老年人自我照顧能力及其相關因素之探討

Self-Care in the Aged and Its Related Factors

邱啓潤(Chii-Jun Chiou) ； 王秀紅(Hsiu-Hung Wang)

《The Kaohsiung Journal of Medical Sciences》 3卷2期 (1987/02) Pp. 69-78

https://doi.org/10.6452/KJMS.198702.0069

摘要

本研究的目的為設計一套簡單而有效的篩選工具，以迅速地在社區中評估老人自我照顧的能力，找出需要提供服務的老年人，並探討其相關因素。故針對高、屏兩地有基層保健中心所在的村里中之六十五歲以上老人為對象，作家庭訪視進行結構式問卷調查，完成576份問卷，完成率為79.5%。
研究結果為：
1.老人自我照顧能力的總分分佈為20~78分，平均為27.13±6.19分，其中比率最多的是總分在21~40分的（屬於較低程度的部份依賴）達94.6%。
2.在20種自我照顧能力的評估項目中，最差的三項功能依序為：(1)社會化(2)視力(3)藥物的服用。
3.都市與鄉村的老人其自我照顧能力的總分，並無統計上顯著的差異。
4.老人自我照顧能力得分的有關因素為：年齡、性別、教育程度、職業、婚姻狀況、低收入、服藥情形、慢性狀況等，這些因素對不同項目的得分，影響不同，但慢性狀況是最重要的影響因素。

並列摘要

The purpose of this study was to develop a simple and effective screening tool to improve the rapidly of services presently provided for the aged. A total of 576 subjects from primary health care center in Kaohsiung and Pintung areas were visited and surveyed by a structural-questionnaire. The ages of all subjects were above 65. The visiting rate was 79.5%.
The results were as follows:
1. The distribution of scores for self-care capacity was from 20 to 78, with a mean of 27.13±6.19. Most of subjects fell within the range between 21-40, with a maxium of 94.6%.
2. Socialization, visuability and medicine-intake were the three least capable items among the 20 items assessed.
3. Self-care scores did not differ in the aged between urban and rural areas.
4. Factors affecting the self-care capacity of the aged included: age, sex education, occupation, poor economic levels, medicine-intake and chronic conditions. the effects of these factors on the score of each the different items were quite different.

並列關鍵字

self-care ； the aged