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題名 | 運用結構方程模型探討榮民之家老年男性住民生活品質的預測因子=Using the Structural Equation Model to Explore Predictors of Quality of Life of the Older Residents Who Lives in Veterans Home |
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作者姓名(中文) | 楊淑慧; 吳麗芬; 謝承恩; 林鉅勝; |
作者姓名(外文) | Yang, Shu-hui; Wu, Li-fen; Hsieh, Chen-en; Lin, Ju-sheng; |
書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷期 | 13:1 2018.02[民107.02] |
頁次 | 頁45-57 |
分類號 | 419.71 |
語文 | chi |
關鍵詞 | 榮民之家; 生活品質; 憂鬱; 日常活動能力; 預測因子; Veteran's home; Aged; Quality of life; Depression; Activities of daily living; Predictors; |
中文摘要 | 目的:本研究的目的在探討榮民之家老年住民生活品質的預測因子。方法:採立意取樣,以中部地區某榮民之家65歲以上住民為研究對象,163位參與者的問卷中,經刪除資料不完整的無效問卷後,共得到有效問卷150份,有效回收率92.0%。研究工具為基本資料、歐盟生活品質量表、健康狀態量尺、中文簡易心智量表、簡式5題老年憂鬱量表、巴氏量表、工具性日常活動量表及心靈安適量表(含自我效能及生活規劃兩部分)。回收的問卷資料是以SPSS 24.0版及AMOS 22.0版統計軟體進行分析,並採最大概似法加以估計,分析的結果以敘述統計及結構方程模式呈現研究模式間變數的因果關係。結果:研究對象全部為男性,平均年齡87.7±4.7歲,多數為國小教育程度、未婚、無宗教、無疼痛。研究結果發現歐盟生活品質量表分數與健康狀態量尺、中文簡易心智量表、簡式5題老年憂鬱量表、巴氏量表、工具性日常活動量表及心靈安適量表分數間均呈現顯著的相關。然而僅「簡式5題老年憂鬱量表」及「巴氏量表」的分數與「歐盟生活品質量表」分數呈現方向性及顯著性。結論:本研究發現憂鬱症狀及日常活動能力是榮民之家老年住民生活品質的預測因子,當老年住民憂鬱狀況降低及日常活動能力增加時,他們的生活品質就會提高。因此建議照護者可以依據本研究的結果設計健康促進措施,以達到提升生活品質的照護目標。 |
英文摘要 | Objective: The purpose of this study is to explore the predictors of quality of life for aged residents who live in Veteran's Home. Methods: Participants were Central Taiwan veteran's home residents over 65 years old. Utilizing purposive sampling, 163 participants were chosen to answer the questionnaire. After removing invalid questionnaires due to incomplete data, 150 valid questionnaires were obtained. The effective return rate was 92.02%. The instruments used include basic demographic data, EuroQol-5D-3L, EuroQol-VAS, the Chinese version of Mini-Mental State Exam, Geriatric Depression Scale, Barthel Index of Activities of Daily Living, Instrumental Activity of Daily Living, and Spiritual Index of Well-Being (including Self-efficacy and life planning). The questionnaire data were analyzed with statistical software, SPSS 24.0 and AMOS 22.0, and maximum likelihood method was used to estimate the results. Descriptive statistics and structural equation models were then applied to establish the causality of the variables. Results: All participants were male with an average age of 87.7±4.7 years old. Most participants were elementary school educated, single, with no religion or chronic pain. The results of structural equation modeling identified "depression" and "activities of daily living" have a direct causal relationship with quality of life. Conclusion: When veteran's home residents recover from depression or have better activities of daily living, their quality of life improves proportionally. "Depression" and "activities of daily living" are the key predictors of quality of life in the veteran's home residents with advanced age. Health care providers can design and develop a future relevant care plan based on the results of this study to improve the quality of life of their aging client. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。