比較不同長期照護模式老人之士氣

Comparing Morale among the Elderly in Different Long-Term Care Enviornments

林麗嬋(Li-Chan Lin) ； 歐美(Meei Ou)

《護理研究》 4卷3期 (1996/09) Pp. 243-253

https://doi.org/10.7081/NR.199609.0243

摘要

The purpose of this study was to compare the difference in morale among the elderly in nursing home, day care center and home care environments. The research consisted two stages, a pilot (stage one) and a later major study (stage two). The sampling criteria for subjects were that they are (1) 65 years old or older and reside in a nursing home, attend a day care program or receive home care; (2) able to understand the Mandarin or Taiwanese language; and (3) capable of verbal communication. In the pilot study, 30 elderly were used to test the reliability of instruments used. In stage two, 87 elderly from the nursing home, day care center and home care environments were sampled. Descriptive analysis, ANOVA, and ANCOVA were used for data analysis. One-way ANOVA was used to compare differences of functional status, mental status, and morale among the three types of care environments. The elderly’s functional status, mental status and morale in day, care centers were significantly higher than in nursing homes and home care (F(2, 84)=21.75, F(2, 84)=3.24, F(2, 84)=6.57, p＜.05 respectively). ANCOVA was used to control the two covariates functional and mental status, which yielded a significant difference for morale among the three groups (F=5.25, p＜.05). To increase external validity, it is recommended that a larger sample size be used in future studies. Results of the study indicate community-based adult day care facilities would provide the most positive morale environment for the elderly. Recommendations derived from this study would also include organizing outside volunteers to work within the nursing home environment, and providing respite care for caregivers in the home care environment.

關鍵字

老人 ； 士氣 ； 長期照護模式

並列摘要

The purpose of this study was to compare the difference in morale among the elderly in nursing home, day care center and home care environments. The research consisted two stages, a pilot (stage one) and a later major study (stage two). The sampling criteria for subjects were that they are (1) 65 years old or older and reside in a nursing home, attend a day care program or receive home care; (2) able to understand the Mandarin or Taiwanese language; and (3) capable of verbal communication. In the pilot study, 30 elderly were used to test the reliability of instruments used. In stage two, 87 elderly from the nursing home, day care center and home care environments were sampled. Descriptive analysis, ANOVA, and ANCOVA were used for data analysis. One-way ANOVA was used to compare differences of functional status, mental status, and morale among the three types of care environments. The elderly’s functional status, mental status and morale in day, care centers were significantly higher than in nursing homes and home care (F(2, 84)=21.75, F(2, 84)=3.24, F(2, 84)=6.57, p＜.05 respectively). ANCOVA was used to control the two covariates functional and mental status, which yielded a significant difference for morale among the three groups (F=5.25, p＜.05). To increase external validity, it is recommended that a larger sample size be used in future studies. Results of the study indicate community-based adult day care facilities would provide the most positive morale environment for the elderly. Recommendations derived from this study would also include organizing outside volunteers to work within the nursing home environment, and providing respite care for caregivers in the home care environment.

並列關鍵字

elderly ； morale ； long-term care