背景:台灣老年人憂鬱盛行率高,影響其生活品質。目的:了解社區老年人憂鬱、活躍老化程度及其影響因素。方法:橫斷式研究設計,運用台灣人憂鬱量表與活躍老化量表,於新竹市東區老人關懷站共調查240位老人,以SPSS 21.0套裝軟體進行描述性統計、t檢定及單因子變異數分析。結果:憂鬱程度測量:性別、居住方式、婚姻、年齡、活動型態及收入等因素對憂鬱程度會有顯著差異。女性憂鬱程度較男性高(女性1.84±.67 >男性1.50±.57);獨居者較與親友同住者憂鬱程度高(獨居者4.67±.43 >與親友同住3.60±.67);喪偶、離婚及未婚者,憂鬱程度較已婚且與親友同住者高(情感層面:已婚喪偶者1.93±.75 > 已婚親友同住1.17±.24;身體層面:離婚未婚者2.24±.85 >已婚親友同住2.00±.83)。81歲以上族群較為憂鬱(81歲以上1.87±.53 > 65-70歲1.50±.58);無運動有勞動者憂鬱程度最高(情感層面:無運動有勞動1.98±.76 >無運動1.73±.69;認知層面:無運動有勞動2.15±.73 > 無運動2.00±.69);經濟匱乏亦較容易有憂鬱傾向(無收入1.81±.65 > 有收入1.44±.57)。結論/實務應用:鼓勵老人運動,經濟協助及關懷等多管齊下,使其能在心理健康與生活調適上更有社會互動,促進老年人的身心健康與生活品質。
Background: There is high prevalence of depression in elderly Taiwanese, affecting their quality of life. Purposes: To understand the degree of Taiwan's elderly depression, active aging and their influencing factors Methods: This study used a cross - sectional study designed to survey Eastern community elderly in Hsinchu City, Taiwan. Research questionnaires are used Taiwanese Depression Scale and Active Aging Scale, in community care for the elderly station received a total of 240 cases, the use of SPSS Statistics 21.0 version, to describe statistical methods, mean, standard deviation, t test, one-way analysis of variance. Results: These results showed that the measuring degree of depression for elderly: gender, the living, marital status, age, activity patterns and income level of depression had significant differences. Higher degree of depression in women (women 1.84 ± .67> men 1.50 ± .57); solitary had higher degree of depression than inmates with family or friends (solitary 4.67 ± .43> and relatives live 3.60 ±. 67); widowed, divorced or unmarried, had higher the degree of depression than the married (emotional level: widowed 1.93 ± .75> married 1.17 ± .24; body level: divorced unmarried 2.24 ± .85> married 2.00 ± .83); The most depression was over the age of 81 (81 years of age 1.87 ± .53> 65-70 years of age 1.50 ± .58).There is no movement of labor had highest level of depression(emotional level: there is no movement of labor 1.98 ±. 76> no movement 1.73 ± .69; cognitive level: there is no movement of labor 2.15 ± .73> no movement 2.00 ± .69); economic deprivation of elderly likely to have depression tendencies. In the results of active aging scale showed that elderly who had movement, religious, have income will more active. Conclusions/Implications for Practice: The results of this study can be used as community health nurses in community health promotion for the elderly of reference in the future.