接受成人預防保健服務之中高齡者健康識能與活躍老化關係之研究 :以中部某地區醫院為例

我國將於未來的5年內進入超高齡社會，如何維持有品質的生命後期生活之課題日趨重要，若能透過完善的政策，積極協助中高齡者培養足夠的健康識能，必能創造活躍老化的生活。有鑑於此，本研究旨在探討接受成人預防保健服務之中高齡者健康識能與活躍老化關係，研究目的在於探討接受成人預防保健服務之中高齡者健康識能與活躍老化之情況；不同個人背景變項的接受成人預防保健服務之中高齡者在健康識能與活躍老化是否具有差異情形；接受成人預防保健服務之中高齡者健康識能與活躍老化的相關情形；接受成人預防保健服務之中高齡者健康識能對活躍老化的預測力。本研究以中部某地區醫院接受成人預防保健服務，年滿55歲以上之中高齡受檢者為研究對象，採取便利性抽樣，共發放230份正式問卷，回收203份，問卷回收率為88.26%，針對問卷調查所得結果，以SPSS 22.0統計軟體進行敘述統計、獨立樣本t檢定、單因子變異數分析、資料統計分析、皮爾森積差相關與多元迴歸分析等統計分析之。本研究所獲得之結論分述如下：一、接受成人預防保健服務之中高齡者健康識能屬有限程度。二、接受成人預防保健服務之中高齡者健康識能屬中上程度。三、接受成人預防保健服務之中高齡者在健康識能上會因為性別、年齡、教育程度與是否有參加終身學習課程，有顯著差異。四、接受成人預防保健服務之中高齡者在活躍老化會因為性別、年齡、教育程度、宗教信仰、經濟狀況、有定期健康檢查與參加終身學習課程，有顯著差異。五、接受成人預防保健服務之中高齡者健康識能與成功老化達顯著正相關。六、接受成人預防保健服務之中高齡者健康識能對成功老化有顯著預測力。

關鍵字

中高齡者；健康識能；活躍老化；成人預防保健服務

並列摘要

Taiwan is going to become Super-aged society in next 5 years. The issue of how to maintain the good quality of life till the rest of our later life is getting more and more important. If we can assist middle- aged the elderly people aggressively to cultivate the senses of health literacy by perfect policy. It will surely create active aging life for them. In view of this, the purpose of this study was to investigate the health literacy and active aging of middle-aged and older adults participating in preventive healthcare service. And to explore whether there are differences between the health literacy and active aging among middle-aged and older adults participating in preventive healthcare service with different demographic backgrounds; the correlation among the health literacy and active aging of middle-aged and older adults participating in preventive healthcare service. The predictive ability of health literacy of middle-aged and elderly people participating in preventive healthcare service toward active aging. This study targeted middle-aged and older adults participating in preventive healthcare service above the age of 55 who have taken Adult Health Examination,. Total of 230 questionnaires were distributed, 203 copies were returned, for a valid response rate of 88.26%. According to the results of the questionnaires, using SPSS 22.0 statistical software to conduct descriptive statistics, independent samples t-test, one-way analysis of variance, Pearson Product-Moment Correlation and multiple regression analysis. The conclusions which are obtained by this research are described below: 1.Participating in preventive healthcare service to the health literacy of the middle-aged and elderly people was not satisfied. 2.Participating in preventive healthcare service to the health literacy of the middle-aged and elderly people belongs to above the average. 3.Participating in preventive healthcare service to there are significant differences in health literacy among the middle-aged and elderly people due to gender, age, education level and whether they have participated in lifelong learning courses. 4.Participating in preventive healthcare service to the influencing factors of active aging including: gender, age, education level, religious belief, economic status, regular health check and whether to participate in a lifelong learning course. 5.Participating in preventive healthcare service to there were positive correlation between the health literacy and active aging of the middle-aged and elderly people. 6.Participating in preventive healthcare service to the Health literacy significantly predicted successful aging to the middle-aged and elderly people.