社區老人健康促進生活型態與主觀幸福感相關因素-以台南佳里區為例

The Relationship between Health-promoting Lifestyle and the Subjective Well-being of Community Elderly：An Example of Jiali District, Tainan

高藝玲(Yi-Ling Kao)

指導教授 ： 林麗鳳

中臺科技大學/護理學院/護理研究所/碩士(2012年)

https://doi.org/10.6822/CTUST.2012.00076

摘要

社區老人健康促進生活型態與主觀幸福感相關因素-
以台南佳里區為例
摘要
本研究旨在探討社區老人的健康促進生活型態與主觀幸福感的現況、兩者的關係與相關影響因素，進而探究對主觀幸福感的預測因子。採橫斷式調查研究法，選取台南佳里區65歲以上社區老人抽取370人為樣本，以結構式問卷為工具，進行訪談收集資料。內容包括社會人口學背景資料、健康促進生活型態量表及幸福感量表等三部份。所得資料以SPSS統計軟體18.0版進行分析，結果如下：
一、受訪的社區老人年齡平均為72.82歲，居住狀況以與某些子女同住為最多，經濟來源大多是社會補助與子女供養，在健康狀況方面；罹患兩項以上慢性病者約有六成，自覺健康狀況屬於普通。
二、整體健康促進生活型態屬於中等，以適當營養得分最高，其餘依序為人際支持、壓力、自我實現、運動、健康責任得分為最低。健康促進生活型態因性別、年齡、婚姻狀況、居住狀況、教育程度、工作狀況、經濟來源、參與社區活動的不同而有所差異。
三、整體主觀幸福感屬於普通程度，以自尊滿足得分為最高、其次生活滿意、情緒反應為最低。主觀幸福感因居住狀況、教育程度、工作狀況、經濟來源、參與社區活動的不同而有所差異。
四、不同健康狀況在健康促進生活型態和主觀幸福感有顯著差異。健康促進生活型態與主觀幸福感呈現顯著正相關(r=.74，p<.001)。
五、教育程度、參與社區活動與健康狀況以及健康促進生活型態等變項能有效預測主觀幸福感，總解釋量達56.7%。
依據研究結果提出若干建議，作為相關單位促進老人身心健康與幸福感等介入方案參考依據。

關鍵詞：社區老人、健康促進生活型態、主觀幸福感、健康狀況

關鍵字

社區老人 ； 健康促進生活型態 ； 主觀幸福感 ； 健康狀況

並列摘要

The Relationship between the Health-promoting Lifestyle and Subjective Well-being of Community Elderly: An example of Jiali District, Tainan

Abstract
The purpose of this study was to investigate the status quo of the health-promoting lifestyle and subjective well-being of community elderly, the relationship between them, and other related factors that influence the relationship, so as to further find out the predictors of the subjective well-being of community elderly. A cross-sectional study was conducted. The sample consisted of 370 elderly aged over 65 residing in Jiali District, Tainan. A structured questionnaire, including demographic background information, the Health-promoting Lifestyle Profile (HPLP), and Subjective Well-Being Scale, was used to collect data. The SPSS 18.0 was utilized to analyze the collected data. The findings were as follows:
1. Demographically, the average age of the participants was 72.82 years old. The majority of them lived with their children and was economically supported by their children or social insurance. The total sum of the participants gave themselves a moderate health perception rating, while 60% were infected with chronic diseases.
2. The general health-promoting lifestyle rating was at moderate level. In HPLP, nutrition scored the highest, followed by interpersonal support, stress, self-actualization, exercise, and health-responsibility. The results suggested that the health-promoting lifestyle rating varied with gender, age, marital status, living status, educational level, working status, source of income, and the involvement in community activities.
3. The general subjective well-being rating was at moderate level. Satisfaction of self-esteem scored the highest, while life satisfaction and emotional response the lowest. The results suggested that the general subjective well-being varied with living status, educational level, working status, source of income, and the involvement in community activities.
4. Health status had a significant correlation with health-promoting lifestyle and subjective well-being. The life-promoting lifestyle positively correlated with subjective well-being (r=.74，p<.001).
5. Educational level, the involvement in community activities, health status, and health-promoting lifestyle were effective predictors of the subjective well-being and explained 56.7% of the variance.
The results of the study would assist relevant agencies with their efforts promoting the health and well-being of the elderly by serving as a reference for formulating future intervention programs.

Key words: Community elderly, Health-promoting lifestyle, Subjective well-being, Health status

並列關鍵字

Subjective well-being ； Community elderly ； Health-promoting lifestyle

參考文獻

吳英枝(民96)。台東縣鹿野鄉不同族群老人健康促進生活型態之研究（未出版之碩士論文）。國立臺東大學，台東。

葉加敏(民98)。繪畫活動對日托老人幸福感影響之研究（未出版之碩士論文）。國立暨南國際大學，南投縣。

姜逸群(民95)。健康促進與生活型態。學校體育雙月刊，3，31-35。

行政院衛生署國民健康局(民98，3月)。老人健康促進計畫(2009-2012)。取自行政院衛生署國民健康局：http://www.bhp.doh.gov.tw

黃毓華、邱啟潤(民86)。高雄地區大學生健康促進生活型態之預測因子。中華衛誌，12，529-537。