本研究主要目的為探討台灣地區65歲以上老人其自覺健康狀況、日常活動功能與憂鬱狀態之關係,並歸納出影響憂鬱狀態之因素。資料來源為『行政院衛生署國民健康局』所提供之「民國九十一年台灣地區國民健康促進知識、態度與行為調查」問卷資料,內容包括個人屬性資料、自覺健康狀況量表、日常活動能力量表、台灣人憂鬱量表等,有效樣本數3806筆。本研究運用SPSS/PC 12.0套裝軟體,進行次數分佈計算、平均值計算、t 檢定、單因子變異數分析、皮爾森積差相關計算以及逐步迴歸分析。 研究結果顯示,自覺健康狀況、慢性病數、日常活動能力、性別、教育程度、家庭結構、運動習慣,皆為影響憂鬱狀態之因素。本研究結果可幫助了解影響老人憂鬱狀態之原因,以利建立相關資料庫作為後續教學研究、社區健康評估運用,並可於老人社區照護之衛生政策擬定時提供參考。 關鍵字:老人、憂鬱、自覺健康狀況、日常活動功能(Activity of Daily Living,ADL)、台灣人憂鬱量表(Taiwanese Depression Questionnaire,TDQ)
The purpose of this study is to research the relationship among self-perceived health state, activity of daily living (ADL) state and the depression state, and to explore the influenced factors of the depression state about the elderly people who are 65 or older than in Taiwan. There are 3,806 effective samples in the researched data named 2002 National Survey on Knowledge, Attitude and Practice of Health Promotion, provided by the Bureau of Health Promotion, Department of Health, R.O.C. These data include Self-Perceived Health Status Scale, Activity of Daily Living(ADL) Scale, and Taiwanese Depression Questionnaire (TDQ). We utilize SPSS/PC 12.0 software to compute and analyze the frequency distribution, arithmetic mean, t-test, one-way ANOVA, Pearson correlations, and Stepwise regressions. It shows that the self-perceived health state, the number of chronic diseases, activity of day living, gender, structure of family, and the habit of exercise are the influenced factors of the depression state. The results of this research can be used to establish the health database which will be helpful for instruction, research and community health assessment. The results can also provide some suggestions for health policies making in order to take care of more elderly people. Key word : Elderly, Depression, Self-perceived Health, Activity of Daily Living, Taiwanese Depression Questionnaire