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系統識別號 U0026-0812200915224434
論文名稱(中文) 社區老人生產活動、生命意義與生活品質之關係探討
論文名稱(英文) Productive Activities, Meaning of Life and Quality of Life among Community-Dwelling 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 97
學期 2
出版年 98
研究生(中文) 黃照淮
研究生(英文) Chao-huai Huang
學號 t2696105
學位類別 碩士
語文別 中文
論文頁數 66頁
口試委員 指導教授-陳清惠
口試委員-楊宜青
召集委員-林惠賢
中文關鍵字 生活品質  生命意義  生產活動  社區老人 
英文關鍵字 community elders  productive activities  meaning of life  quality of life 
學科別分類
中文摘要 目前研究顯示老人參與生產活動,對生理功能的提升與社會互動的增進,及其獨立生活的維持有正向影響。但有關生產活動與老人生命意義及生活品質之關係仍不清楚,故本研究旨在探討社區老人生產活動參與,與生命意義、生活品質的關係。
本研究採描述性相關性設計,使用次級資料分析,資料來源為2007年「社區老人照護需求之探討」國科會研究計畫(NSC96-2516-S-006-003)之資料。該資料為立意取樣,研究對象選自台南市北區五里65歲以上老人,採面對面訪談方式與結構性問卷收集資料。本研究擷取「社會活動問卷」、「生命意義量表」以及「世界衛生組織生活品質量表簡明版」等問卷之資料。運用SPSS for Windows 15.0版統計軟體進行資料分析,包括描述性統計、相關性檢定與路徑分析(path analysis)等。
研究結果顯示,多數老人至少參與一項生產活動(40.7%),且以家務佔多數者(70.4%),每日生產活動平均時數以介於0.1至4小時居多(51.4%)。在控制自覺經濟狀況及自評健康後,生產活動類型數目與生活品質呈顯著正相關;生產活動類型數目與生命意義無顯著相關;每日平均生產活動時間介於4.1至8小時者生活品質高於未達此時數或大於8小時者;每日平均生產活動時間長短與生命意義無顯著相關。在控制自覺經濟狀況及自評健康後,不同生產活動的參與,僅參與“家務”者,生命意義體認較差於未參與家務者;而“工作”及“志工”的參與,生活品質優於未參與者;平均每日工作時間大於四小時者,生活品質高於平均每日工作時間小於四小時者,但平均每日工作時間大於八小時與小於八小時者,其生活品質無顯著差異。在控制自覺經濟狀況及自評健康後,生命意義與生活品質呈顯著正相關。此外,生命意義對參與家務活動與生活品質之關係具有中介效果;生命意義對平均每日家務時間分組(大於四小時/小於四小時)與生活品質之關係具有中介效果。研究結果可提供規劃社區健康照護服務及擬訂相關衛生政策之參考。
英文摘要 Current studies have shown that participating in productive activities have a positive effect on the elderly population and can enhance their physiological function and promote social interactions for them to maintain independent living. However, the relationship between productive activities, meaning of life and quality of life among the elderly remains unclear. Therefore, the purpose of this study was to examine the association among productive activities, meaning of life, and quality of life among community elders.
This research was a cross-sectional and correlation study using secondary data analysis. The data originated from the research project entitled “The Health Care Needs of Community Elderly” and was funded by the National Science Council, 2007. A convenience sample was collected from independent elders aged 65 and over and living in the five administrative units of northern Tainan. Data regarding the social activities were collected via face-to-face interviews and structural questionnaires developed by the authors. The Purpose in Life scale and the World Health Organization Quality Brief Data were analyzed using SPSS for Windows 15.0 statistical software. Descriptive statistics, correlation and path analysis techniques were applied in the analyses.
The results showed that most elders participated in at least one productive activity, the
most common was housework. The average productive activities time that most elders spend was 0.1 to 4 hours per day. After controlling perceived health and economic status, significant positive relationships were found between the numbers of productive activities and quality of life, and the average 4.1 to 8 hours of productive activities per day and quality of life. No significant relationship was observed between the numbers of productive activities, meaning of life, and average hour of productive activities per day. Moreover, elders who participated in paid work and volunteer work had a higher quality of life score than those who did not. The quality of life scores of those who worked over average four hours daily showed higher than those who worked less. However, there was no difference between when the daily average working hours turned to eight. Elders who did house work had a lower meaning of life score than those who did not. Meaning of life was significantly correlated with quality of life. The meaning of life showed a significant mediating effect between participating housework activity and quality of life. Furthermore, the meaning of life also indicated a significantly mediated effect between the housework done over four or under four hours and quality of life. The results of this study provided a guide to develop and promote the productive activities of the community elders, as well as plan health care services and establish future health care policies.
論文目次 摘要I
致謝V
目錄VI
表目錄IX
圖目錄XI
附件目錄XII
第一章 緒論1
第一節 背景與重要性1
第二節 研究目的2
第二章 文獻查證3
第一節 老人生產活動3
第二節 老人生命意義9
第三節 老人生活品質11
第四節 生產活動、生命意義與生活品質之關係12
第五節 生命意義與生活品質之相關因素14
第三章、研究架構與假設17
第一節 研究架構17
第二節 名詞解釋18
第三節 研究假設19
第四章 研究方法與研究過程20
第一節 研究設計 20
第二節 資料來源及內容20
第三節 研究對象21
第四節 研究過程21
第五節 研究工具22
第六節 統計分析24
第七節 倫理考量24
第五章 研究結果25
第一節 社區老人之基本資料、生產活動、生命意義與生活品質狀況25
第二節 基本資料與生命意義、生活品質之關係30
第三節 生產活動、生命意義與生活品質間之關係33
第四節 生命意義在參與家務活動與生活品質之關係的中介效果 42
第六章 討論44
第一節 研究對象人口學屬性44
第二節 生產活動、生命意義與生活品質之狀況45
第三節 生產活動、生命意義與生活品質間之關係47
第四節 生命意義對生產活動與生活品質之關係的中介效果51
第七章 結論與建議52
第一節 結論52
第二節 研究結果的應用及建議 53
第三節 研究限制與未來研究建議 54
參考文獻55
中文部分55
英文部分57
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