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系統識別號 U0026-1301201217095200
論文名稱(中文) 越南城市老年人對社區健康服務之需求探討
論文名稱(英文) Needs of Community Health Services among Elderly People in Urban Vietnam
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 100
學期 1
出版年 101
研究生(中文) 賴武金
研究生(英文) Vu-Kim Lai
電子信箱 laivkimhmc@gmail.com
學號 T26987015
學位類別 碩士
語文別 英文
論文頁數 115頁
口試委員 指導教授-王靜枝
召集委員-劉立凡
口試委員-王琪珍
中文關鍵字 需要  老人  社區衛生服務  城市老人人口 
英文關鍵字 Needs  Elderly people  Community health services  Urban Elderly Population 
學科別分類
中文摘要 人口老化與城市化正在全世界上特別是在發展中國家迅速增加。在越南, 關於老年人對社區健康服務之需求已有少數些研究,但是這些研究都集中到農村地區的老年人。這樣,此研究使得健康照護人員認識與了解城市老人對社區健康服務之需要。
研究目標:(1)描述城市老人對社區健康服務的需要,(2)瞭解城市老年人的人口學特性對於社區健康服務之需要有何關係,(3)從衛生工作人員的觀點瞭解城市老年人的社區健康服務需求,以作為未來改進城市老人的社區衛生服務質與量。
本研究為橫斷式設計採混和研究法,共199個沒有心智障礙案的社區老人參與本研究。研究工具包括人口學特性調查表, 老人之社區衛生服務需求調查問卷,與開放式的調查問卷。
本研究發現該都市對於社區健康照顧服務需求有三大趨向,其包含健康狀況未來發展(佔92.5%)、建立健康照護機構(佔91%)、及希望設立老人健康諮詢專家(佔88.4%)等。
在人口學基本資料方面,結果顯示在不同年齡層(卡方值= 7.832, p < 0.05)、經濟狀況(卡方值= 31.72, p < 0.05)、教育程度(卡方值= 19.21, p < 0.05)、過去的職業(卡方值= 20.97, p < 0.05)、婚姻狀況(卡方值= 10.04, p < 0.05)及居住狀況(卡方值=19.53, p < 0.05)是有統計上的顯著差異。
在16大需求有部份醫護人員建議在老年人社區健康照護服務應包含加強健康監控系統、增加照顧者的數量及能力、建立社區老人照護機構及老人健康照護具體政策。
本研究指出該都市老人對社區健康照顧有高度需求,而該需求是符合人口老化及都市化的發展過程中的必要元素。
英文摘要 Aging populations and urbanization processes are growing fast worldwide especially for developing countries. In Vietnam, there were only few studies on the needs of using community health services of the elderly people; however they were mostly addressed on elderly in rural areas. Thus, this study added to the knowledge and understanding of the needs of community health among older people in urban areas.
The purposes of this study were: (1) to describe the needs of community health services for elderly people in the urban area, (2) to assess the impacts of demographic characteristics on those needs, and (3) to explore the reflection of health care workers on the needs toward improving community health services.
This was a cross-sectional research using mixed methods to collect data from (1) the group of 199 people who were 60 years of age and older, no cognitive impairment from Minh Khai district, Phu Ly City, Ha Nam Province, Vietnam, and (2) a small group of health providers (05 people). Study instrument included Demographic Status Info Sheet, Short Portable Mental Status Questionnaire, Needs of Community Health Care Services Assessment Sheet and an Open-ended Interview Guide.
Findings of this study indicated that about 76% to 92% of participants need to the health service types listed in the questionnaire Among these health services needed, to know how their health status may progress, to establish health care facilities, and to have elderly health care specialists in community health are the three most highly demand ones.
Chi-square tests were used to analyze the relationship between demographic characteristics and the needs of using health services, results showed that age groups (X2=7.832, p < 0.05), economic status (X2=31.72 , p < 0.05), education levels (X2=19.21 , p < 0.05), previous occupation (X2=20.97, p < 0.05), marital status (X2=10.04, p < 0.05), and living arrangement (X2=19.53, p < 0.05) were significantly related to the needs of using health services in community.
The results from the qualitative interviews provided the reflections of medical staff toward community health services included strengthening health-monitoring system; improving human resources and capability of health providers, establishing elderly health care facilities in the community; having specific policies for elderly health care.
Findings indicated that there is a high demand of community health services for elderly in the urban area, which requires strengthening the health services settings to meet the health care needs of the elderly people as corresponding the population aging and urbanization.
論文目次 ACKNOWLEGEMENTS I
中文摘要 III
ABSTRACT IV
TABLE OF CONTENTS VI
LIST OF TABLES VIII
LIST OF FIGURES X
CHAPTER I: INTRODUCTION 1
1. Background 1
2. Research Purposes 6
CHAPTER II: LITERATURE REVIEW 7
1. Population Ageing in the World and Vietnam 7
2. Current Health Care System and Services for the Elderly in Vietnam 17
3. Community Health Care Services Needs 28
CHAPTER III: RESEARCH METHOD 32
1. Research Design 32
2. Sampling and Settings 32
3. Research Instruments 34
4. Data Collection Procedure 36
5. Analysis of the Study 37
CHAPTER IV: RESULTS 38
1. Demographic Characteristics 38
2. Perceived Health Status 41
3. Needs toward Community Health Care Services 43
4. The Relationship between Demographic Characteristics and Selected Needs toward Community Health Care Services 53
5. Health Care Staff Perceived Needs of Elderly People toward Community Health Services 76
CHAPTER V: DISCUSSIONS 80
1. Demographic Characteristics 80
2. Health and Disease Conditions 81
3. Needs toward Community Health Care Services and Relationship with Demographic Characteristics 82
4. The Community Health Care Staff Perceived Needs of the Elderly People toward Community Health Care Services 92
CHAPTER VI: CONCLUSIONS 94
1. Limitations of the study 94
2. Conclusions 94
CHAPTER VII: SUGGESSTIONS AND FUTURE RESEARCH 98
1. Suggestions 98
2. Future Research 98
REFERENCES 100
APPENDICES 106
Re: Certificate licensing data collection for research in community 107
THE STUDY BRIEF INFORMATION 108
DEMOGRAPHIC STATUS INFORMATION SHEET 109
THE SHORT PORTABLE MENTAL STATUS QUESTIONNAIRE (SPMSQ) 110
NEEDS TOWARD COMMUNITY HEALTH SERVICES 111
ASSESSMENT SHEET 111
OPEN-END INTERVIEW GUIDE 115
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