鄉村社區老年人健康狀況與生活品質相關性之探討

The Relationships between Health Status and Quality of Life among Rural Community Elderly Dwellers

趙安娜(An-Na Chao) ； 高美玲(Meei-Ling Gau) ； 林壽惠(Shou-Hui Lin)

《長期照護雜誌》 8卷1期 (2004/03) Pp. 41-55

https://doi.org/10.6317/LTC.200403_8(1).0006

摘要

本研究旨在了解鄉村社區老人的健康狀況與生活品質之相關性。以分層隨機抽樣的方式選取台南縣將軍鄉老人115名為對象，由研究者親自面談收集資料。研究工具用結構式問卷，包含有「自覺健康狀況量表」、「柯氏量表」、「慢性病罹患種類與數目」及「生活品質量表」，所得資料以SPSS10.0進行分析。結果顯示自覺健康狀況平均得分為10.63分，整體健康自覺不好者居多，87%的長者有一種以上的慢性病，最常出現的慢性病依序為高血壓、關節炎、糖尿病、白內障與心臟病，日常身體活動能力需人照顧者偏高（6.1%）。
　　生活品質以「社會關係範疇」得分最高，「心理範疇」得分最低。逐步複迴歸分析顯示自覺健康狀況、日常身體活動能力、經濟滿意度與可自由支配金錢總數等4個變項，其預測「整體生活品質」的解釋變異量達68.2%。本研究結果可以瞭解鄉村社區老人的健康狀況與生活品質，建立社區老人的健康資料庫，作為教學、研究及策劃社區健康服務計劃的依據，進而亦可作為擬定衛生政策方向的參考。

關鍵字

社區老人 ； 健康狀況 ； 生活品質

並列摘要

The purpose of this study was to explore the relationships between health status and quality of life for elderly in the rural communities. Using stratified random sampling, a sample of 115 elderly was recruited from four areas in Taiwan Rural area, Taiwan. Through face to face interview, the participants were measured by structural questionnaires, including perceived health status scale, modified Karnofsky performance status scale, numbers and kind of chronic disease, World Health Organization Quality of Life BREF (WHOQOL-BREF) Taiwan Version and demographic data. Data was analyzed by SPSS for Windows 10.0 Chinese version.
The results showed that the mean score of perceived health status was 10.63, and the majority of participants were in low social economic status. Eighty-seven percent elderly people had one or more chronic diseases. The common diseases were: hypertension, arthritis, diabetes mellitus, cataract and heart disease, respectively. According to the Modified Karnofsky Performance Status Scale, 6.1%elderly were independent.
Among the four domains of quality of life scale, social relationships domain got the highest score, and psychological domain got the lowest score. Using stepwise multiple regression analysis, it was indicated that perceived health status, performance status, satisfaction of economic, and monthly income were significant predictors of overall quality of life, explaining 68.2% of variances of the quality of life. Results of the study could understand the health status, quality of life and to build health data set for the rural community elderly, and would serve as indices of education, research, community health project and health policy.

並列關鍵字

community elderly ； health