社區高齡長者憂鬱及其相關因素探討

Related Factors of Depression for the elder persons in community

吳雅婷(Ya-Ting Wu)

指導教授 ： 丘周萍

義守大學/管理學院/管理碩博士班/碩士(2016年)

摘要

本研究之目的為探討南台灣屏東縣偏鄉社區高齡長者憂鬱情形，以及人口學特性、日常活動功能及認知功能與憂鬱症狀之相關性。採次級資料分析，以屏東縣地區醫院 「2015年社區醫療及居家護理計畫-高齡醫學周全性評估量表(社區民眾版)」所收集150位社區民眾問卷資料，運用SPSS22.0版本電腦軟體進行資料分析，以描述性統計、ROC 分析、t檢定、卡方檢定、Pearson相關分析、複迴歸分析進行資料分析。結果顯示: (1)屏東老人憂鬱盛行率為12.7%。(2) 女性、高齡者、罹病數、罹患高血壓及心臟疾病者憂鬱情形較為嚴重。(3)日常生活活動功能越好，憂鬱症狀越少。(4) 認知功能越好，憂鬱症狀越少。(5)老人憂鬱症狀之預測因子有性別、教育程度、高血壓、巴氏量表、IADL、認知功能等，可解釋18.1%變異量。研究結果顯示屏東縣社區老人憂鬱普遍存在，而其影響因子是多元，因此醫療照護專業人員應深入以不同層面評估社區老人憂鬱情形，透過社區或是醫院端給予協助與及早介入，並能有效提供預防及治療老人的憂鬱症狀，維持長者健康的生活品質，落實在宅老化的新生活概念。

關鍵字

高齡長者 ； 憂鬱 ； 日常生活功能

並列摘要

The purpose of this study was to explore depression in elderly in Pingtung County, Taiwan and identify the relationships between depression variable, activities of daily living and cognitive function. Moreover, a secondary data analysis research design was used for this study. The original data was from “the year 2015 of comprehensive geriatric assessment of community medical and home care project" , by using “the comprehensive geriatric assessment” as research tools to gather 150 participants information from the local hospital out-patient clinic. The SPSS version 22 was used to analyzing the data, included descriptive statistics, ROC analysis, chi-square test, t-test, Pearson correlation and the multiple regression. The finding of the study were: (1) the prevalence of the depression symptom was 12.7%. (2) These who were female, elderly, with high blood pressure or heart disease were more likely to develop depressive system. (3) Elderly who performed activities of daily living better were less depressive. (4) Elderly who performed cognitive function better were less depressive.(5) Gender, educational level, high blood pressure, Instrumental Activities of Daily Life 、Barthel Index and congnitve function were the predictors of depression, these predictors for elderly can explain 18.1% of total variance in depression. The finding of the study indicates that depression in elderly in Pingtung is prevalent. Numerous factors can develop depression. Health providers should assess community elderly, and screen the high risk factors and provide appreciated interventions on mental health for elders as early as possible, and tackle the status of depression in the community setting, in order to maintain healthy life and good quality of life for elderly.

並列關鍵字

Elderly ； depression ； activities of daily living

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