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系統識別號 U0026-2308201115214100
論文名稱(中文) 社區老年人營養、運動和生活品質之關係探討
論文名稱(英文) The Relationships of Nutrition, Exercise and Quality of Life among Community-Dwelling Elderly
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 99
學期 2
出版年 100
研究生(中文) 馮怡潔
研究生(英文) I-Chieh Feng
學號 t26981027
學位類別 碩士
語文別 中文
論文頁數 73頁
口試委員 指導教授-陳清惠
口試委員-顏妙芬
口試委員-林惠賢
中文關鍵字 社區老人  營養  運動  生活品質 
英文關鍵字 community-dwelling elderly  nutrition  exercise  quality of life 
學科別分類
中文摘要 台灣於1993年正式邁入世界衛生組織所界定的高齡化社會國家,老年人的健康促進成為重要的議題。最為普遍且重要的健康促進為營養和運動。但對於老年人營養狀態、運動習慣和生活品質之間的關係,卻較少相關的實證研究資料。故本研究目的為探討社區老年人營養、運動和生活品質間的關係。
本研究採橫斷面相關性研究,為次級資料分析,使用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。原始資料為立意取樣,研究對象為台南市北區五里65歲以上且無認知障礙之社區老人,採用面談和結構性問卷方式收集資料。本研究在營養狀態部分擷取「迷你營養評估量表」,規律運動行為則擷取「一周活動問卷」,生活品質擷取「世界衛生組織生活品質量表」等問卷資料,使用SPSS 17.0統計軟體進行統計分析,包含描述性統計和階層線性回歸分析等方式。
研究結果顯示,研究的社區老年人營養狀態以正常為居多(75%),且有半數以上(55.9%)的社區老年人有規律運動的行為。經階層迴歸分析發現,營養狀況和規律運動行為並未與生活品質的四個範疇有顯著的關係。
由於本研究對象大多為身體功能獨立、營養狀況正常、有規律運動行為且生活品質較佳的社區老年人,目前的分析方法無法支持社區老年人的營養狀況、規律運動行為和生活品質之間的相關性,未來研究宜納入不同營養狀況和健康狀態的老年人個案,以確認營養狀況、規律運動行為和生活品質之間的相關性。
英文摘要 Taiwan became an Ageing Society as defined by the World Health Organization in 1993. Many elders suffer physical and psychological problems as a result of aging. Among the most common and important health promotion behavior are diet control and exercise. Although many scholars believed that nutrition status and exercise habits of older adults affect their quality of life, there still lack of empirical studies supporting this notion. The purpose of this study was to investigate the relationships of nutrition, exercise and the quality of life among community-dwelling elderly.
This study was a cross-sectional and correlation study using secondary data analysis. The data originated from the research project of the National Science Council “The Health Care Needs of Community Elderly” in 2007. A convenience sample was collected from older adults who aged 65 and over without cognitive impairment and living in one of the five administrative units of northern Tainan. Data were collected via face-to-face interviews and structural questionnaires that developed by the authors. This research used the “Mini Nutrition Assessment” for nutrition status, “Weekly activity questionnaire” for regular exercise behavior and “The World Health Organization Quality Brief Data” for quality of life for data collection. Data were analyzed with SPSS for Windows 17.0 statistical software. Descriptive statistics and hierarchical regression were applied in the analyses.
The results showed that most elders had normal nutrition status (75%) and over half exercise regularly (55.9%). In the hierarchical regression model found that the nutrition status and regular exercise behaviors were not significantly association with four domains of quality of life.
Since most of the participants are independent in their physical functions, have normal nutrition status, exercise regularly and have good quality of life, the relationship among these factors are difficult to delineate. Further researches that include elders with differently nutrition and health status may be required to know the real relationships of the nutrition, exercise, and the quality of life.
論文目次 目錄
中文摘要 II
ABSTRACT IV
致謝 VI
目錄 VIII
表目錄 XI
圖目錄 XIII
附件目錄 XIV
第一章 緒論 1
第一節 研究動機及背景 1
第二節 研究目的 3
第三節 研究問題 3
第二章 文獻查證 4
第一節 老年人營養 4
第二節老年人規律運動 8
第三節 老年人生活品質 10
第四節 營養、規律運動和生活品質之關係 12
第三章 研究架構與假設 14
第一節 研究架構 14
第二節 名詞解釋 15
第三節 研究假設 17
第四章 研究方法與研究過程 18
第一節 研究設計 18
第二節 資料來源與內容 18
第三節 研究對象 19
第四節 研究過程 19
第五節 研究工具 20
第六節 統計分析 24
第七節 倫理考量 25
第五章 研究結果 26
第一節 人口學、健康狀態、營養狀況、規律運動行為和生活品質之現況 26
第二節 研究對象人口學和健康狀態與營養狀況和規律運動行為的相關性分析 31
第三節 人口學資料、健康狀態、營養狀況、規律運動行為與生活品質的相關分析 35
第四節 營養、運動和生活品質之關係 37
第六章 討論 45
第一節 研究對象的人口學屬性和健康狀態 45
第二節 營養、規律運動行為和生活品質的現況分析 46
第三節 營養狀況和規律運動行為與生活品質的關係 48
第七章 結論與建議 50
第一節 結論 50
第二節 研究限制 51
第三節 未來研究建議 52
參考文獻 53
表目錄
表2-1 老化的身體改變對營養狀況產生的影響 6
表4-1 台灣簡明版世界衛生組織生活品質量表計分方式 23
表5-1-1 研究對象人口學資料 27
表5-1-2 研究對象健康狀態資料 28
表5-1-3 研究對象生活品質 29
表5-1-4 生活品質的皮爾森相關矩陣表 30
表5-2-1 人口學資料和健康狀況與營養狀況之相關性 32
表5-2-2 基本資料和健康狀況與規律運動行為之相關性 33
表5-2-3 規律運動行為與營養狀況之相關性 34
表5-3-1 獨立T檢定分析表 36
表5-3-2 單因子變異數分析 36
表5-3-3 皮爾森相關矩陣表 36
表5-4-1 基本資料、健康狀況、營養狀況和規律運動行為與生活品質的生理範疇階層迴歸分析 38
表5-4-2 基本資料、健康狀況、營養狀況和規律運動行為與生活品質的心理範疇階層迴歸分析 40
表5-4-3 基本資料、健康狀況、營養狀況和規律運動行為與生活品質的社會關係範疇階層迴歸分析 42
表5-4-4 基本資料、健康狀況、營養狀況和規律運動行為與生活品質的環境範疇階層迴歸分析 44
表6-1-1 研究對象人口學特性及健康狀態與國家調查之比較 45
表6-2-1 研究對象生活品質與本土相關研究之狀況分析 46
表6-2-2 研究對象生活品質與本土相關研究之狀況分析 47
圖目錄
圖3-1 研究架構圖 14
圖4-1 原始資料庫收案流程圖 19
圖4-2 資料庫擷取流程圖 20
附件目錄
附件一 基本資料問卷 64
附件二 健康狀態問卷 65
附件三 老人憂鬱量表 66
附件四 巴式量表 67
附件五 迷你營養評估量表 68
附件六 規律運動問卷 69
附件七 台灣簡明版世界衛生組織生活品質量表 70
附件八 同意臨床試驗證明書 73
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