從健康促進觀點探析社區老年人憂鬱症現況與預防

The Exploration of the Circumstances and Prevention from Depression of the Community Elderly-From the Viewpoint of Health Promotion.

駱俊宏(Jiunn-Horng Lou) ； 余幸宜(Hsing-Yi Yu) ； 李宜靜(Yi-Ching Lee) ； 許秀月(Hsiu-Yueh Hsu)

《台灣健康照顧研究學刊》 1期 (2006/06) Pp. 47-58

https://doi.org/10.29750/TJTHCA.200606.0004

摘要

隨著老年人口的增加，相對的老年人的相關健康議題備受重視；在老年人的心理健康問題中，又以憂鬱症的流行率和診斷率最高；老年人憂鬱症的發生，不僅造成老年人生理功能上的障礙與醫療照護需求增加甚至引發自殺、死亡。同時對其家庭、社會來說，增加許多有形與無形的成本。昔日在健康促進活動中，老年人往往是被忽視的一群，在新公共衛生運動強調健康是人權、健康平等之思考邏輯下，本文藉由健康促進的觀點探析社區中日益嚴重的老年人憂鬱症問題與現況，並提出包含個人行為改變、社會網絡支持系統與相關公共政策對於預防老年人憂鬱的健康促進方法，最後並針對醫護專業人員在老年人憂鬱預防所需具備的能力提出方向，方以作為未來相關研究應用之參考。

關鍵字

老年人 ； 憂鬱 ； 健康促進

並列摘要

With the increasing number of the elderly, health issues have drawn to draw much attention than they did. Among the mental health problems of the elderly, depression prevails the most. It not only causes physiological disabilities and increases the needs of medical cares but also brings about cases of suicide and death. At the same time, depression also increases some visible and invisible costs to the family and the society. Under the promotion activities of health, the seniors were the group ignored most in the past. With the idea of new public hygiene movement featuring in health equivalent to human rights, the purpose of this paper is to explore the problems and circumstances of depression and provide with personal behavior change, social network supporting system, and some related public policies to prevent the seniors from depression. Finally, for further research and application, this paper provides the direction on the expertise required on the prevention of depression among the elderly.

並列關鍵字

elderly ； depression ； health promotion