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研究生:梁雅虹
研究生(外文):Ya-Hong Liang
論文名稱:老人住宅住民咀嚼能力及生活品質相關因素之探討-以長庚養生文化村為例
論文名稱(外文):The Research of Factors about Chewing ability and Quality of Life in Elderly House by The Example of Chang Gung Health and Culture Village
指導教授:王子芳王子芳引用關係
指導教授(外文):Tze-Fang Wang
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:護理學系
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:2017
畢業學年度:105
語文別:中文
論文頁數:91
中文關鍵詞:高齡者咀嚼能力生活品質
外文關鍵詞:older adultschewing abilityquality of life
相關次數:
  • 被引用被引用:3
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  • 下載下載:75
  • 收藏至我的研究室書目清單書目收藏:1
本研究是橫斷式研究,針對養生村的65 歲以上的高齡者,以問卷調查的方式收集高齡者的人口學特性、身體健康、口腔健康、咀嚼能力及生活品質狀況,共計166 位研究對象,並使用one-way ANOVA、Independent T test、Pearson correlation coefficient 及無母數檢定人口學變項、身體健康、口腔健康、咀嚼能力及生活品質相關性,並使用Multiple linear regression 的方式分析咀嚼能力是否為身體健康、口腔健康對生活品質的中介變項,及預測影響生活品質危險因子。
研究結果發現,養生村高齡者的年齡、經濟狀況、工具性日常生活活動功能(IADL)、植牙、配戴固定假牙、活動假牙、假牙配戴搖晃度、假牙合適度、刷牙次數、存留齒數、缺牙顆數及活動假牙顆數與咀嚼能力有統計上顯著相關,咀嚼能力與生活品質也有顯著性相關(p=0.000, r=-0.668)。在生活品質上咀嚼能力為缺牙齒數、活動假牙顆數及固定假牙顆數的中介變項。預測影響生活品質
危險因子中,營養狀況(MNA)不好與咀嚼能力差者,會使生活品質下降,尤其是咀嚼能力是影響生活品質最主要因素。
經由本研究結果發現咀嚼能力不論教育程度、經濟狀況的高低,缺牙顆數、活動假牙顆數及固定假牙顆數,確實經由咀嚼能力而影響生活品質,而咀嚼能力是影響生活品質最主要的危險因子,故針對高齡者的咀嚼能力,養生村醫護團隊如何評估、追蹤及提升咀嚼能力是相當重要的,建議將高齡者的咀嚼能力列入常規的評估項目,及早發現咀嚼能力改變,給予適當的處置或轉介,讓高齡者的咀嚼功能復原或增加,減緩生活品質的降低。
As this research is a cross-sectional study, which aims to older adults above 65 years old in this Chang Gung Health and Culture Village, we collect characteristics of elderly demography, body health, oral health, chewing ability and life quality through questionnaire. A total of 166 research targets have been completed. In addition, we examine the relativity of demographic variations, body health, oral health, chewing ability and quality of life with one-way ANOVA, Independent T test, Pearson correlation coefficient, Mann-Whitney U and Kruskal Wallis test. Also, we analyze chewing ability is the mediator of life quality through Multiple linear regression, and eventually predict the dangerous risks that impact life quality.
According to what we find out in the research results in this Health and Culture Village, the age, economic condition, instrumental activities of daily living (IADL),
tooth implantation, fixed and removable dentures, the condition and adaptability of dentures, the shake and fall of denture, the number of remaining tooth, the number of loose teeth and removable dentures are all related to chewing ability, which indicates apparent connection with their life quality (p=0.000, r=-0.668). Also, chewing ability is the mediator of the number of loose teeth, removable and fixed dentures in terms of life quality.
What’s more, the research on risky factors we predict which influence their quality of life shows that those who suffer from periodontal disease and those who have poor chewing ability will make their quality of life lower.Consequently, chewing ability especially is the most important factor that impacts their quality of life.
Through the research results, we find out chewing ability is the main risky factor that influence quality of life. Hence, with regard to older adults’ chewing ability, how the medical team in this Health and Culture Village evaluates, traces and enhances their chewing ability is extremely significant. We suggest to take older adults’ chewing ability into regular evaluation so that they can discover the change of
chewing ability as early as possible and provide proper treatment or referral, which can recover or enhance elders’ chewing functions and militate degradation of their life
quality
中文摘要…………………………………………………………i
Abstract……………………………………………………….ii
目錄………………………………………………………………iii
圖目錄…………………………………..……v
表目錄…………………………………………………………...……vi
壹、緒論…………………………………………………………...…1
一、研究背景及動機……………………………………………...…1
二、研究目的…………………………………………………….......2
貳、文獻查證…………………………………………………………2
一、高齡者咀嚼問題……………………………………..................2
二、咀嚼能力與人口學特性之相關性………………………………2
三、咀嚼能力與身體健康狀況之相關性…………………………....4
四、咀嚼能力與口腔健康情形之相關性…………………………....6
五、咀嚼能力與生活品質相關性探討……………………………….9
參、研究設計與方法…………………………………………..........13
一、研究架構圖…………………………………………………......14
二、研究對象…………………………………………………..........14
三、研究問題………………………………………………………...15
四、研究假說………………………………………………………....15
五、名詞解釋…………………………………………………...........16
六、研究工具…………………………………………………………17
七、統計方法………………………………………………………….20
肆、研究結果…………………………………………………………24
一、描述性統計分析………………………………………………....24
二、推論統計分析……………………………………..................…32
伍、討論……………………………………………………......……55
一、老人住宅高齡者人口學特性、身體健康狀況、口腔健康分佈情形55
二、老人住宅高齡者咀嚼能力相關因素…………………………....57
三、老人住宅高齡者生活品質相關因素……………………………60
四、老人住宅高齡者生活品質相關危險因子………………………62
五、研究限制…………………………………………………..........63
陸、結論及建議……………………………………………………...63
一、結論………………………………………………………….......63
二、建議………………………………………………………………65
柒、參考資料………………………………………………………....67
附錄
結構式問卷……………………………………………………….......79
日常生活活動功能………………………………………………………………………81
工具性日常生活活動功能量表……………………………………….82
迷你營養評估量表………………………………………………………………...........84
簡易心智/認知狀態量表………………………………………………86
食物咀嚼問卷…………………………………….....…………………87
老年口腔健康生活品質評估量表……………………………………..88
臨床試驗同意證明書………………………………………………….89
研究問卷使用同意書………………………………………………….91

圖目錄
圖一 缺牙顆數、食物咀嚼困難種數、生活品質中介迴歸路徑圖…...50
圖二 固定假牙顆數、食物咀嚼困難種數、生活品質中介迴歸路徑圖51
圖三 活動假牙顆數、食物咀嚼困難種數、生活品質中介迴歸路徑圖52

表目錄
表1 人口學特性…………………………………………………………25
表2 身體健康情況………………………………………………...........27
表3 口腔健康情形………………………………………………………29
表4 咀嚼能力與生活品質………………………………………...........31
表5 人口學特性與食物咀嚼困難種數相關性分析……………………33
表6 身體健康狀況與食物咀嚼困難種數相關性分析…………….......34
表7 口腔健康與食物咀嚼困難種數相關性分析……………………....37
表8 人口學特性與生活品質相關性分析………………………………39
表9 身體健康狀況與生活品質相關性分析……………………………40
表10 口腔健康情形與生活品質相關性分析…………………………..42
表11 食物咀嚼困難種數與生活品質相關性分析……………………44
表12 應付生活與身體健康狀況………………………………………46
表13 應付生活與口腔健康情形………………………………………48
表14 缺牙顆數及食物咀嚼困難種數對生活品質影響情形…………50
表15 固定假牙顆數及食物咀嚼困難種數對生活品質影響情形……51
表16 活動假牙顆數及食物咀嚼困難種數對生活品質影響情形……52
表17 單變項共線性分析……………………………………………...53
表18 預測高齡者生活品質危險因素分析………………………......54
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