榮民之家耄耊日常生活功能、心靈安適與生活品質之相關研究

Correlations Between Activities of Daily Living, Spiritual Well-being, and Quality of Life Among the Oldest Old Living in a Veteran's Home

楊淑慧(Shu-Hui Yang) ； 張靜雯(Ching-Wein Chang) ； 朱莉螢(Li-Ying Ju) ； 吳麗芬(Li-Fen Wu)

《榮總護理》 35卷3期 (2018/09) Pp. 234-244

https://doi.org/10.6142/VGHN.201809_35(3).0002

摘要

維持日常生活獨立、避免功能快速衰退及增進生活品質是照顧耄耋的主要目標，本研究之目的在探討榮民之家耄耋的日常生活功能、心靈安適與生活品質之相關研究。採方便取樣橫斷式問卷調查法，選案條件為住在榮家滿3個月85歲以上的長者，共收案80名。研究對象全為男性，年齡為90.15±3.13歲，結果顯示耄耋之生活品質EQ-5D分數為0.73±0.21，EQ-VAS分數為70.19±13.69，生活品質與日常生活功能（r = .76, p＜ .01）及心靈安適呈顯著相關（r = -.47, p＜ .01）。建議榮民之家照護團隊能持續監測長者的生活品質，規劃系統性活動介入，以維持日常生活功能；此外，希望照顧者能多陪伴並深入瞭解其身心靈需求，進而滿足以促進生活品質為最終目標。

關鍵字

耄耋 ； 日常生活功能 ； 心靈安適 ； 生活品質

並列摘要

The main objective of caring for elderly individuals is improving quality of life (QoL) and maintaining independence in daily living. The purpose of this study was to investigate the relationships between QoL, activities of daily living, and spiritual well-being among the oldest old living in a veteran's home. A cross-sectional study and questionnaire survey were conducted, and 80 participants were enrolled. The mean scores of the QoL EQ-5D and EQ-VAS were 0.73 ± 0.21 and 70.19 ± 13.69, respectively. QoL appeared to be positively correlated with activities of daily living (r= .76, p＜ .01) but negatively correlated with spiritual well-being (r= - .47, p＜ .01). The results suggest that QoL should be regularly monitored and systemic activities should be planned to maintain activities of daily living. In addition, as the ultimate goal, caregivers should be able to accompany elderly adults and understand their physical and spiritual needs in order to promote QoL.

並列關鍵字

oldest old ； activity of daily living ； spiritual well-being ； quality of life

參考文獻

楊桂芬、許哲瀚、唐憶淨、龔建吉(2012)·社區老年日常生活功能、生活品質與幸福感之相關研究·台灣老年醫學暨老年學雜誌，7(4)，217-232。doi: 10.29461/TGG.201211.0002

蔡正育、呂惟帆、吳明蒼(2015)·老人憂鬱情緒、休閒阻礙、自我尊榮與靈性健康狀況之探討·嘉大體育健康休閒期刊，14(1)，63-74。doi: 10.6169/NCYUJPEHR.14.1.07

莊育冠、孫義智、王霓裳、王驤華、葉淑惠(2017)·活動介入對長照機構住民的希望靈性照護之衝擊·榮總護理，34(1)，2-8。doi: 10.6142/VG HN.34.1.2

顧艷秋、劉文健(2005)·安養機構老人生活品質及其影響因素·榮總護理，22(4)，389-398。doi: 10.6142/VGHN.22.4.389

Aburuz, S., Bulatova, N., Twalbeh, M., & Gazawi, M. (2009). The validity and reliability of the Arabic version of the EQ-5D: A study from Jordan. Annals of Saudi Medicine, 29, 304-308. doi: 10.4103/0256-4947.55313