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研究生:鄭明欣
研究生(外文):Ming-Hsin Cheng
論文名稱:老人視力不良與健康功能相關性之探討
論文名稱(外文):The Correlation between Visual Impairment and Functional Status of the Elderly
指導教授:李世代李世代引用關係
指導教授(外文):Shyh-Dye Lee
學位類別:碩士
校院名稱:國立台北護理學院
系所名稱:長期照護研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2008
畢業學年度:96
語文別:中文
論文頁數:121
中文關鍵詞:老人視力不良健康功能高階性日常生活活動功能
外文關鍵詞:elderlyvisual impairmentfunctional statusadvanced activities of daily living (AADLs)
相關次數:
  • 被引用被引用:5
  • 點閱點閱:1370
  • 評分評分:
  • 下載下載:418
  • 收藏至我的研究室書目清單書目收藏:2
感官功能的衰退老化造成老人與周圍生活環境有所隔閡,除了造成日常生活的不便之外,在老人的社會與及個人心理上亦會感受到被忽略及無形中被隔離的落寞處境,衍生出許多健康、家庭、社會及照護問題;感官功能中又以「視力」為人體與外界聯繫之明顯重要管道,所以視力的好壞對老人之生活影響極大。
本研究目的在於探討視力與健康功能之關聯性,其中健康功能包括日常生活活動功能(ADLs)、工具性日常生活活動功能(IADLs)與高階性日常生活活動功能(AADLs)。在方法上採橫斷式調查研究導向,以結構式問卷立意取樣進行,研究樣本取自以台北市某二自費老人安養機構之196位老人住民為研究對象,研究期間自2007年11月至2008年4月。
研究結果顯示視力與影響健康功能相關,視力與ADLs及IADLs明顯相關,且其對IADLs之關聯性比ADLs更為突顯。
視力不良會影響生活功能,使照護需求及依賴度加大,生活品質降低,因此應及早掌握老人之視力及隨年齡變化問題,作必要之介入與協助,令老人有高生活品質的晚年。
本研究首度將AADLs之評估嘗試量化,其評估項目內容雖經過詳細設計,但此量表及研究結果非最終者,其或有承先啟後之作用,有助於接續性之研究。
The decline and aging of the sensory functions make the old adults estrange to the living environment. This not only causes the inconvenience of the daily life, but also makes the elderly experience the isolation and neglect psychosocially, and furthermore arouses more health, family, society, and care issues further. Vision, regarded as obvious and direct way of communication between the environment and body, is the most important among the sensory functions, the correlation between vision and the life quality of the elderly is huge.
The purpose of this study was to investigate the relationship between the visual activity and functional status, which are determined by activities of daily living (ADLs), instrumental activities of daily living (IADLs), and advance activities of daily living (AADLs) scales. The applied adopted is a cross-sectional research design with structured questionnaire and purposive sampling. The research samples were 196 residents living in two self-paid elder care facilities and it had been conducted from Nov. 2007 to Apr. 2008.
The results showed the vision is significantly associated with ADLs and I ADLs, rather, the IADLs was more conspicuous. This implies the visual impairment did affect the functional status of the elderly. It lowered the life quality and increased the care needs and even the dependences of the old adults. In order to make the elderly own high quality daily life, essential involvements and assistances had been required by monitoring the vision transition of the elders with the age in advance.
The AADLs evaluation attached here has been the first trial to quantify advanced life. Even if the evaluation scale and the results were designed considerately, however, it couldn’t be regarded as the final one, but as for the directing of continuing workup in the future.
中文摘要-----------------------------------------------------------------------------------------Ⅰ
英文摘要-----------------------------------------------------------------------------------------Ⅱ
誌謝-----------------------------------------------------------------------------------------------Ⅲ
表次-----------------------------------------------------------------------------------------------Ⅵ
第壹章 緒論--------------------------------------------------------------------------------------1
第一節 研究背景與動機---------------------------------------------------------------1
第二節 研究目的及問題---------------------------------------------------------------5
第三節 名詞解釋------------------------------------------------------------------------6
第貳章 文獻探討------------------------------------------------------------------------------8
第一節 健康功能觀念的緣起與發展----------------------------------------------- 8
第二節 健康功能狀態分類分級----------------------------------------------------15
第三節 感官及其衰退老化對健康功能的影響----------------------------------17
第四節 視力不良對整體健康的影響----------------------------------------------21
第五節 視力不良之定義、盛行率與原因----------------------------------------22
第六節 視力的衰退老化-------------------------------------------------------------25
第七節 常見之老人病態性視力衰退----------------------------------------------33
第八節 老人視力對健康功能的影響----------------------------------------------38
第參章 研究方法----------------------------------------------------------------------------41
第一節 研究設計----------------------------------------------------------------------41
第二節 研究架構----------------------------------------------------------------------42
第三節 研究工具----------------------------------------------------------------------43
第四節 研究步驟及隱私權益倫理考量----------------------------------------51
第五節 資料處理與統計分析----------------------------------------------------51
第肆章 研究結果--------------------------------------------------------------------------56
第一節 描述性統計分析----------------------------------------------------------56
第二節 推論性統計分析----------------------------------------------------------59
第伍章 討論--------------------------------------------------------------------------------65
第一節 樣本選樣對研究之影響-------------------------------------------------65
第二節 老人健康功能可能之影響----------------------------------------------72
第三節 老人視力與健康功能之相關性----------------------------------------74
第四節 老人高階性日常生活活動功能----------------------------------------75
第陸章 研究限制與未來研究方向----------------------------------------------------77
第柒章 結論與建議----------------------------------------------------------------------79
參考文獻-------------------------------------------------------------------------------------94
中文部分-------------------------------------------------------------------------------94
英文部分-------------------------------------------------------------------------------98
附錄------------------------------------------------------------------------------------------113
附錄一 施測問卷------------------------------------------------------------------113
附錄二 專家內容效度審核------------------------------------------------------121
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