本研究目的為社區中老年人探討健康促進生活型態、憂鬱情形與認知功能的相關性。採立意取樣方式,選取地區為屏東縣九如鄉九清村、東寧村、九明村、九塊村、三塊村、大坵村與玉水村共7個村落的55歲以上中老年人,共收案595位。由研究者進行問卷訪談與問卷繪圖,研究以結構式問卷進行訪談,問卷內容包括人口學變項、成人健康促進量表(HPLP)、台灣人憂鬱量表(TDQ)、簡式智能量表(MMSE)與蒙特婁認知評估量表(MoCA)。所得資料以描述性統計、相關分析及逐步複迴歸分析進行統計分析。研究結果發現:(1)年齡與認知功能得分呈現負相關;教育程度與認知功能呈現正相關;憂鬱量表得分與認知功能得分呈現負相關;(2)健康促進生活型態之自我實現行為與壓力處理行為與認知功能達到顯著關係;(3)健康促進生活型態加入人口學變項與憂鬱得分後,自我實現行為會呈現不顯著的關係。本研究可以提供臨床工作者、社區發展協會與社區護理人員,在居家照護相關工作者以及未來世代研究之參考。
The purpose of this study was to explore the association between health promotion life-style, depression and cognitive function. Participants were recruited from Jing-Ching village, Dong-Ning village, Jing-Ming villages, Jiou-Kuai village, San-Kuai village, Da-Chiou and Yu-Shuei village of Jiouru Shiang, Pingtung county. A total of 595 people ages 55 years or older, were interviewed by trained investigators with structure questionnaires, including Health Promotion Life-Style profile(HPLP), Taiwan Depression Questionnaire(TDQ), Mini-Mental Status Examination(MMSE), and Montreal Cognitive Assessment(MoCA). The collected data were analyzed with descriptive statistics, correlation, and stepwise multiple regression analysis. The findings of the study were: (1) There were significant negative correlations among age, depression and cognitive function. (2) Health Promotion Life-styles of self-actualization and stress management were significantly associated with cognitive function. (3) Self-actualization appeared to be non- significant when Health Promotion Life-style Profile after adjusting for sociodemographics and depressive symptoms. This study outcome provide further implication in improving clinical practice, community development and community health care.