進階搜尋


   電子論文尚未授權公開,紙本請查館藏目錄
(※如查詢不到或館藏狀況顯示「閉架不公開」,表示該本論文不在書庫,無法取用。)
系統識別號 U0026-2207202000532200
論文名稱(中文) 比較海峽兩岸慢性病老人的身體活動、老化感知對健康老化觀點之影響
論文名稱(英文) Comparisons of the Effects of Physical Activity and Perceptions of Aging on the Perspective of Healthy Aging among Older Persons with Chronic Disease Living on Cross-Taiwan Strait
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 108
學期 2
出版年 109
研究生(中文) 王俞蓉
研究生(英文) Yu-Rung Wang
學號 TA8011054
學位類別 博士
語文別 英文
論文頁數 147頁
口試委員 指導教授-陳靜敏
口試委員-范聖育
口試委員-王靜枝
召集委員-陳清惠
口試委員-張素嫺
中文關鍵字 老人  慢性病  身體活動  老化感知  健康老化  海峽兩岸 
英文關鍵字 Older persons  chronic disease  physical activity  aging perceptions  healthy aging  Cross-Taiwan Strait 
學科別分類
中文摘要 背景
世界衛生組織提出在全球老化相關議題中,特別應重視健康老化及老化感知的概念,認為健康的概念不再是沒有疾病,反而是老人在老化過程需要面對及自我調控的,以期降低老人的死亡風險及提升生活品質。台灣與中國同樣面臨高齡化的衝擊,然因政治、文化、健康照護模式及醫療保險制度的不同,對於慢性病老人的照護理念亦有所不同。

研究目的
本研究目的為了解海峽兩岸慢性病老人的老化感知、身體活動對健康老化觀點的差異,同時了解影響健康老化觀點的預測因素及中介影響。

研究方法
本研究採用描述性橫斷性研究設計。收案對象為台灣和中國60歲以上的社區慢病老人。從台灣台南市和中國浙江省寧波市進行收案,以兩個城市的醫學中心和社區衛生服務中心的門診招募自願參與者。研究工具包含個人基本資料表、老化感知問卷、身體活動量表及健康老化觀點問卷進行收案,經完成量表信效度測試後,與參與者採面對面的方式,分別在臺灣(發出420份、回收415份問卷、回收率為98.80%)及中國(發出408份、回收400份問卷、回收率為98.04%)收案。以SPSS 17.0進行統計資料分析,以獨立T檢定、卡方檢定、皮爾森相關係數、單因子變異數分析、多元回歸及多重中介等進行分析。

結果
海峽兩岸慢性病老人的平均年齡為71.43歲 (SD=9.07),平均罹患兩種(SD=1.03)慢性疾病,比較兩岸長者,在體型及生活型態方面,台灣老人顯著較中國老人胖(BMI、男女性腰圍)、且血壓控制較差;中國長者有較高比率的抽菸、飲酒、飲食不均衡、食慾較差的不健康生活型態。居住狀況中,台灣老人較多與子女同住,中國老人較多與配偶同住。在老化感知中,台灣老人在慢性時間軸、正向的結果、負向的老化情緒控制及結果顯著得分較高,中國老人顯著在正向的控制較高。在身體活動結果,台灣老人的工作與整體身體活動顯著較中國老人高。另在健康老化觀點,台灣老人在疾病所營造的生活型態以及疾病的家庭關係改變顯著優於中國老人。以階層回歸分析來預測慢性病老人的健康老化觀點發現,兩岸在抽菸、均衡飲食、營養品補充、老化感知各變項及休閒活動皆為主要預測因子,整體模式解釋力為38%;臺灣長者之腰圍、均衡飲食、營養品補充、慢性時間軸、正向的結果、負向的老化情緒控制及結果及休閒活動能預測其健康老化感知,整體模式解釋力為50%。中國慢性病老人對健康老化觀點之主要預測因子有抽菸、食慾狀況、營養品補充、慢性時間軸、正向的結果、正向的控制、老化引起健康相關改變,整體模式解釋力為28%。透過多重中介分析發現,兩岸慢性病老人在控制其慢性疾病狀況後,年齡對老化感知與身體活動對於健康老化觀點影響皆為完全中介,表示年齡越高幾乎都會伴隨老化感知及活動狀況的降低,進而使得健康老化觀點變差。

結論與建議
本研究了解兩岸慢性病老人之老化感知對於提升慢性病老人的健康老化觀點具顯著影響。雖然兩岸慢性病老人生活在不同的環境、持續接受醫療照護,同時能具有中度以上的正向老化感知能提升老人的健康老化觀點,建議可增加相關老人心理健康篩選工具及規劃正確老化感知之介入措施,並提升其身體活動動機,進而可強化慢性病老人的健康老化觀點,期望提升其生活品質。
英文摘要 Background
The World Health Organization proposes that among global aging-related issues, special attention should be paid to the concept of healthy aging and aging perception. For older adults, the concept of being healthy is no longer linked with having any disease but with what the elderly need to face and their self-regulation in the aging process for the reduction of the risk of death and improvement of their quality of life. The societies of Taiwan and China are also faced with the impact of aging. They are different in terms of political system, culture, health care model and medical insurance system, and their concepts of healthy aging and aging perception might be different and further the care for older persons with chronic diseases might also be different.

Purpose
The purpose of this study was to investigate the differences in the perception of aging and physical activity in the perspectives of healthy aging among older people with chronic diseases on both sides of the Taiwan Strait. At the same time, this study also understood the predictors and mediation effects that affected healthy aging perspectives.

Methods
This was a descriptive study with a cross-sectional study design. Participants in this study were older persons aged over 60 with chronic diseases. Older people in Tainan City, Taiwan, and Ningbo City, Zhejiang Province, China were invited. These participants were recruited from the outpatient department of medical centers and community health service centers located in the two cities. The research instruments contained personal characteristics, Brief Ageing Perception Questionnaire Chinese version (B-APQ-C), Physical Activity Scale for the Elderly (PASE), and Health Aging Perspectives Questionnaire (HAPQ). The psychometric testing of the scales was first completed, followed by face-to-face interviews with the participants for data collection. A total of the 420 questionnaires and 408 questionnaires were recruited in Taiwan and China respectively, with 415 valid ones returned in Taiwan (response rate= 98.80%) and 400 in China (response rate= 98.04%). Statistical analyses, including independent T-test, chi-square test, Pearson correlation, one-way ANOVA, multiple regression, and mediation analysis were conducted by using SPSS 17.0.
Results
The average age of older people living on both sides of the Taiwan Strait was 71.43 years old (SD= 9.07), with two types of chronic disease (SD= 1.03) in average. Compared with older adults with chronic diseases between Taiwan and China, Taiwanese older people were significantly heavier in body weight (BMI, men's and women's waist circumference) and had poorer control of blood pressure than the Chinese counterpart. For the healthy lifestyle, higher proportion of elders in China had smoking, drinking, unbalanced diet, and poorer appetite than older adults in Taiwan. When it comes to the living patterns, the older people in Taiwan mostly lived with their children, and older persons in China mostly lived with their spouses. In term of aging perception, it was found that t the Taiwanese elderly were significantly higher in the Time-line chronic, Consequences positive, Negative aging emotional control and consequences, the Chinese older people had significantly higher results in Control positive. In addition, the older people in Taiwan had significant higher work and overall physical activity than those of the older adults in China. In the perspectives of healthy aging, it was found that Lifestyle created by the disease and Changes in family life caused by disease were significantly better in Taiwanese older people. Results of hierarchical regression analysis indicated that smoking, balanced diet, nutritional supplements, all the variables of perception of aging, and Health-related changes could predict 38% variance of the healthy aging perspectives. In Taiwan, the predictors included waist circumference, balanced diet, nutritional supplements, Time-line chronic, Consequences positive, Negative aging emotional control and consequences, and leisure activities; and the explanatory variance of the model was 50%. In China, the main predictors of healthy aging perspectives in older people with chronic diseases included smoking, appetite status, nutritional supplements, Time-line chronic, Consequences positive, Control positive, and Health-related changes caused by aging, which could explain 28% of the variance. In the multiple mediation analysis, after controlling the chronic disease of the older adults on both sides of the Taiwan Strait, the effects of age on aging perception and physical activity on healthy aging perspectives were completely intermediary, indicating that the older the age, the lower the perception of aging and physical activity, leading to the worse healthy aging perspectives.


Conclusion and Recommendations
This study investigated the effects of the perception of aging and physical activity of the older persons on healthy aging perspectives among both sides of the Taiwan Strait. The research results showed the perception of aging significantly impact on the perspective of healthy aging among older people with chronic disease. Although older people with chronic diseases on both sides of the Taiwan Straits share different living environments, they all need routine treatment of their chronic illness to maintain their health. At the same time, when they have above moderate ageing perceptions, they would have better healthy aging perspectives. We recommend psychological health screening and interventions on promoting positive aging perception and physical activity motive should be incorporated to their care plan in order to enhance their perspectives of healthy aging and further to improve their quality of life.
論文目次 Abstract (Chinese) i
Abstract (English) iii
Acknowledgement vi
Tables of Contents vii
List of Tables ix
List of Figures x
Chapter One Introduction 1
1.1 Background 1
1.2 Research Purpose and Questions 4
1.3 Definition of Terms 5
Chapter Two Literature Review 6
2.1 Definition of Older People with Chronic Disease 6
2.2 Health care and medical insurance policies for older persons on both sides of the Taiwan Strait 7
2.3 Physical activity of older people with chronic diseases 11
2.4 Aging Perception of older people with chronic disease 13
2.5 Healthy Aging 20
2.6 Research Framework 29
2.7 Research Hypotheses 30
Chapter Three Methodology 31
3.1 Research Design 31
3.2 Participant and Sampling 31
3.3 Research Instruments 33
3.4 Data collection and procedure 36
3.5 Ethical Considerations 40
Chapter Four Research Results 43
4.1 Analysis and comparison of demographic characteristics of the older persons with chronic diseases on both sides of the Taiwan Strait 43
4.2 Comparisons of aging perception of older people with chronic diseases on both sides of the Taiwan Strait 49
4.3 Comparisons of physical activity of older people with chronic disease on both sides of the Taiwan Strait 50
4.4 Comparisons of healthy aging perspectives of older people with chronic disease on both sides of the Taiwan Strait 51
4.5 Relationships of demographic characteristics, aging perception and physical activity with healthy aging perspectives among older people with chronic diseases on both sides of the Taiwan Strait 53
4.6 Predictors of demographic characteristics, aging perception and physical activity on healthy aging perceptions of older people with chronic diseases on both sides of the Taiwan Strait 59
4.7 Multiple mediation analysis with aging perception and physical activity in the effect of age on healthy aging perspectives of older people with chronic disease 71
Chapter Five Discussion 81
5.1 Current situations and comparisons of the demographic variables, perceptions of aging, physical activity and perception of healthy aging among older persons with chronic disease on both sides of the Taiwan Strait 81
5.2 Comparisons of the perception of healthy aging among older persons with chronic disease on both sides of the Strait in terms of demographic variables, perceptions of aging, and physical activities 86
5.3 The influence and predictors of healthy aging perceptions among the elderly with chronic diseases on both sides of the Taiwan Strait 90
5.4 Mediation effects of healthy aging perceptions among the elderly with chronic diseases on both sides of the Taiwan Strait 92
Chapter Six Conclusions, Recommendations and Limitations 95
6.1 Conclusions 95
6.2 Recommendations 97
6.3 Limitations 100
Reference 101
Appendixes 111
Appendix 1. Brief Ageing Perceptions Questionnaire (B-APQ) permission 111
Appendix 2. PASE-C permission 113
Appendix 3. List of experts of content validity 114
Appendix 4. Content validity of questionnaire 115
Appendix 5. Questionnaire of study in Taiwan 128
Appendix 6. Questionnaire of study in China 137
Appendix 7. Clinical trial approval certificate 145
參考文獻 Aday, R. H., & Wallace, J. B. (2015). Development and Validation of the Healthy Aging Incentives Scale. Educational Gerontology, 41(12), 847-858. https://doi.org/https://doi.org/10.1080/03601277.2015.1059137
American College of Sports Medicine. (2018). ACSM's Guidelines for Exercise Testing and Prescription (10th ed.). Lippincott Williams and Wilkins.
Ayvat, E., Kilinc, M., & Kirdi, N. (2017). The Turkish version of the Physical Activity Scale for the Elderly (PASE): its cultural adaptation, validation, and reliability. Turk J Med Sci, 47(3), 908-915. https://doi.org/10.3906/sag-1605-7
Barker, M., O'Hanlon, A., McGee, H. M., Hickey, A., & Conroy, R. M. (2007). Cross-sectional validation of the Aging Perceptions Questionnaire: a multidimensional instrument for assessing self-perceptions of aging. BMC Geriatr, 7, 9. https://doi.org/10.1186/1471-2318-7-9
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol, 51(6), 1173-1182. https://doi.org/10.1037//0022-3514.51.6.1173
Bolszak, S., Casartelli, N. C., Impellizzeri, F. M., & Maffiuletti, N. A. (2014). Validity and reproducibility of the Physical Activity Scale for the Elderly (PASE) questionnaire for the measurement of the physical activity level in patients after total knee arthroplasty. BMC Musculoskelet Disord, 15, 46. https://doi.org/10.1186/1471-2474-15-46
Chang, M. Y., Chang, Y. C., & Hsu, S. W. (2012). Relationships between physical health status and medical services utilization among Taiwan's elderly people. Taiwan Journal Of Gerontological Health Research, 8(2), 130-152. https://doi.org/DOI: 10.29797/TJGHR.201212.0003
Chen, X., Hu, Y., Zhu, D., Li, J., & Zhou, L. (2016). Chinese version of the Aging Perceptions Questionnaire (C-APQ): assessment of reliability and validity. Aging Ment Health, 20(6), 567-574. https://doi.org/10.1080/13607863.2015.1028332
Chiou, H. J. (2020). Quantitative research method two: statistical principles and analytic techniques. Yeh yeh.
Cohen, J. (1998). Statistical Power Analysis for the Behavioral Sciences. Hillsdale.
Cramm, J. M., & Nieboer, A. P. (2017). Positive ageing perceptions among migrant Turkish and native Dutch older people: a matter of culture or resources? BMC Geriatr, 17(1), 159. https://doi.org/10.1186/s12877-017-0549-6
Cramm, J. M., & Nieboer, A. P. (2018). Aging perceptions matter for the well-being of elderly Turkish migrants, especially among the chronically ill. BMC Geriatr, 18(1), 229. https://doi.org/10.1186/s12877-018-0902-4
Cyarto, E. V., Dow, B., Vrantsidis, F., & Meyer, C. (2013). Promoting healthy ageing: development of the Healthy Ageing Quiz. Australas J Ageing, 32(1), 15-20. https://doi.org/10.1111/j.1741-6612.2011.00585.x
Freeman, A. T., Santini, Z. I., Tyrovolas, S., Rummel-Kluge, C., Haro, J. M., & Koyanagi, A. (2016). Negative perceptions of ageing predict the onset and persistence of depression and anxiety: Findings from a prospective analysis of the Irish Longitudinal Study on Ageing (TILDA). J Affect Disord, 199, 132-138. https://doi.org/10.1016/j.jad.2016.03.042
General Office of the State Council of the People’s Republic of China. (2019). Guideline targets chronic illnesses. http://www.gov.cn/zhengce/content/2019-07/15/content_5409492.htm
Gu, R., Zhang, D., Jin, X., Wu, W., Hou, Y., Wu, Q., & Wang, X. (2019). The self-perceptions of aging were an important factor associated with the quality of life in Chinese elderly with hypertension. Psychogeriatrics, 19(4), 391-398. https://doi.org/10.1111/psyg.12400
Hagiwara, A., Ito, N., Sawai, K., & Kazuma, K. (2008). Validity and reliability of the Physical Activity Scale for the Elderly (PASE) in Japanese elderly people. Geriatr Gerontol Int, 8(3), 143-151. https://doi.org/10.1111/j.1447-0594.2008.00463.x
Hansen-Kyle, L. (2005). A concept analysis of healthy aging. Nurs Forum, 40(2), 45-57. https://doi.org/10.1111/j.1744-6198.2005.00009.x
Health Promotion Administration, M. o. H. a. W. (2019). Aging and chronic disease control. https://www.hpa.gov.tw/EngPages/List.aspx?nodeid=1076
Howse, K. (2012). Healthy ageing: the role of health care services. Perspect Public Health, 132(4), 171-177. https://doi.org/10.1177/1757913912444805
Hsu, C. C., Chang, H. Y., Wu, I. C., Chen, C. C., Tsai, H. J., Chiu, Y. F., Chuang, S. C., Hsiung, W. C., Tsai, T. L., Liaw, W. J., Lin, I. C., Shen, S. C., Juan, C. C., Lien, L. M., Lee, M., Chen, Y. I., Liu, K., & Hsiung, C. A. (2017). Cohort Profile: The Healthy Aging Longitudinal Study in Taiwan (HALST). Int J Epidemiol, 46(4), 1106-1106j. https://doi.org/10.1093/ije/dyw331
Ingrand, I., Houeto, J. L., Gil, R., Mc Gee, H., Ingrand, P., & Paccalin, M. (2012). The validation of a French-language version of the Aging Perceptions Questionnaire (APQ) and its extension to a population aged 55 and over. BMC Geriatr, 12, 17. https://doi.org/10.1186/1471-2318-12-17
Ingrand, I., Paccalin, M., Liuu, E., Gil, R., & Ingrand, P. (2018). Positive perception of aging is a key predictor of quality-of-life in aging people. PLoS One, 13(10), e0204044. https://doi.org/10.1371/journal.pone.0204044
Ismail, N., Hairi, F., Choo, W. Y., Hairi, N. N., Peramalah, D., & Bulgiba, A. (2015). The Physical Activity Scale for the Elderly (PASE): Validity and Reliability Among Community-Dwelling Older Adults in Malaysia. Asia Pac J Public Health, 27(8 Suppl), 62S-72S. https://doi.org/10.1177/1010539515590179
Jaafar, M. H., Villiers-Tuthill, A., Sim, S. H., Lim, M. A., & Morgan, K. (2020). Validation of the Brief Ageing Perceptions Questionnaire (B-APQ) in Malaysia. Aging Ment Health, 24(4), 620-626. https://doi.org/10.1080/13607863.2018.1550631
Jaspers, L., Schoufour, J. D., Erler, N. S., Darweesh, S. K., Portegies, M. L., Sedaghat, S., Lahousse, L., Brusselle, G. G., Stricker, B. H., Tiemeier, H., Ikram, M. A., Laven, J. S., Franco, O. H., & Kavousi, M. (2017). Development of a Healthy Aging Score in the Population-Based Rotterdam Study: Evaluating Age and Sex Differences. J Am Med Dir Assoc, 18(3), 276 e271-276 e277. https://doi.org/10.1016/j.jamda.2016.11.021
Khaw, K. T. (1997). Healthy aging. BMJ, 315(7115), 1090-1096. http://www.ncbi.nlm.nih.gov/pubmed/9366744
Ku, P. W., Sun, W. J., Chang, C. Y., & Chen, L. J. (2013). Reliability and Validity of the Chinese Version of the Physical Activity Scale for the Elderly. Sports & Exercise Research, 15(3), 309-319. https://doi.org/10.5297/ser.1503.006
Kuo, M. C., Jeng, C., Chen, C. M., & Jian, W. S. (2014). Profile of elderly with multiple physician visits: advocacy for tailored comprehensive geriatric assessment use in clinics. Geriatr Gerontol Int, 14(2), 372-380. https://doi.org/10.1111/ggi.12111
Lawton, M. P. (1975). The Philadelphia Geriatric Center Morale Scale: a revision. J Gerontol, 30(1), 85-89. https://doi.org/10.1093/geronj/30.1.85
Lee, Y. S., Chu, C. Y., & Lin, K. F. (2010). Application of physical activity scales/ questionnaires in Taiwan. Journal of Exercise Physiology and Fitness, 11, 1-12.
Leventhal, H., Brissette, I., & Leventhal, E. A. (2003). The common-sense model of self-regulation of health and illness. In L. Cameron & H. Leventhal (Eds.), The selfregulation of health and illness behaviour (1st ed., pp. 42-65). Routledge.
Leventhal, H., Brissette, I., & Leventhal, E. A. (2003). The selfregulation of health and illness behaviour. In L. D. Cameron & H. Leventhal (Eds.), The common-sense model of self-regulation of health and illness. (pp. 42-65). Routledge.
Levy, B. R., Slade, M. D., Kunkel, S. R., & Kasl, S. V. (2002). Longevity increased by positive self-perceptions of aging. J Pers Soc Psychol, 83(2), 261-270. https://www.ncbi.nlm.nih.gov/pubmed/12150226
Li, F. (2016). Physical activity and health in the presence of China's economic growth: Meeting the public health challenges of the aging population. J Sport Health Sci, 5(3), 258-269. https://doi.org/10.1016/j.jshs.2016.06.004
Machón, M., Vergara, I., Dorronsoro, M., Vrotsou, K., & Larrañaga, I. (2016). Self-perceived health in functionally independent older people: associated factors. BMC Geriatr, 16, 66. https://doi.org/10.1186/s12877-016-0239-9
Manasatchakun, P., Chotiga, P., Hochwalder, J., Roxberg, A., Sandborgh, M., & Asp, M. (2016). Factors Associated with Healthy Aging among Older Persons in Northeastern Thailand. J Cross Cult Gerontol, 31(4), 369-384. https://doi.org/10.1007/s10823-016-9296-y
McLaughlin, S. J., Jette, A. M., & Connell, C. M. (2012). An examination of healthy aging across a conceptual continuum: prevalence estimates, demographic patterns, and validity. J Gerontol A Biol Sci Med Sci, 67(7), 783-789. https://doi.org/10.1093/gerona/glr234
Ministry of Health and Welfare. (2014). Report the senior citicen condition 2013. https://dep.mohw.gov.tw/DOS/cp-1767-3586-113.html
Ministry of Health and Welfare. (2016). Healthy people 2020. https://www.mohw.gov.tw/cp-26-36493-1.html
Ministry of Health and Welfare. (2017). 2015 medical service statistics. http://dep.mohw.gov.tw/DOSAASW/cp-1921-9763-113.html
Ministry of Health and Welfare. (2018). Report the senior citicen condition 2017. https://dep.mohw.gov.tw/DOS/cp-1767-38429-113.html
Ministry of Health and Welfare. (2019). 2018 Cause of Death Statistics. https://www.mohw.gov.tw/cp-4650-50697-2.html
Ministry of Health and Welfare. (2020). 2019 Taiwan Health and Welfare Report. https://www.mohw.gov.tw/cp-137-52878-2.html
Moser, C., Spagnoli, J., & Santos-Eggimann, B. (2011). Self-perception of aging and vulnerability to adverse outcomes at the age of 65-70 years. J Gerontol B Psychol Sci Soc Sci, 66(6), 675-680. https://doi.org/10.1093/geronb/gbr052
National Development Council. (2016). Population Projections for R.O.C. (Taiwan): 2016~2060. Retrieved 24 December from https://www.ndc.gov.tw/en/cp.aspx?n=2E5DCB04C64512CC
Ngai, S. P., Cheung, R. T., Lam, P. L., Chiu, J. K., & Fung, E. Y. (2012). Validation and reliability of the Physical Activity Scale for the Elderly in Chinese population. J Rehabil Med, 44(5), 462-465. https://doi.org/10.2340/16501977-0953
Preacher, K. J., & Hayes, A. F. (2008). Contemporary approaches to assessing mediation in communication research. In The Sage sourcebook of advanced data analysis methods for communication research. (pp. 13-54). Sage Publications, Inc. https://doi.org/10.4135/9781452272054.n2
Robertson, D. A., Savva, G. M., King-Kallimanis, B. L., & Kenny, R. A. (2015). Negative perceptions of aging and decline in walking speed: a self-fulfilling prophecy. PLoS One, 10(4), e0123260. https://doi.org/10.1371/journal.pone.0123260
Sadegh Moghadam, L., Foroughan, M., Mohammadi Shahboulaghi, F., Ahmadi, F., Sajjadi, M., & Farhadi, A. (2016). Validity and reliability of the Persian version of the Brief Aging Perceptions Questionnaire in Iranian older adults. Clin Interv Aging, 11, 507-511. https://doi.org/10.2147/CIA.S101620
Sexton, E., King-Kallimanis, B. L., Morgan, K., & McGee, H. (2014). Development of the brief ageing perceptions questionnaire (B-APQ): a confirmatory factor analysis approach to item reduction. BMC Geriatr, 14, 44. https://doi.org/10.1186/1471-2318-14-44
Slotman, A., Cramm, J. M., & Nieboer, A. P. (2015). Validation of the Dutch Aging Perceptions Questionnaire and development of a short version. Health Qual Life Outcomes, 13, 54. https://doi.org/10.1186/s12955-015-0248-y
Slotman, A., Cramm, J. M., & Nieboer, A. P. (2017). Validation of the Aging Perceptions Questionnaire Short on a sample of community-dwelling Turkish elderly migrants. Health Qual Life Outcomes, 15(1), 42. https://doi.org/10.1186/s12955-017-0619-7
Statista. (2020). Aging population in China - Statistics & Facts. https://www.statista.com/topics/6000/aging-population-in-china/
Steptoe, A., Wright, C., Kunz-Ebrecht, S. R., & Iliffe, S. (2006). Dispositional optimism and health behaviour in community-dwelling older people: Associations with healthy ageing. British Journal of Health Psychology, 11(1), 71-84. https://doi.org/10.1348/135910705X42850
Syafinas, A., Siti Nur ‘Asyura, A., Chan Yoke, M., Zuriati, I., Nasir Mohd, T. M., & Nur Aqlili Riana, H. (2018). Quality Of Life among Elderly: The View from Appetite and Anthropometry Characteristic Perspective [Research]. Elderly Health Journal, 4(1), 4-10. http://ehj.ssu.ac.ir/article-1-112-en.html
Taiwan National Health Insurance Administration. (2013). National Health Insurance range of chronic diseases. https://www.nhi.gov.tw/Content_List.aspx?n=50D14E038DCBAD28&topn=3185A4DF68749BA9
Thanakwang, K., Soonthorndhada, K., & Mongkolprasoet, J. (2012). Perspectives on healthy aging among Thai elderly: a qualitative study. Nurs Health Sci, 14(4), 472-479. https://doi.org/10.1111/j.1442-2018.2012.00718.x
Thiamwong, L., Maneesriwongul, W., Malathum, P., Jitapunkul, S., Vorapongsathorn, T., & Stewart, A. L. (2008). Development and psychometric testing of the healthy aging instrument. Thai Journal of Nursing Research, 12(4), 285-296. http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=105605786&lang=zh-tw&site=ehost-live
Thiamwong, L., McManus, M. S., & Suwanno, J. (2013). Development of the Thai healthy aging model: A grounded theory study. Nurs Health Sci, 15(2), 256-261. https://doi.org/10.1111/nhs.12028
United Nations. (2009). Commission on population and development. http://www.un.org/zh/documents/view_doc.asp?symbol=E/CN.9/2009/6&referer=http://www.un.org/zh/development/population/ageing.shtml&Lang=E
United Nations Economic and Social Commission for Asia and Pacific. (2019). World Population Prospects 2019: Highlights. https://population.un.org/wpp/
Villiers-Tuthill, A., Copley, A., McGee, H., & Morgan, K. (2016). The relationship of tobacco and alcohol use with ageing self-perceptions in older people in Ireland. BMC Public Health, 16, 627. https://doi.org/10.1186/s12889-016-3158-y
Voss, P., Kornadt, A. E., Hess, T. M., Fung, H. H., & Rothermund, K. (2018). A world of difference? Domain-specific views on aging in China, the US, and Germany. Psychol Aging, 33(4), 595-606. https://doi.org/10.1037/pag0000237
Wang, K. C., Chang, Y. M., Yeh, M. L., Chang, Y. M., & Pa, J. T. (2010). The effects of dietary behaviors and related factors on health status change among the elderly in Taiwan. Health Promotion & Health Education Journal, 30, 63-85.
Wang, Y., & Chen, C. (2017). Validation of the perceptions of aging and healthy aging for chronic disease older persons. Innovation in Aging, 1(Suppl 1), 889.
Wang, Y. R., & Chen, C. C. (2014). Perception of Healthy Aging among Elderly with Chronic Disease in Taiwan: A Qualitative Study 25th International Nursing Research Congress, Hong Kong, China. https://sigma.nursingrepository.org/handle/10755/335477
Wang, Y. R., & Chen, C. C. (2017). Validation of the Perceptions of Aging and Healthy Aging for Older Persons with Chronic Disease in Taiwan IAGG 2017, San Francisco, USA.
Wang, Y. R., Lee, H. F., & Chen, C. M. (2020). Validating a brief aging perception questionnaire (B-APQ) for older persons with chronic disease in Taiwan. Aging Ment Health, 1-8. https://doi.org/10.1080/13607863.2020.1734914
Washburn, R. A., Smith, K. W., Jette, A. M., & Janney, C. A. (1993). The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol, 46(2), 153-162. https://doi.org/10.1016/0895-4356(93)90053-4
World Health Organisation. (2015). World report on aging and health. http://apps.who.int/iris/bitstream/10665/186463/1/9789240694811_eng.pdf?ua=1
World Health Organization. (2002). Health statistics and information systems. http://www.who.int/healthinfo/survey/ageingdefnolder/en/
World Health Organization. (2012). Process of translation and adaptation of instruments. . http://www.who.int/substance_abuse/research_tools/translation/en/
World Health Organization. (2015). World report on aging and health. http://apps.who.int/iris/bitstream/10665/186463/1/9789240694811_eng.pdf?ua=1
World Health Organization. (2016). China country assessment report on ageing and health. https://www.who.int/ageing/publications/china-country-assessment/en/
World Health Organization. (2018a). Noncommunicable diseases. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
World Health Organization. (2018b). Physical activity. https://www.who.int/news-room/fact-sheets/detail/physical-activity
Wu, C. H. (2010). Age stereotypes, aging self-perceptions, and optimal aging National Taiwan University]. Taipei, Taiwan. http://ndltd.ncl.edu.tw/cgi-bin/gs32/gsweb.cgi/login?o=dnclcdr&s=id=%22098NTU05071075%22.&searchmode=ba
Wu, C. H., Chen, C. Y., Hsu, C. C., & Wu, Y. C. (2016). Development and Psychometric Properties of the Taiwan Attitude toward Aging Questionnaire (TAAQ). Formosa Journal of Mental Health, 29(2), 159-186. https://doi.org/DOI: 10.30074/FJMH.201606_29(2).0002
Wu, C. Y. (2002). A correlational study among sleep quality, physical activity, and depression of community dwelling elders National Taiwan University]. Taipei, Taiwan.
論文全文使用權限
  • 同意授權校內瀏覽/列印電子全文服務,於2025-08-01起公開。
  • 同意授權校外瀏覽/列印電子全文服務,於2025-08-01起公開。


  • 如您有疑問,請聯絡圖書館
    聯絡電話:(06)2757575#65773
    聯絡E-mail:etds@email.ncku.edu.tw