老年症候群與自覺健康之相關因素探討

The Association Between Geriatric Syndromes and Self-rated Health

楊盛翔(Sheng-xiang Yang)

指導教授 ： 王劼

長榮大學/健康科學學院/醫務管理學系(所)/碩士(2012年)

https://doi.org/10.6833/CJCU.2012.00001

摘要

背景與目的：
老年人的健康問題不僅止於一般慢性疾病，許多非疾病之症狀也常見於老年人身上，對整體健康和生活帶來影響，目前這類症狀被統稱為「老年症候群」。過去研究較少全面性的考量多種老年症候群與自覺健康的相關性，以及罹患多種老年症候群者是否其自覺健康會較差，本研究主旨即在探討個別別老年症候群以及其總數與整體自覺健康狀況之相關性。
方法：
本研究採橫斷式與縱貫式世代研究設計，以行政院衛生署國民健康局「台灣地區中老年身心社會狀況長期追蹤調查」第五、六波調查為研究資料。選取2003年時65歲以上（含65歲）社區老年人，並於2007年仍有填答者，排除非本人填答及任一變項有遺漏值者，樣本總計1,493人。以二元邏輯式迴歸分析老年症候群與自覺健康間之相關性。
結果：
台灣社區老年人普遍患有2項老年症候群以上，無任何老年症候群者僅占14.13%。老年症候群間彼此互有關聯。多變項分析結果顯示，老年症候群多數都和同年之自覺健康有所關聯（低身體質量指數除外），但在預測四年後之自覺健康部分僅餘眩暈、疼痛、身體活動功能限制、憂鬱和低身體質量指數5項症狀為顯著預測因子，而患有症候群總數的多寡則明顯與當年以及四年後之自覺健康狀況成負相關。
結論：
未來衛生政策應重視社區老人老年症候群之預防與治療，發展並推廣可迅速評估老年症候群的評估模式，以提供老年人較好的健康照護品質。
關鍵字：老年人、老年症候群、自覺健康、失禁、憂鬱

關鍵字

老年人 ； 老年症候群 ； 自覺健康 ； 失禁 ； 憂鬱

並列摘要

Background & Objective：
The health problems of the elderly are not limited to chronic diseases but may also include many non-disease-specific symptoms. These symptoms negatively impact elders’ overall health as well as daily life and are commonly referred to as “Geriatric Syndromes”. Few past studies have specifically examined how multiple geriatric syndromes or the total numbers of geriatric syndromes were associated with self-rated health. This study seeks to clarify how different geriatric syndromes are related to self-rated health as well as whether the numbers of geriatric syndromes are associated with worse self-rated health.

Methods：
Data for this cross-sectional and longitudinal cohort study came from 2003 and 2007 waves of the Survey of Health and Living Status of the Elderly in Taiwan. After excluding those who did not participated in both waves of the survey, those younger than 65 years old, those living in nursing homes, and those with missing values, the final sample contains 1,493. Binary logistic regression analyses were used for data analyses.

Results：
The majority of Taiwan's community elderly had more than two geriatric syndromes. Only 14.13% of the sample had no geriatric syndrome. Logistic analyses results showed that most geriatric syndromes were correlated with self-rated health in 2003, but the number of associations decreased in 2007. In 2003 the total numbers of geriatric syndrome were significantly associated with worse self-rated health. The relationships remained significant in 2007 but attenuated somewhat.

Conclusion：
Future health policies should emphasize prevention and treatment of geriatric syndromes for community elderly. Screening tools for geriatric syndrome should be developed and adopted to improve health care for the elderly.

Key words：
Elderly, Geriatric Syndrome, Self-rated Health, Incontinence, Depression

並列關鍵字

Elderly ； Geriatric Syndrome ； Self-rated Health ； Incontinence ； Depression

參考文獻

89. 于博芮, & 戴玉慈. (2002). 住院病患大便失禁之研究. 臺灣醫學, 6(2), 150-156.

91. 李文宏, 顔啓華, & 李孟智. (2005). 老人周全性評估. 基層醫學, 20(9), 212-218.

92. 林佳靜, 陳淑如, & 謝麗鳳. (1997). 疼痛護理. 護理雜誌, 44(1), 37-47.

93. 林美志. (2007). 社區老人健康行為、健康狀況、生活品質與醫療資源使用情形之探討-- 以高雄縣旗美地區為例. 高雄醫學大學醫務管理學研究所在職專班碩士論文.

94. 林益章, 莊美幸, & 方怡謨. (2007). 老年人視力障礙的常見原因. 基層醫學, 22(7), 235 -243.