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系統識別號 U0026-0812200914110139
論文名稱(中文) 超越老化支持團體對機構老人超越老化觀感、憂鬱與生活滿意度之成效探討
論文名稱(英文) Effects of Gerotranscendence Support Group on Gerotranscendence Perception, Depression, and Life Satisfaction of Institutionalized Elders
校院名稱 成功大學
系所名稱(中) 護理學系碩博士班
系所名稱(英) Department of Nursing
學年度 96
學期 2
出版年 97
研究生(中文) 林沄萱
研究生(英文) Yun-Hsuan Lin
電子信箱 t2695111@mail.ncku.edu.tw
學號 t2695111
學位類別 碩士
語文別 中文
論文頁數 150頁
口試委員 指導教授-王靜枝
口試委員-陳清惠
口試委員-李鳳屏
中文關鍵字 超越老化  憂鬱  生活滿意度  機構老人 
英文關鍵字 institutional elderly  life satisfaction  gerotranscendence  depression 
學科別分類
中文摘要 超越老化是老人以更寬廣的觀點來看待老化的過程,且能轉換舊有對老化負面的看法,而重新體認生命。老人進住機構後,因對週遭人、事、物的不熟悉,以及人際互動減少等,而有適應問題,進而可能對自身老化有負向觀感及憂鬱情形,並影響其生活滿意度。憂鬱是老人最常見的健康問題,不僅影響生活品質,亦威脅生命,而生活滿意度是老人生活品質的一項重要指標。本研究旨在運用一項依超越老化理論所設計的措施,對改善老人的憂鬱並提昇超越老化觀感及生活滿意度之成效。
本研究以Tornstam(1996b)所發展的超越老化理論(Theory of Gerotranscendence)為架構,融合文獻及二個機構焦點團體所獲資料,設計一套超越老化支持團體措施,將之運用於老人。採實驗法雙組前後測,以立意取樣自台南市三所老人照護機構中取得符合資格老人個案,再以隨機分派方式分為實驗組及控制組。以結構性問卷調查進行資料收集,並針對實驗組個案施予每週一次的超越老化支持團體措施,每次約60分鐘,共八週的團體活動;而控制組則維持其常規活動及進行其超越老化觀感、憂鬱及生活滿意度之前後測。研究工具包含老人基本屬性調查表、老年人超越老化評量表、簡短老年憂鬱量表、及生活滿意度量表。資料分析採用次數分配、百分比、平均值、標準差、最大值、最小值、全距、卡方檢定、Cramer’s V係數、獨立t檢定、配對t檢定、共變數分析及McNemar test等方法。
研究結果顯示,接受超越老化支持團體的老人於後測的超越老化觀感、憂鬱與生活滿意度皆有顯著改善(p< .001, .05, .001),而兩組在後測比較亦顯示實驗組在超越老化觀感、憂鬱與生活滿意度改善狀況顯著優於控制組。此結果代表超越老化支持團體對於機構老人在超越老化觀感、憂鬱與生活滿意度方面具有正向之效果,為一值得廣泛應用於機構老人之照護措施。可作為提昇機構照護品質之依據,以及醫護人員的訓練與臨床照護實務之參考。
英文摘要 Gerotrascendence is a process, in which elders hold a broader view toward their aging and change their negative perception of it, leaving a whole new worldview in their lives. When elders are institutionalized, they may face serious problems in accommodation to every thing around and in less interpersonal interaction. After that, their life satisfaction may be degraded for negative perception of aging and depression. Depression is the most common mental problem among elders; it can influence elders’ life quality and endanger their life. On the other hand, life satisfaction is a key index of elders’ life quality. This research was to evaluate the effects of the gerotranscendence support group on gerotranscendence perception, depression, and life satisfaction.
This study, based on the theory of gerotranscendence by Tornstam (1996b), digested the information from the literature review and two focus groups to propose a set of measures of the gerotranscendence support group for senior residents. With the two-group pre-post test design, this study adopted the purposive sampling to select the potential subject from three elder care institutions in Tainan city, random assignment was carried out to divide them into experimental groups and control groups. Structured questionnaire was used face to face interview to collect information. The gerotranscendence support group was administered to the experimental group once a week for eight weeks, each time lasting 60 minutes. On the other hand, the control group remained regular activities and was only surveyed pre-post tests. The research instruments included Demographic sheet, Gerotranscendence Scale, Geriatric Depression Scale short-form Chinese version (GDS-SF), and Life Satisfaction. Statistical analysis used frequency distribution, percentage, mean, standard deviation, maximum, minimum, range, Chi-square test, Cramer’s V, Independent t-test, Paired t-test, analysis of covariance, and McNemar test.
Results show that subjects’ gerotranscendence perception, depression, and life satisfaction significantly improve after receiving the gerotranscendence support group (p< .001, .05, .001) and the improvement was significantly higher than that of the control group. These findings indicate that gerotranscendence support group is beneficial to gerotranscendence perception, depression, and life satisfaction. Therefore, gerotranscendence support group is to be widely implemented among the institutionalized elders. In addition, the findings can be a basis of better nursing and a valued reference for healthcare worker’s training and practices.
論文目次 中文摘要………………………………………………………………………….I
英文摘要………………………………………………………………………..III
誌謝……………………………………………………………………………...VI
論文目錄……………………………………………………………………….VII
附件目錄………………………………………………………………………..IX
表目錄………………………………………………………………………….. X
圖目錄…………………………………………………………………………. XI
第一章 序論…………………………………………………………..1
第一節 研究背景及重要性……………………………………………1
第二節 研究目的……………………………………………………..8
第二章 文獻查證……………………………………………………..9
第一節 自我超越、超越老化及中國人的超越觀…………………..9
第二節 老人憂鬱………………………………………………………31
第三節 生活滿意度……………………………………………………40
第四節 團體措施………………………………………………………46
第三章 研究架構與假設………………………………………………56
第一節 研究架構………………………………………………………56
第二節 名詞解釋………………………………………………………57
第三節 研究假設………………………………………………………58
第四章 研究方法………………………………………………………60
第一節 研究設計………………………………………………………60
第二節 研究地點………………………………………………………61
第三節 研究對象及取樣………………………………………………61
第四節 研究工具………………………………………………………62
第五節 研究過程………………………………………………………66
第六節 資料分析………………………………………………………70
第七節 研究控制………………………………………………………71
第八節 研究倫理………………………………………………………72
第五章 研究結果………………………………………………………74
第一節 研究樣本之描述性統計……………………………………74
第二節 超越老化觀感、憂鬱及生活滿意度前測狀況……………81
第三節 超越老化支持團體對超越老化觀感之成效………………89
第四節 超越老化支持團體對憂鬱之成效…………………………91
第五節 超越老化支持團體對生活滿意度之成效…………………94
第六章 討論……….………………………………………………….97
第一節 研究對象之基本屬性………………………………………97
第二節 超越老化觀感、憂鬱及生活滿意度…………………….100
第三節 超越老化支持團體對超越老化觀感之成效.……………105
第四節 超越老化支持團體對憂鬱之成效………………………109
第五節 超越老化支持團體對生活滿意度之成效………………111
第七章 結論與建議…………………………………………………114
第一節 結論與建議………………………………………………114
第二節 研究限制…………………………………………………117
第三節 總結………………………………………………………118
參考文獻……………………………………………………………119
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