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研究生:朱沛緹
研究生(外文):Chu, Peiti
論文名稱:成功老化的預測因子
論文名稱(外文):The Predictive Factors Of Successful Aging
指導教授:顏永杰顏永杰引用關係
指導教授(外文):Yen, Yungchieh
口試委員:顏永杰陳正生高家常
口試委員(外文):Yen, YungchiehChen, ChengshengKao, Chiachan
口試日期:2012-06-11
學位類別:碩士
校院名稱:義守大學
系所名稱:醫務管理學系
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:2012
畢業學年度:100
語文別:中文
論文頁數:135
中文關鍵詞:成功老化生理表現心理健康憂鬱認知功能社會功能
外文關鍵詞:Successful AgingPhysicalMental HealthDepressionCognitive FunctionSocial Function
相關次數:
  • 被引用被引用:6
  • 點閱點閱:2006
  • 評分評分:
  • 下載下載:71
  • 收藏至我的研究室書目清單書目收藏:0
背景:人口高齡化已是世界各國普遍面臨的情形,將對於國家經濟、健康照護、社會福利等造成負擔,因此如何積極因應老化所伴隨的負面問題,使民眾能更健康活力地進入老年,積極地參與社會,提升老年人的生活品質,並降低對醫療與社會資源的衝擊,是國家所面臨的重要課題。
目的:探討老年人個人的特性影響其日後成功老化之程度,找出關鍵的因子,可早改善或是更積極營造健康的生活模式,為成功的老化生活做準備。
方法:以多階段分層抽樣系統抽樣設計,於嘉義縣四個鄉鎮分別為布袋鎮、竹崎鄉、六腳鄉、民雄鄉,第一次階段抽樣為1999年至2001年,取得900位65至74歲的老年人,而在第二階段為2008年至2011年追蹤嘉義縣布袋鎮、竹崎鄉、六腳鄉、民雄鄉後續老人生理、心理、認知功能及社會功能狀態。以複迴歸分析於第一階段之個人特性變項來預測十年後的成功老化表現。
結果:生理功能狀態有七個預測因子達到統計上的顯著相關:性別、教育程度、工作狀況、以及健康狀況中的糖尿病、高血壓、慢性肺病、中風。憂鬱症狀有四個預測因子達到統計上的顯著相關:性別、以及健康狀況中的糖尿病、心臟病和其他疾病。智能表現有五個預測因子達到統計上的顯著相關:性別、教育程度、宗教活動之參與,而在健康狀況變項中,有甲狀腺、中風。心理健康狀態有四個預測因子達到統計上的顯著相關:性別、工作狀況、以及健康狀況中的糖尿病、腎臟病。社會功能狀態有七個預測因子達到統計上的顯著相關:性別、教育程度、工作狀況、宗教活動之參與,以及健康狀況的糖尿病、心臟病、中風。鄰里安全感有三個預測因子達到統計上的顯著相關:健康狀況中的氣喘、慢性肺病、甲狀腺。鄰里的機構或設施只有一個預測因子達到統計上的顯著相關:健康狀況中的慢性肺病。鄰里社會資本有五個預測因子達到統計上的顯著相關:社區老人休閒器材的使用、以及健康狀況中的氣喘、慢性肺病、甲狀腺。
結論:不同成功老化的功能表現上,有不同的預測因子,有些因子是無法改變,而有些因子則是可以人為改進並提升成功老化的狀態。
Objective: The purpose of this paper was to explore the predictors of successful aging and to analyze the explanatory factors for successful aging among a panel of community residents in Taiwan.
Methods:Nine hundred elder community residents aged 65 to 74 were recruited from 4 townships with diverse characteristics of Cha-Yi County by using multi-level random sampling from 1999 to 2001. We then followed up their survival, depressive symptoms, cognitive function, and quality of life until 2011. Successful aging was defined as aging with fair physical, emotional, cognitive, and social function respectively. Linear regression was applied to predict successful aging in 2011 by potential predictors noted in 2001.
Result: Seven indicators for successful aging indicated by physical health were gender, occupational status, educational level, hypertension, diabetes, stroke and lung disease. Four significant predictors for successful emotional aging were gender, diabetes, heart disease and other diseases. Five significant predictors for successful cognitive aging were gender, educational level, stroke, thyroid disease and religiosity. Four significant predictors for successful aging indicated by mental health were gender, occupational status, diabetes and kidney disease. Seven significant predictors for successful social aging were gender, educational level, stroke, diabetes, heart disease and occupational status and religiosity. Three significant predictors for successful aging indicated by social security were asthma, lung disease and thyroid disease. One significant predictors for social support was lung disease. Four significant predictors for social capital were asthma, lung disease, thyroid disease, and recreational equipment for aging people.
Discussion:Different dimensions have different predictive factors in successful aging. Some of them are modifiable and can be used to improve specific aspects of successful aging.
第一章 緒論
第一節 研究背景1
第二節 研究動機與重要性2
第三節 研究目的3
第二章 文獻探討
第一節 成功老化4
第二節 預測因子14
第三章 研究方法
第一節 研究架構20
第二節 研究假設22
第三節 研究資料來源23
第四節 測量工具25
第五節 研究變項操作型定義32
第六節 統計分析方法34
第四章 研究結果
第一節 描述性統計35
第二節 雙變項分析47
第三節 複迴歸分析81
第五章 結論
第一節 結果討論100
第二節 政策建議106
第三節 研究限制109
第四節 研究貢獻110
參考文獻
一、中文部分111
二、英文部分114
表次
表2-1-1 成功老化相關研究之定義及預測因子11
表3-4-1 SF-36 身心健康題目構面表28
表3-4-2 SF-36 量表需重新譯碼之題目分數轉換表29
表3-4-2 SF-36 量表需重新譯碼之題目分數轉換表(續)30
表3-4-3 SF-36 量表八大構面成績加總對照表30
表3-4-4 鄰里生活品質題目構面表31
表4-1-1 人口學特性和社經地位43
表4-1-2 健康狀況44
表4-1-5 健康狀況續45
表4-1-6 活動參與和社會資源使用46
表4-2-1 年齡、性別、婚姻狀況、宗教信仰和整體生理健康構面、心理健康、憂鬱表現、智能表現之獨立樣本T 檢定69
表4-2-2 年齡、性別、婚姻狀況、宗教信仰和社會功能、鄰里安全感、鄰里的機構或設施、鄰里社會資本之獨立樣本T 檢定70
表4-2-3 居住狀況、工作狀況、家庭平均收入、教育程度和整體生理健康構面、心理健康、憂鬱表現、智能表現之獨立樣本T 檢定71
表4-2-4 居住狀況、工作狀況、家庭平均收入、教育程度和社會功能、鄰里安全感、鄰里的機構或設施、鄰里社會資本之獨立樣本T 檢定72
表4-2-5 糖尿病、高血壓、心臟病、肝病、氣喘、慢性肺病和整體生理健康構面、心理健康、憂鬱表現、智能表現之獨立樣本T 檢定73
表4-2-6 糖尿病、高血壓、心臟病、肝病、氣喘、慢性肺病和社會功能、鄰里安全感、鄰里的機構或設施、鄰里社會資本之獨立樣本T 檢定74
表4-2-7 腎臟病、甲狀腺疾病、中風、其他疾病和整體生理健康構面、心理健康、憂鬱表現、智能表現之獨立樣本T 檢定75
表4-2-8 腎臟病、甲狀腺疾病、中風、其他疾病和社會功能、鄰里安全感、鄰里的機構或設施、鄰里社會資本之獨立樣本T 檢定76
表4-2-9 宗教活動、社會服務活動、休閒活動、才藝活動和整體生理健康構面、心理健康、憂鬱表現、智能表現之獨立樣本T 檢定77
表4-2-10 宗教活動、社會服務活動、休閒活動、才藝活動和社會功能、鄰里安全感、鄰里的機構或設施、鄰里社會資本之獨立樣本T 檢定78
表4-2-11 長青學苑、槌球隊、資深國民免費搭車、社區老人休閒活動器材和整體生理健康構面、心理健康、憂鬱表現、智能表現之獨立樣本T 檢定79
表4-2-12 長青學苑、槌球隊、資深國民免費搭車、社區老人休閒活動器材和社會功能、鄰里安全感、鄰里的機構或設施、鄰里社會資本之獨立樣本T 檢定80
表4-3-1 十年後的整體生理健康構面(2010 年)92
表4-3-2 十年後的心理健康(2010 年)93
表4-3-3 十年後的憂鬱表現(2010 年)94
表4-3-4 十年後的智能表現(2010 年)94
表4-3-5 十年後的社會功能(2010 年)96
表4-3-6 十年後的鄰里安全感(2010 年)97
表4-3-7 十年後的鄰里的機構或設施(2010 年)98
表4-3-8 十年後的鄰里社會資本(2010 年)99
圖次
圖3-1 研究架構圖20
圖3-3 抽樣流程圖24
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