參與社區照顧關懷據點健康促進活動老人的自覺健康和憂鬱之探討

The relationship between the perceived health status and depression of the elderly who participated in health promotion activities in community care stations.

張夢珊(Meng-Shan Chang)

指導教授 ： 楊詠梅

高雄醫學大學/護理學院/護理學系碩士班/碩士(2017年)

摘要

老人憂鬱與身心健康息息相關，是老化社會中全球關注的重要公共衛生議題。行政院與衛生福利部近年來配合世界衛生組織活躍老化概念，營造高齡友善健康環境與服務計畫，推展社區照顧關懷據點健康促進活動。故本研究目的為探討老人參與社區照顧關懷據點健康促進活動與其自覺健康或憂鬱之相關性。研究方法採描述性、橫斷性研究，方便取樣，以台南市永康區三個社區照顧關懷據點參與健康促進活動的130位老人為對象，以結構式問卷訪談收集資料，問卷內容包含銀髮族自覺健康身心量表、台灣人憂鬱量表等。研究結果發現：參與關懷據點健促老人的年齡、慢性疾病數與自覺健康呈顯著負相關；老人的靜態性與動態性活動頻率、靜態性活動與動態性活動總時數，及靜態活動項目數與自覺健康有顯著相關；老人之年齡、慢性疾病數與憂鬱呈顯著正相關，老人的靜態活動項目數與憂鬱之間有顯著相關。建議：社區照顧關懷據點之健康促進活動，值得政府更積極推動，未來研究可採集群抽樣或進行縱貫性的介入活動，更能了解社區照顧關懷據點健促活動之效益。

關鍵字

社區照顧關懷據點 ； 健康促進活動 ； 老人 ； 自覺健康 ； 憂鬱

並列摘要

The depression of the elderly is closely related to their physical and mental health, and it is also a major issue of public health that has attracted global concern in the aging society.In recent years, the Executive Yuan and the Ministry of Health and Welfare have cooperated with World Health Organization to promote the concept of active aging, create age-friendly environments and service programs, and develop health promotion activities in community care stations. Therefore, the aim of this study was to investigate the relationship between the perceived health status and depression of the elderly who participated in health promotion activities in community care stations.
The study adopted descriptive study, cross-sectional study to enable convenience sampling. The research subjects were 130 elderly people who participated in health promotion activities in community care stations in three communities in Yong-Kang District, Tainan City. The data were collected with structured questionnaires and interviews. The questionnaire consisted of “Questionnaire on the Perceived Physical and Mental Health of the Elderly” and “Taiwanese Depression Questionnaire.”
The results of the study showed the following. The age and numbers of chronic disease of the elderly who participated in health promotion activities in community care stations were significantly and negatively related to perceived health status. The frequency of static and active activities, the total hours of static and active activities, and the number of static activities of the elderly were significantly related to perceived health status. The age and number of chronic diseases of the elderly were significantly and positively related to depression. The number of static activities of the elderly was significantly related to depression. The study raised the following suggestions. Health promotion activities in community care stations were worthy of more active promotions by the government. Future studies could adopt cluster sampling or longitudinal involvement and activities to understand better the benefits of health promotion activities in community care stations.

並列關鍵字

Community care stations ； Health promotion activities ； Elderly ； Perceived health status ； depression

參考文獻

中文文獻

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