本研究的目的為探討長期照護機構老年住民的復原力及其預測因子。採橫斷式相關性研究設計,以隨機叢集取樣,12家高雄市長期照護機構參與研究,共收案121位老年住民為研究對象。研究工具使用結構式問卷,包含老年住民的基本屬性調查、復原力量表(Resilience Scale) 、健康狀態量表(SF-12)和家庭支持度量表(Family APGAR)來進行資料收集。三個量表的Cronbach’s alpha介於.82~.95。 研究結果顯示復原力量表之整體平均得分為124.5(SD = 19.4),屬中復原力。而教育程度、活動程度、心理健康、家庭成員的家庭支持分別和復原力量表之得分呈顯著正相關;經逐步複迴歸分析法,發現「教育程度」、「心理健康」和「家庭支持」為長期照護機構老人復原力最重要的預測變項,共可解釋11%的變異量;經邏輯斯迴歸分析法,發現「心理健康」層面測量值每減少1分,發生低復原力之機率就增加0.972倍;「活動程度」層面測量值每減少一個等級,發生低復原力之機率就增加1.783倍。 本研究結果有助於機構工作人員了解長期照護機構老年住民的復原力及其相關因素,可作為健康專業人員提供照護之依據,藉由增加機構老年住民因應生活困境能力,降低壓力事件而致不良效果。
The purposes of this study were to explore the relationship among personal characteristics, health status, family support, resilience and predictors of resilience of the elderly living in long-term care facilities. The study design is a cross-sectional descripitive correlation with the Cluster random sampling was used to collect data from 121 elderly residents living in 12 long-term care facilities in Kaohsiung City. Instruments included the Resilience Scale, the SF-12 Health Survey, Famiy APGAR. Instruments Cronbach’s alpha are .82~.95. The mean score on the resilience scale was 124.5(SD = 19.4), which accounted for moderate resilience. Level of activity, mental health and family support were positively correlated with resilience. Stepwise multiple regression showed that Level of activity, mental health and family support from family members totally explained 11% of the variance in life adaptation. The results of this study may provide nurses, social workers, and facility personnel with useful information about resilience and related factors among the elderly living in long-term care facilities.They may also serve as useful references for other health professionals caring for the elderly, especially in relation to enhance resilience of elderly and reduce maladaptation of stress events.