長照站長者之參與行為與運動健康信念關係之研究

近年為銜接中央長照2.0政策，在推行廿年餘的社區照顧關懷據點，若結合「預防及延緩失能照護計畫」得轉型為據點長照站，視為推動高齡長者在地化的社區式福利服務一環。本研究藉由探訪彰化縣555位實際參與長照站的長輩，瞭解其參與長照站的各項參與行為情事，便延伸將焦點放在長照站導入預防及延緩失能的課程後，長者們自身的運動健康信念的變化，並且如何改動參與行為的變化。研究方法採問卷調查法收集數據，經實證後發現以下研究成果：長者們參與長照站的參與動機會顯著正向影響其參與程度（β=.704, p＜.001），且會顯著正向影響其自身的運動健康信念（β=643, p＜.001）；另外，長者們自身的運動健康信念亦會顯著正向影響其對長照站的參與程度（β=.730, p＜.001）。最後，長者們自身的運動健康信念，會顯著正向干擾其在長照站的參與動機對參與程度的影響（β=.106, p＜.001）。根據研究結果提出以下建議：建議長照站應持續拓展數量，讓更多長者能夠參與；長者們與長照站應可發展為資源相互分享的關係，或可邀請在某一領域中具有豐富經驗該社區年長者進行教學分享活動；活動應設置的更加豐富與多元，將長照站的功能提升到更佳的狀態。

關鍵字

據點長照站；參與動機；參與程度；運動健康信念

並列摘要

In recent years, in order to continue the long-term care 2.0 policy of government departments, based on the community care center that have been implemented for more than 20 years, if combined with the ＂prevention and delay of disability care plan＂, it will be transformed into a long-tern-care station. As part of the community-based welfare service that promotes the localization of the elderly. This study investigated 555 elders in Changhua County who actually participated in the long-tern-care station, and learned about their participation, and extended the focus on the long-tern-care station. After the introduction of courses for preventing and delaying disability, the changes in the elderly's own health beliefs and how to change the changes in participating behaviors. The research method uses questionnaire survey to collect data. After empirical research, the following research results are found: the participation motivation of the elderly in the long-tern-care station has a significant positive impact on their level of participation (β=.704, p＜.001), and it will significantly positively affect their own health beliefs (β=643, p＜.001); in addition, the elderly's own health beliefs will also significantly positively affect their participation in the long-tern-care station (β=.730, p＜.001); Finally, the elderly's own health beliefs will significantly and positively interfere with the influence of their motivation to participate in the long-tern-care station (β=.106, p＜.001).Based on the research results, the researchers put forward the following suggestions: It is recommended that the number of long-tern-care station should be continuously expanded to allow more elderly people to participate; the elderly and long-tern-care station should be developed into a resource sharing relationship For example, inviting community seniors with rich experience in various specific fields to conduct teaching sharing activities; the activities of the long-tern-care station should be set up more abundant and diversified, and the function of the C-level long-distance alleyway station should be improved To a better state.