中區某醫院老年人健康行為與生活品質之探討

The Relationdships between Health Behaviors and Quality of Life in Clinic Elderly Patients

翁宜慧(Yi-hui wang)

指導教授 ： 張庭彰

亞洲大學/健康學院/長期照護研究所/碩士(2008年)

摘要

本研究目的在於探討中區某醫院門診老年人健康行為及生活品質之關連，並探討老年人的健康行為包括抽菸、喝酒、嚼檳榔、運動、飲食、壓力、情緒及生活品質之關係。研究以中部某醫院門診的65歲以上老年人為研究對象，採立意取樣來選取門診的患者、意識清楚且願意接受訪談者為樣末。採用自擬結構性問卷及生活品質(SF-36)為研究工具，進行橫斷式問卷調查，共發出問卷100分，回收有效問卷92份，回收率92％。所得的資料以t檢定、ANOVA等統計方法進行分析。結果如下:老年人在最近一個月內健康行為與之前相較，其有抽煙、飲酒、壓力等人數明顯減少，其他嚼檳榔、不願意從事運動、限制飲食等無明顯差異。抽菸、飲酒、嚼檳榔在健康量表中，健康知識、健康態度、健康影響、健康觀念、健康處理等不足；生活品質認知方面，老年人認為有運動者、無壓力者、飲酒者在生活品質較高，其生活品質量表(SF-36)值也較高。
本研究期盼能提供相關臨床專業人員提昇老年人的健康相關行為及生活品質之重要參考。除可以加強慢性病老年人健康行為，衛教及宣導老年人的健康行為外，本研究結果可做未來照護老年人健康行為的參考。

關鍵字

老年人 ； 健康行為 ； 生活品質

並列摘要

Purpose: The aim of this cross-sectional study was to identify the relationdships between health behaviors and quality of life in those elderlies encountered in the outpatient clinic of a medical center in central Taiwan.
Methods: Among the elderlies over 65 years old who visited the outpatient clinic of a hospital in central Taiwan, 100 patients with clear consciousness and wiliingness to accept the interview were included in this study. They were given a self-designed structured questionnaire which included 7 items exploring health behaviors of elderlies such as smoking, dringking, betel nut consumption, exercise engagement, foods taken, stress, emotions, and a SF-36 form for measuring the quality of life. Ninety-two sample questionnaires were completed (92%). Student’s t-test and ANOVA test were used to compare groups.
Results: Comparison the health behavior one month recently with before, the smoking, dringking and elderlies under stress are decreased significantly, betel nut consumption, exercise engagement and foods taken showed no significant difference. In our study, the smoking, drinking and betel nut consumption had lower health knowledge, health attitude, health effect, health ideal and health treatment. In the cognition of quality of life, the elders think who keep exercising, without stress and drinkers are higher quality of life, the values of SF-36 are also higher.
Conclusions: This study provides concerning clinicians with important references as to promoting elderly health behaviors and enhancing their quality of life in several respects. First, it strengthens the chronically-ill senior citizens’ health concepts. Secondly, it teaches and guides the elderly’s health behaviors. Last but not least, these findings may serve as the blueprints for the care of the elderly in the future.

並列關鍵字

Elderly ； Health behavior ； Quality of life

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