獨居老人習得智謀對憂鬱與生活品質影響之探討

Effects of Learned Resourcefulness on Depression and Quality of Life among Solitary Elderly Residents of Communities

徐淑貞(Shu-Chen Shu) ； 張蓓貞(Pei-Jen Chang) ； 戎瑾如(Jiin-Ru Rong)

《醫護科技學刊》 10卷2期 (2008/04) Pp. 88-98

https://doi.org/10.6563/TJHS.2008.10(2).2

摘要

Objectives: This study examines how perceived health status, learned resourcefulness, depression and quality of life are related in solitary elderly residents of communities. Methods: A cross-sectional correlation design was adopted to examine the effects of demographic variables, perceived health status and learned resourcefulness on depression and quality of life. Data were collected from a purposive sample of 79 community-dwelling elders living alone. All subjects lived in Taipei and were directly interviewed by the investigator. Results: Analysis results indicated that the two variables ”perceived health status and learned resourcefulness” are negatively correlated with depression (r=-.77, r=-.73, p＜.001) and positively corrected with quality of life (r=.58, r=.73, p＜.001). Additionally, depression is negatively correlated with quality of life (r=-.88, p＜.001). A hierarchical regression was performed to eliminate the influence of demographic variables on the relationship between independent variables (perceived health status and learned resourcefulness) and dependent variables (depression and quality of life). The analytical results demonstrated that the independent variables (perceived health status and learned resourcefulness) directly and negatively affect depression. Additionally, the independent variables (perceived health status and learned resourcefulness) directly and positively affect quality of life. Conclusion: Based on the results of this study, we recommend that nursing intervention facilitates learned resourcefulness by teaching or reinforcing its constituent skills.

關鍵字

社區獨居老人 ； 自覺健康狀況 ； 習得智謀 ； 憂鬱程度 ； 生活品質

並列摘要

Objectives: This study examines how perceived health status, learned resourcefulness, depression and quality of life are related in solitary elderly residents of communities. Methods: A cross-sectional correlation design was adopted to examine the effects of demographic variables, perceived health status and learned resourcefulness on depression and quality of life. Data were collected from a purposive sample of 79 community-dwelling elders living alone. All subjects lived in Taipei and were directly interviewed by the investigator. Results: Analysis results indicated that the two variables ”perceived health status and learned resourcefulness” are negatively correlated with depression (r=-.77, r=-.73, p＜.001) and positively corrected with quality of life (r=.58, r=.73, p＜.001). Additionally, depression is negatively correlated with quality of life (r=-.88, p＜.001). A hierarchical regression was performed to eliminate the influence of demographic variables on the relationship between independent variables (perceived health status and learned resourcefulness) and dependent variables (depression and quality of life). The analytical results demonstrated that the independent variables (perceived health status and learned resourcefulness) directly and negatively affect depression. Additionally, the independent variables (perceived health status and learned resourcefulness) directly and positively affect quality of life. Conclusion: Based on the results of this study, we recommend that nursing intervention facilitates learned resourcefulness by teaching or reinforcing its constituent skills.

並列關鍵字

Solitary elderly residents of communities ； perceived health status ； learned resourcefulness ； depression ； quality of life

參考文獻

王士華(2006)。探討精神分裂症青少年病患主要照顧者習得智謀對壓力因應之影響(碩士論文)。國立台北護理學院。

市政統計週報

社區獨居老人憂鬱症與自殺防治專案報告

石泱(2004)。獨居老人社會支持、健康狀況與孤寂感對生活滿意影響之研究。輔仁學誌：法管理學院之部。39，43-66。

戎瑾如(2004)。中老年人多元化心理健康促進策略與服務模式之發展與成效探討·第一年研究報告。台中:行政院衛生署國民健康局。