「心理範疇」與其他範疇呈現相反的趨勢,年齡越高之老年人有較高之健康相關生活品質。研究亦證實,憂鬱不論在各範疇或「整體健康相關生活品質概念」上,均為顯著的影響因素。此外,若將生活品質各範疇分數加總,可能會喪失許多訊息,應分別針對各範疇來討論更具意義。
國內有關老年人的健康政策,在資源有限的情況下,多集中於身心功能障礙老年人,如何能讓老年人在熟悉的環境中健康的老化,始為現今需思考的議題。如能經由有效的介入措施,相信將有助於老年人生活品質的提升,達到成功老。
Facing to the increasing trend of aged people how to improve the quality of life become an important issue at the present time. Since most of discussion emphasis on the " physical health status" and less on "mental health status" about aged people, this study try to figure out the influence factors of the health-related quality of life included physical and mental status about the community aged people. This study focus on the citizen more than 65 years old who lived in Tze-nen county Puli town. Adopting systemic sampling method to select 150 people in which 5 of them are cognitively impaired, therefore 145 samples are in effectiveness. The statistical method applied included Multiple Regression Analysis and Multivariate Analysis of Covariance.
The results of this study included "macro" and "micro" parts. After control other variables, the formal part :concluded (Ⅰ)physical domain :the more chronic health problems and worse self-perceived health and more physical function disorder and higher depression degree, the worse of living quality of the aged people. (Ⅱ) mental domain, the older and worse self-perceived health and more physical function disorder and higher depression degree, the worse of living quality of aged people, (Ⅲ)social domain, junior high school education or above and married and higher depression degree, the worse of quality of life of aged people, (Ⅳ) environmental domain, worse self-perceived health and more physical functional disorder and higher degree of depression degree, the worse of quality of life of aged people. The later part finding: age, marriage status, higher educational, number of chronic health problems, self-perceived health, number of physical function disorder and degree of depression are influence factors about "the concepts of overall quality of life".
This study also figures out that: on the age of "mental domain" and other domain are contrast trend; the older people the better the living quality they owned. The depression factors significant influence all the domain factors. In additions, to added up all the factors of living quality instead of separated analysis maybe misleading the message.
Under the limited resource the health policy of aged people emphasis on the physical and mental disorder group. How to improve quality of life under the familiar environment is an important issue at this moment.
目 錄
第一章 緒論
第一節 研究背景…………………………………………….. 1
第二節 研究目的………………………………..…………… 2
第二章 文獻探討
第一節 生活品質相關概念………………………………….. 3
第二節 生活品質測量工具………………………………….. 7
第三節 影響健康相關生活品質因素……………………….. 9
第四節 影響健康相關生活品質實證研究………….………. 12
第三章 研究方法
第一節 研究架構…………………………………………….. 16
第二節 研究假設…………………………………………….. 17
第三節 研究對象…………………………………………….. 18
第四節 研究工具…………………………………………….. 19
第五節 研究變項操作型定義與測量……………………….. 23
第六節 研究工具信效度分析……………………………….. 24
第七節 資料收集過程……………………………………….. 28
第八節 資料處理…………………………………………….. 29
第四章 研究結果
第一節 研究對象基本資料描述…………………………….. 30
第二節 老年人各特質與健康相關生活品質之相關性…….. 33
第三節 影響老年人健康相關生活品質因素之探討(一)….. 37
第四節 影響老年人健康相關生活品質因素之探討(二)…... 39
第五章 討論與建議
第一節 影響生活品質相關因素探討……………………….. 40
第二節 衛生政策之建議…………………………………….. 45
第三節 研究限制………………….. ……….............……….. 46
第四節 未來研究方向………………………….. …………... 47
參考文獻
中文文獻 . 48
英文文獻 50
【中文文獻】
內政部(2001)Ÿ中華民國台閩地區人口統計Ÿ台北:同作者。
王真敏(2001)Ÿ社區老人健康體能與生活品質相關性研究Ÿ國立台北護理學院護理研究所碩士論文。
行政院經建會:台灣地區民國九一年至一百四十年人口推計,2002。
行政院衛生署(1997)Ÿ衛生白皮書─跨世紀衛生建設Ÿ行政院衛生署編。
吳淑瓊、陳正芬(2000) Ÿ長期照護資源的過去、現在與未來Ÿ社區發展季刊,92,19-31。
吳淑瓊、徐惠娟、莊瑛智、張明正(1996) Ÿ功能評估在估計台灣社區老人長期照護需要之應用Ÿ中華衛誌,15(6),533-544。
邱宛瑜(2001) Ÿ北台灣社區老人健康相關生活品質之探討Ÿ國防醫學院公共衛生學研究所碩士論文。
邱皓政(2000) Ÿ社會與行為科學的量化研究與統計分析Ÿ台北:五南。
林春香 劉雪娥 廖張京隸(1993) Ÿ腎臟移植病患生活品質及其相關因素之探討Ÿ護理研究,1(4),369-380。
姚開屏(2000) Ÿ簡介與評論常用的一般性健康相關生活品質量表兼談對未來研究的建議Ÿ測驗年刊,47(2),111-138。
姚開屏(2001)Ÿ臺灣簡明版世界衛生組織生活品質問卷之發展及使用手冊Ÿ臺北:臺灣簡明版世界衛生組織生活品質發展小組。
徐淑貞(2001) Ÿ社區獨居老其內在資源對憂鬱與生活品質之探討Ÿ台北護理學院護理研究所碩士論文。
高森永(2001) Ÿ長期照護下老人的健康相關生活品質與健康價值評估Ÿ行院衛生署研究計劃。
梁金麗(2001) Ÿ社區老人生活品質及其相關因素之探討Ÿ國立台北護理學院護理研究所碩士論文。
張瑛瑛 劉雪娥(2000) Ÿ子宮根除術後婦女生活品質之初探Ÿ長庚護理,11(4),1-10。
陳幸眉 邱艷芬 陳文鍾(2000) Ÿ裝置永久性心律調節器病患之生活品質及其相關因素Ÿ臺灣醫學,4(5),497-508。
陳燕禎(2000) Ÿ臺灣地區公立安養機構老人婚姻生活品質之研究Ÿ玄奘學報,(2),23-43。
曾淑汝(1998) Ÿ護理之家老年住民的生活品質及相關因素探討Ÿ高雄醫學院護理學研究所碩士論文。
戴玉慈、陳美津、陳惠姿、王祖琪、楊清姿、劉紋妙(1998) Ÿ老人護理學Ÿ台北:國立空中大學。
【英文文獻】
Angermeyer MC. Holzinger A. Matschinger H. Stengler-Wenzke K.(2002). Depression and quality of life: results of a follow-up study. International Journal of Social Psychiatry. 48(3):189-99.
Asakawa T. Koyano W. Ando T. Shibata H.(2000). Effects of functional decline on quality of life among the Japanese elderly. International Journal of Aging & Human Development. 50(4):319-28.
Atchley RC.(1976).Selected social and psychological differences between men and women in later life. Journal of Gerontology. 31(2):204-11.
Bowling A.(1995) What things are important in people''s lives? A survey of the public''s judgements to inform scales of health related quality of life. Social Science & Medicine. 41(10):1447-62.
Birren, J. E.(1991).A multidimensional view of quality of life in frail elders. In J. E. Birren, J. E., Lubben, J. C. Rowe,& D. E. Deutchman(Eds.),The concept and measurement of quality of life in the frail elderly(pp.3-27).San Diego:Academic Press.
Brown N. Melville M. Gray D. Young T. Munro J. Skene AM. Hampton JR.(1999). Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population.Heart. 81(4):352-8.
Burvill, P.W. & Hall, W. D.(1994). Predictors of increased mortality in elderly depressed patients. International Journal of Geriatric Psychiatry, 9, 219-227.
Cederfjall C. Langius-Eklof A. Lidman K. Wredling R.(2001).Gender differences in perceived health-related quality of life among patients with HIV infection. AIDS Patient Care & Stds. 15(1):31-9.
Copeland JR. Chen R. Dewey ME. McCracken CF. Gilmore C. Larkin B. Wilson KC.(1999). Community-based case-control study of depression in older people. Cases and sub-cases from the MRC-ALPHA Study. British Journal of Psychiatry. 175:340-7.
Donald L. Patrick, Marilyn Bergner(1990). Measurement of health status in the 1990s .Public Health.11:165-83..
Fries JF(1980).Aging,natural death ,and the compression of morbidity.The New England Journal of Medicine.303(3):130-135.
Gaynes BN. Burns BJ. Tweed DL. Erickson P.(2002). Depression and health-related quality of life. Journal of Nervous & Mental Disease. 190(12):799-806, 2002 Dec.
Greimel ER. Padilla GV. Grant MM.(1997).Physical and psychosocial outcomes in cancer patients: a comparison of different age groups Journal of Cancer. 76(2):251-5.
Hjermstad MJ. Fayers PM. Bjordal K. Kaasa S.(1998). Using reference data on quality of life--the importance of adjusting for age and gender, exemplified by the EORTC QLQ-C30 (+3). European Journal of Cancer. 34(9):1381-9.
Jennifer R. Frytak.(2000).Assessing older persons : measures, meaning, and practical applications. Robert L. Kane, Rosalie A. Kane. Assessment of quality of life in older adults Oxford [England];New York ;Oxford University Press.
Jordhoy MS. Fayers P. Loge JH. Saltnes T. Ahlner-Elmqvist M. Kaasa S.(2001) Quality of life in advanced cancer patients: the impact of sociodemographic and medical characteristics. British Journal of Cancer. 85(10):1478-85.
Katz, S.,&Gurland, B. J. (1991). Science of quality of life in elders:Challenge and opportunity. In J. E. Birren, J. E. Lubben,J.C. Rowe,& D.E.Deutchman (Eds.),The concept and measurement of quality of life in the frail elderly(pp. 335-343).
Kristoffersen B. Svebak S. Aasarod K.(2002) Quality of life, gender, complaints and humor among dialysis patients. Tidsskrift for Den Norske Laegeforening. 122(8):782-4.
Lawton,M. P.(1991).A multidimensional view of quality of life in frail elders.In J. E. Birren, J. E. Lubben, J. C. Rowe,& D. E. Deutchman(Eds.),The concept and measurement of quality of life in the frail elderly(pp.3-27).San Diego:Academic Press.
Lawton MP.(1999).Quality of life in chronic illness. Gerontology. 45(4):181-3.
McDowell, I.,&Newell, C.(1996).Social health.Measuring health:A guide to rating scales and questionnaires.(2nd ed.).New York:Oxford University Press.
Mercier C. Peladeau N. Tempier R.(1998). Age, gender and quality of life. Community Mental Health Journal. 34(5):487-500.
Michelson H. Bolund C. Brandberg Y. (2000).Multiple chronic health problems are negatively associated with health related quality of life (HRQoL) irrespective of age. Quality of Life Research. 9(10):1093-1104.
Moore,B.S.,Newsome,J.A.,Payne,L.P.,Tiansawad,S.(1993).Quality of life and perceived health in the elderly. Journal of Gerontological Nursing,19(11),7-14.
Patrick DL. Kinne S. Engelberg RA. Pearlman RA.(2000). Functional status and perceived quality of life in adults with and without chronic conditions. Journal of Clinical Epidemiology. 53(8):779-85.
Pfeiffer E.(1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society. 23(10):433-41.
Pyne JM. Patterson TL. Kaplan RM. Gillin JC. Koch WL. Grant I.(1997).Assessment of the quality of life of patients with major depression. Psychiatric Services. 48(2):224-30.
Raphael D. Brown I. Renwick R. Cava M. Weir N. Heathcote K.(1997)
Measuring the quality of life of older persons: a model with implications for community and public health nursing. International Journal of Nursing Studies. 34(3):231-9.
Riedinger MS. Dracup KA. Brecht ML. Padilla G. Sarna L. Ganz PA.(2001). Quality of life in patients with heart failure: do gender differences exist?Heart & Lung: Journal of Acute & Critical Care. 30(2):105-16.
Shmuely Y. Baumgarten M. Rovner B. Berlin J.(2001).Predictors of improvement in health-related quality of life among elderly patients with depression. International Psychogeriatrics. 13(1):63-73.
Smith KW. Avis NE. Assmann SF.(1999). Distinguishing between quality of life and health status in quality of life research: a meta-analysis. Quality of Life Research. 8(5):447-59.
Stein MB. Barrett-Connor E.(2002). Quality of life in older adults receiving medications for anxiety, depression, or insomnia: findings from a community-based study. American Journal of Geriatric Psychiatry. 10(5):568-74t.
Thomas DR.(2001). The critical link between health-related quality of life and age-related changes in physical activity and nutrition. Journals of Gerontology Series A-Biological Sciences & Medical Sciences. 56(10):M599-602.
Unutzer J. Patrick DL. Diehr P. Simon G. Grembowski D..Katon W. (2000).Quality adjusted life years in older adults with depressive symptoms and chronic medical disorders. International Psychogeriatrics. 12(1):15-33.
Rowe JW, Kahn RL.(1997). Successful aging. The Gerontologist 1997;37(4):433-440.
Wang HH.(1999)Predictors of health promotion lifestyle among three ethnic groups of elderly rural women in Taiwan. Public Health Nursing. 16(5):321-8.
World Health Organization(1996).WHOQOL-BREF:Introduction administration, scoring and generic version of the assessment-Field trial version. Geneva:WHO.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
1. 楊昭儀、徐新逸(1996)。建構網路學習社群的教學設計模式。《視聽教育雙月刊》,第三十九卷第三期,15-27。
2. 蔡銘津(1997)。學童閱讀能力的測驗與評量。《特殊教育季刊》,65期,23-28。
3. 徐新逸(1995)。CAI多媒體教學軟體之開發模式。《教育資料與圖書館學》,第三十三卷第一期,68-78。
4. 林珊如(2001)。書籍網站資訊組織架構與瀏覽介面設計的考量:以亞馬遜網路書店為例。《大學圖書館》,第五卷第一期,16-32。
5. 宋濟民 1981 鹽害對於大麥種子發芽之影響。 中華農學會報 新113:41-47。
6. 許福星 1990 鹽害逆境對芒草種子發芽及其生理反應之研究。 畜產研究
7. 郭寶章、林文鎮、施文君 1976a 台灣泡桐造林地省工除草方法之研究。 中華林學季刊 7:1-16。
8. 郭寶章、林文鎮、施文君 1976b 台灣泡桐造林地省工除草方法之研究-三年研究之綜合結果。 中華林學季刊 9:41-48。
9. 顏永福、吳明哲、連大進、陳水心 2000 蒜黃促成栽培與其生長預測。 中華農學會報 1(卷):254-265。
10. 吳淑瓊、陳正芬(2000) Ÿ長期照護資源的過去、現在與未來Ÿ社區發展季刊,92,19-31。
11. 林春香 劉雪娥 廖張京隸(1993) Ÿ腎臟移植病患生活品質及其相關因素之探討Ÿ護理研究,1(4),369-380。
12. 姚開屏(2000) Ÿ簡介與評論常用的一般性健康相關生活品質量表兼談對未來研究的建議Ÿ測驗年刊,47(2),111-138。
13. 張瑛瑛 劉雪娥(2000) Ÿ子宮根除術後婦女生活品質之初探Ÿ長庚護理,11(4),1-10。
14. 陳幸眉 邱艷芬 陳文鍾(2000) Ÿ裝置永久性心律調節器病患之生活品質及其相關因素Ÿ臺灣醫學,4(5),497-508。
15. 陳燕禎(2000) Ÿ臺灣地區公立安養機構老人婚姻生活品質之研究Ÿ玄奘學報,(2),23-43。
 
系統版面圖檔 系統版面圖檔