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| 題 名 | 偏鄉巷弄長照站老人生活品質與其影響因子之探查=An Exploration of the Quality of Life and Its Influencing Factors among Elderly Individuals in Rural Alley-Based Long-Term Care Stations |
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| 作 者 | 劉彥良; 沈昶佑; 許舒婷; 余緯業; 林鋒佺; 林俊賢; 黃相寓; | 書刊名 | 內科學誌 |
| 卷 期 | 37:1 2026.02[民115.02] |
| 頁 次 | 頁25-36 |
| 分類號 | 419.71 |
| 關鍵詞 | 長期照護; 偏鄉; 老人; 生活品質; Long-term care; LTC; Rural areas; Older adults; Quality of life; QoL; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6314/JIMT.202601_37(1).06 |
| 中文摘要 | 台灣人口結構快速老化,長期照顧議題日漸重要,政府在2017年開始執行長期照護第二期計畫(長照2.0)。過去雖有一些研究探討社區關懷據點的老人生活品質與其相關因子,然而缺乏評估長照2.0新制和新型冠狀病毒疫情的影響,因此我們想要調查最新的現況。本研究於2024年在某偏鄉醫院直營的7個巷弄長照站對參與活動的老人施以問卷調查。問卷內容分為四個部分:個人背景資料、接受長照站的服務情形、新型冠狀病毒疫情的影響和生活品質評估。生活品質評估係採用台灣簡明版世界衛生組織生活品質問卷。生活品質影響因子以單變項及多變項羅吉斯迴歸模型分析。總計131位老人完成問卷調查,受訪者生活品質總分為55.71分,四大範疇得分依序為社會關係(15.56分)、心理(13.72分)、環境(13.31分)及生理(13.12分)。單一題目中得分最高的前五名分別為滿意人際關係、滿意朋友支持、缺乏負面情緒、居處環境健康和獲取喜好食物,得分最低的前五名則為獲得旅遊機會、滿意睡眠狀況、具有足夠金錢、獲得日常資訊和需要醫療服務。多變項羅吉斯迴歸分析顯示新冠影響生活方式、健康狀況和生性樂觀與生活品質具顯著相關。本研究獲知偏鄉巷弄長照站老人的生活品質狀態及其影響因子,推測長照站的服務可能會影響老人的生活品質,研究結果可供據點改善和政策修正參考。由於長照站的環境條件和參與老人的背景特性不同,建議未來可以執行更廣泛及更全面的調查。 |
| 英文摘要 | Long-term care (LTC) is a critical issue. Taiwan government launched the second phase of the Long-Term Care Plan (LTCP 2.0) in 2017. While previous studies have explored the quality of life (QoL) and related factors among elderly individuals attending community-based care centers, few have evaluated the impact of the LTCP 2.0 policy and the COVID-19 pandemic. Therefore, this study aimed to investigate the current situation. In 2024, a questionnaire survey was conducted among elderly individuals participating in seven alley-based LTC stations operated by a rural hospital. The questionnaire consisted of four sections: personal background, utilization of LTC station services, impact of the COVID-19 pandemic, and QoL assessment. The Taiwan version of the WHOQOL-BREF was used to assess QoL. Factors influencing QoL were analyzed using univariate and multivariate logistic regression models. A total of 131 elderly participants completed the survey. The mean overall QoL score was 55.71. Among the four WHOQOL domains, the scores were highest in social relationships (15.56), followed by psychological (13.72), environmental (13.31), and physical health (13.12). The five highest-scoring individual items were satisfaction with personal relationships, support from friends, absence of negative emotions, a healthy living environment, and access to preferred foods. The five lowest-scoring items were opportunities for travel, satisfaction with sleep, financial adequacy, access to daily information, and availability of needed medical services. Multivariate logistic regression analysis revealed that not being affected by the COVID-19 pandemic in terms of lifestyle, having better health status, and possessing an optimistic disposition were significantly associated with better QoL. This study provides insights into the QoL of elderly individuals in rural alley-based LTC stations and the associated influencing factors. The findings suggest that services provided by LTC stations may influence the quality of life of elderly participants. These results may serve as a reference for service improvement and policy adjustments. Given the variability in environmental conditions and participant backgrounds across LTC stations, we recommend broader and more comprehensive future investigations. |
本系統中英文摘要資訊取自各篇刊載內容。