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系統識別號 U0026-1607201311304200
論文名稱(中文) 社區老人活動參與變化對生活品質之影響分析
論文名稱(英文) The Influence of Activity Participation Changes on Quality of Life among Community-Dwelling Elderly
校院名稱 成功大學
系所名稱(中) 健康照護科學研究所
系所名稱(英) Institute of Allied Health Sciences
學年度 101
學期 2
出版年 102
研究生(中文) 李月萍
研究生(英文) Yueh-Ping Li
學號 TA8961055
學位類別 博士
語文別 中文
論文頁數 121頁
口試委員 指導教授-陳清惠
口試委員-楊宜青
口試委員-陳玉敏
口試委員-林桑伊
口試委員-陳桂敏
中文關鍵字 活動變動  生活品質  社區老人 
英文關鍵字 activity changes  quality of life  community elderly 
學科別分類
中文摘要 本研究旨在探討社區老人參與不同類別活動之兩年變化趨勢及其對生活品質的影響。本研究為前瞻性追蹤研究設計,自居住於台南市社區老人於民國96年至97年及民國98年至99年分別進行問卷訪談,最終共167位個案納入本研究分析。本研究將活動區分為社會活動(Social Activity)、單獨性休閒活動 (Solitary Leisure Activity)、運動 (Exercise)及家務活動(Homemaking Activity)等四類。生活品質則以世界衛生組織生活品質量表簡明版(WHOQOL-BREF)中文版本進行測量。研究結果顯示社區老人在生活中會從事各種不同活動,其中雖然多數活動的參與率會隨著時間而減少,但老人仍會維持或增加某些活動的參與。GEE模型顯示社區老人增加參與社會活動數量能顯著正向影響生理品質(p =.035)、心理品質(p < .001)、社會品質(p < .001)、環境品質(p < .001)及生活品質總得分(p < .001)之變化。社區老人增加參與家務活動數量則顯著正向影響生理品質得分(p = .016)之變動。建議社區老人照護人員及相關單位應依據老人個人及環境資源狀況,提供符合老人需求的社會活動項目及環境設備。居家方面,則可設計具社交性質的居家活動及協助家屬依據老人個別狀況,規劃從事符合老人能力及需求的家務活動,以維持其生活品質。
英文摘要 The purpose of this study was to investigate the change pattern of different activities during the two years and its influence on quality of life (QOL) among community dwelling elderly. This study used a prospective research design which was conducted from 2007 to 2008 and from 2009 to 2010. Data was collected through structured questionnaires with face to face interviews from community dwelling elderly living in Tainan city. A total of 167 subjects with complete data in the two waves of interviews were finally included in this study.
Activities were classified into four categories which included social activity, solitary leisure activity, exercise and homemaking activity. A brief Chinese version of the World Health Organization QOL (WHOQOL-BREF) was used to measure QOL. The results showed that the community elderly participated in various activities in later life. Although the participation rates in many activities declined by time, they still maintained or increased in some activities among community dwelling elderly. The GEE model showed that the increasing of social activity was significantly positive associated with the changes of physical domain (p =.035), psychological domain (p < .001), social domain (p < .001), environment domain and total QOL score (p < .001).The increase of homemaking activity was significantly positive associated with the changes of total QOL score (p = .016).
In order to maintain the QOL of community dwelling elderly, the clinical caregivers and policy makers should provide various social activity programs and services based on the diversity within the elderly and his/her environmental resources. The clinical caregivers can also design activity which includes interpersonal interaction at home for community dwelling elderly. Moreover, it is important to assist family members in planning homemaking activity that fits the ability and demand of each elderly person.
論文目次 目錄
中文摘要……………………………………………............Ⅰ
英文摘要………………………………………………………………Ⅱ
致謝……………………………………………………………………Ⅳ
目錄……………………………………………………………………Ⅴ
表目錄…………………………………………………………………Ⅷ
圖目錄…………………………………………………………………Ⅸ

第一章 緒論
第一節 研究動機與重要性……………………………………………1
第二節 研究目的………………………………………………………4
第三節 研究問題………………………………………………………4
第四節 研究假設………………………………………………………4
第五節 名詞界定………………………………………………………5
第二章 文獻查證
第一節 生活品質之概念意涵與測量…………………………………7
第二節 生活品質之影響因子…………………………………………11
第三節老年活動參與之相關理論……………………………….……15
第四節老年活動參與之研究現況……………………………….……25
第五節 活動參與對老年生活品質之影響……………………………29
第六節 研究架構………………………………………………………31
第三章 研究方法
第一節 研究設計………………………………………………………32
第二節 研究對象及資料收集過程……………………………………32
第三節 倫理考量………………………………………………………36
第四節 研究工具………………………………………………………37
第五節 資料統計與分析………………………………………………40
第四章 研究結果
第一節 社區老人基本資料、健康、生活品質概況及變化
趨勢……………………………………………………………42
第二節 社區老人各類活動參與概況及變化趨勢……………………46
第三節 社區老人參與不同活動之主要原因及感受…………………49
第四節 社區老人不同活動改變對生活品質變化的影響……………56
第五章 討論
第一節 社區老人生活品質概況及變化趨勢…………………………61
第二節 社區老人不同活動參與概況及變化趨勢……………………63
第三節 社區老人不同活動改變對生活品質變化的影響……………68
第六章 結論與建議
第一節 結論……………………………………………………………71
第二節 研究限制………………………………………………………73
第三節 應用及建議……………………………………………………75
參考文獻………………………………………………………….……78
附錄一 本研究收案五里名單…………………………………………94
附錄二 第一年問卷……………………………………………………95
附錄三 兩年後追蹤問卷………………………………………………105
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