老年症候群與生活滿意度之相關因素探討

The Association between Geriatric Syndromes and Life Satisfaction

洪鈞渝(Chun-Yu Hung)

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.2012.00026

摘要

背景與目的：過去探討老年症候群與生活滿意度之研究多未同時考量多項老年症候群，截至目前為止，鮮有以台灣社區老年人為研究對象，並以具有母群體代表性之樣本，探討各種老年症候群以及罹患老年症候群數目與生活滿意度之相關性。因此，本研究欲了解九項老年症候群與生活滿意度之相關性。
方法：本研究為縱貫性世代研究，資料來源為行政院衛生署國民健康局「中老年身心社會生活狀況長期追蹤調查系列」第五次(2003年)及第六次(2007年)調查。選取2003年時65歲以上，且於2003年與2007年皆之社區老年人，排除非本人填答及任一變項有遺漏值後，共1,335人。統計方法採線性複迴歸分析。
結果：台灣65歲以上之社區老年人，其生活滿意度平均頗高，但會隨年齡增加而降低。研究樣本中85%至少患有一項老年症候群 。多變項分析控制各項因素後發現，老年症候群越多，其生活滿意度越低；尤其當老年症候群達三項以上時，為生活滿意度之顯著預測因子，老年症候群增加，對生活滿意度造成負向影響。九項老年症候群症狀中，憂鬱為生活滿意度之最重要預測因子，可有效預測不佳之生活滿意度，罹患慢性疾病之數量並未預測四年後之生活滿意度。
結論：老年人之醫療照護不應僅以醫治慢性疾病為首要目標，若能在老年症候群症狀顯現的初期積極治療、復健，將可有效提升生活品質，因此未來老人照護可朝防治老年症候群發生之方向努力。

關鍵字

老年症候群 ； 生活滿意度 ； 老年人 ； 憂鬱

並列摘要

Background and Objective: Most past studies on the relationships between geriatric syndromes and life satisfaction included limited number of geriatric syndromes. At present, there were few studies that specifically examined the relationships between geriatric syndromes and life satisfaction for community-dwelling elderly in Taiwan. This study addresses these knowledge gaps by investigating how nine geriatric syndromes as well the total number of geriatric syndromes were related to life satisfaction in a nationally-representative sample of community-dwelling elderly in Taiwan.
Method: Data for this 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 was 1,335. Multivariate linear regression analyses were used for data analyses.
Result: In general, elderly in Taiwan had high life satisfaction but life satisfaction declined as they got older. 85% of the sample had at least one geriatric syndrome. Multivariate analyses shows that those with more than three geriatric conditions had lower life satisfaction. Depression was the most significant predictor of poor life satisfaction. Chronic diseases were not associated with poor life satisfaction.
Conclusion: Health care for elderly should not be limited to chronic disease management but rather should emphasize prevention and early treatment of geriatric syndromes in order to promote life satisfaction among elderly in Taiwan.

並列關鍵字

geriatric syndromes ； life satisfaction ； elderly ； depression

參考文獻

朱哲生、葉慶輝：老人憂鬱症。家庭醫學與基層醫療 2010;25:226-233。

吳麗芬：周全性老人評估。護理雜誌 2007;54:61-66。

徐慧娟、吳淑瓊、江東亮：跌倒對社區老人健康生活品質的影響。中華公共衛生雜誌 1996;15:525-532。

張家銘、蔡智能：老年人之周全性評估。臺灣醫學 2003;7:364-374。

廖媛美、劉玉秀、魏玲玲：探討影響社區婦女尿失禁之相關因素及尿失禁對社區婦女身心社會之影響。新臺北護理期刊 1999;1:69-79。