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研究生:賈曉玲
研究生(外文):Hsiao-Ling Chia
論文名稱:台灣中老年人感受性健康壓力與感受性財務壓力關聯因子之探討
論文名稱(外文):Factors Associated with Perceived-Health Stress and Perceived-Financial Stress in ≥54-Year Old Taiwanese
指導教授:蔡仲弘蔡仲弘引用關係
指導教授(外文):Alan C. Tsai
口試委員:蔡欣真王俊毅蔡仲弘
口試委員(外文):Hsin-Jen TsaiJiun-Yi WangAlan C. Tsai
口試日期:2013-06-21
學位類別:碩士
校院名稱:亞洲大學
系所名稱:健康產業管理學系長期照護組碩士在職專班
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:2013
畢業學年度:101
語文別:中文
論文頁數:24
中文關鍵詞:感受性健康壓力感受性財務壓力中老年人
外文關鍵詞:Perceived health stressPerceived financial stressOlder adults
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背景:感受性健康壓力與感受性財務壓力為老人主要壓力源,但可能促因尚不明。目的:了解台灣中老年人感受性健康壓力與感受性財務壓力的關聯因子。方法:分析2007年「台灣地區中老年身心社會生活健康狀況長期追蹤調查研究」資料庫。在4,534份完訪個案中,排除337份代答問卷及85份部份代答問卷,實際研究對象為4,112名,均≥54歲。PASW18.0中文版統計套裝軟體進行資料處理與統計分析。以描述性統計、卡方檢定及二元邏輯斯迴歸分析2007年感受性健康壓力與感受性財務壓力的關聯因子。結果:感受性健康壓力的正關聯因子主要為會造成行動不便的疾病包括高血壓、糖尿病、心臟病、癌症、肺病、關節炎/風濕症、胃病、白內障、腎臟病、脊椎骨骨刺、骨質疏鬆、一年內曾住院、看病不方便、IADL失能及經濟滿意度低。各種疾病中以胃病、肺病及糖尿病更為顯著,尤其疾病造成行動失能時關聯更強。感受性財務壓力的正關聯因子為負擔家庭經濟責任者,尤其是經濟滿意度低對感受性財務壓力更顯著;高血壓、關節炎/風濕症、髖骨骨折、脊椎骨骨刺、骨質疏鬆、一年內曾住院、家人不關心,IADL失能也呈相關聯。高齡、抽菸及飲酒與感受性健康壓力呈負關聯,高齡及教育年數與感受性財務壓力呈負關聯。結論:健康因素及財務因素不單只對感受性健康壓力及感受性財務壓力各產生關聯,事實上健康因素與感受性財務壓力呈關聯而財務因素與感受性健康壓力呈關聯;故瞭解老人壓力的關聯因子,有助採行紓解壓力的有效對策。


Background: Perceived health stress and perceived financial stress are two major stressors for older adults. But, the causal factors are not clearly understood.
Purpose: The study was conducted to gain an understanding of the factors associated with perceived health stress and perceived financial stress in mid-old Taiwanese.
Methods: The study analyzed data of the 2007 datasets of the Taiwan Longitudinal Survey on Aging (TLSA). Subjects were of 4,534 ≥54-year old Taiwanese. After excluding 337 proxy interviews and 85 partial proxy interviews, the net total was 4,112. PASW 18.0 Software Package was used to perform all statistical analyses. Descriptive data were analyzed with simple statistics. Univariate associations were evaluated with Chi-square test and factors what were further analyzed with logistic regression analyses.
Results: The factors associated with higher perceived health stress included hypertension, heart disease, cancer, arthritis, cataract, kidney disease, lower-back pain, osteoporosis and especially stomach disease, lung disease and diabetes mellitus that impair functional ability. Hospitalization during the past 12-months, poor access to medical care, IADL dependency and poor economic satisfaction were also significant factors. Being the main wage earner off the family and poor economic satisfaction were the major factors associated with higher financial stress, but chronic diseases including hypertension, arthritis, hip fracture, lower-back pain, osteoporosis, hospitalization during the past 12-month, ignored by family members and IADL dependency. Old age, smoking and drinking are negatively associated with perceived financial stress.
Conclusion: Health factors and economic factors are associated with perceived health stress and perceived financial stress, respectively; health factors were also associated with financial stress and economic factors were also associated with health stress. Understanding the stressors of older people would enhance the development of effective policies to reduce the stress of elderly people.




中文摘要
英文摘要
目錄i
表目錄ii
前言 1
研究目的 3
研究方法 4
結果 6
討論 7
結論 11
參考文獻 12
附錄 15

表目錄
表一、研究樣本於2007年之基本屬性 15
表二、研究樣本於2007年感受性健康壓力和感受性財務壓力與社、經人口學、衛生行為、健康和醫療變項之單變項卡方檢定 16
表三、研究樣本於2007年社會人口學、健康、醫療服務之利用及衛生行為在感受性健康壓力及感受性財務壓力之單變項的橫斷性二元邏輯斯迴歸分析 20

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