長期照顧服務與心理憂鬱之研究：以屏東縣高齡者為例

本研究以2014年屏東縣長期照顧服務需求調查為基礎，主要研究對象為長期照顧服務使用者以及潛在的長期照顧服務使用者，探討個人背景變項、家庭與社會支持變項、客觀長期照顧服務需求變項等面向與憂鬱狀態之相關性，並藉此提出相關的政策思考與建議。其結果顯示，婚姻狀態、日間獨處、ADL、SPMSQ以及客觀長期照顧服務需求等變項與憂鬱程度具有顯著相關。在迴歸分析所建構之模型中，發現婚姻狀態、失智狀態以及客觀長期照顧服務需求為最主要的因素。換言之，若高齡者當前的婚姻狀態不屬於已婚且有偶，則其家庭支持功能相對較弱。如此一來，或需給予合適的長期照顧服務項目與時數，以期降低或延緩其憂鬱程度。再者，失智狀態以及綜合判定之客觀長期照顧服務需求與憂鬱程度具有顯著相關性，代表當前日間照顧服務中心以失智症高齡者為主要對象，以及長期照顧服務以各項居家照顧與護理服務為主之政策規劃方向與內涵，大致上能夠涵蓋心理照顧面向的需求。

關鍵字

屏東縣；長期照顧服務；居家照顧服務；憂鬱；高齡

並列摘要

This research employs the data derived from a survey on the elderly people who are using home care services or attending the activities organised by community centres in Pingtung County. The findings illustrated that marriage status, staying alone during daytime, status of ADL, status of dementia and the need to long-term care services according to one's ADL, IADL and SPMSQ status were significantly related to the status of depression. In addition, the regression models showed that the status of marriage, status of dementia and the need to long-term care services were the most influential variables towards the level of depression among the ageing people in Pingtung County. In other words, on the one hand, elderly people who did not have spouse or family members to support her or his livings or mental needs might have greater tendency to suffer from depression. On the other hand, regarding to the relation between dementia and depression, the government's policy on accentuating day-care centres seems on the right track. Conclusively, the community-based long-term care institutions may be suitable model in Pingtung County in the future for the reasons that the elderly people may be able to access all kinds of services they need as well as maintaining family and social supports exactly in the communities they live.

並列關鍵字

Pingtung County ； long-term care service ； home care service ； depression

國際替代計量

長期照顧服務與心理憂鬱之研究：以屏東縣高齡者為例

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