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  • 學位論文

長期照護機構老人憂鬱現況及其相關因素之研究

The Study of Depression and Related Factors of Elderly Residents in Long-term Care Institutions

指導教授 : 黃心樹

摘要


本研究旨在探討長期照護機構老人憂鬱現況及其相關因素,採用橫斷式調查研究設計,以彰化縣9家護理之家,採隨機抽樣選取符合收案條件之120位老人為研究對象,以結構式問卷調查收集資料,所得資料利用SPSS for window 18.0軟體進行描述性統計、t檢定、one-way ANOVA、皮爾森積差相關檢定、階層迴歸分析。研究結果顯示:1.研究樣本中有68.30%的住民有憂鬱情形。2.日常生活功能二個構面中,功能構面與住民入住護理之家時間達統計上差異。3.自覺健康狀況與宗教信仰達統計上的差異。4.憂鬱狀態整體總量表及二個構面中,身體-情感構面與住民性別達統計上的差異;整體總量表、身體-情感及認知構面均與住民慢性病個數達統計上的差異;整體總量表及認知構面亦與住民年齡達統計上的差異。5.整體日常生活功能與健康狀況達顯著正相關。6.整體日常生活功能與整體社會參與程度達顯著負相關。7.整體社會參與程度與整體憂鬱狀態達到顯著正相關。8. 自覺健康狀況與整體憂鬱狀態達到顯著負相關。9.護理之家老人個人屬性的年齡對其憂鬱狀態有顯著的預測力。10.住民日常生活功能、自覺健康狀況及社會參與程度可作為護理之家住民憂鬱狀態的預測因子,可解釋總變異量為25.7%。 期望本研究結果有助於護理人員了解老人日常生活功能、社會參與程度、自覺健康狀況及憂鬱狀態之關係,及早提供介入性措施,降低老人憂鬱狀態以提升照護品質,使長期照護機構老人可獲得更完善及高品質的照護。

並列摘要


This study aimed to investigate the current status of elderly depression and its relevant factors in long-term care institutions, conducting the design of cross-sectional survey and adopting a random sampling technique to select 120 participants from nine institutions located in Changhua, who meet the requirement of the study setting. The data collected and obtained through processing a structured questionnaire. Furthermore, the data was analyzed by using the software of SPSS (version of window 18.0) to proceed descriptive statistics, t-test, one-way ANOVA, Pearson correlation test and hierarchical regression analysis. The study results show that: (1) 68.30% of the participants have depression symptoms; (2) the statistical discrepancy exists between Instrumental Activities of Daily Living and the duration of staying at the healthcare institution; (3) the self-perceived health status and the religious belief have reached statistic difference; (4) the scale of depression , the Somatic-Affective dimension and Cognitive dimension separately reached the statistic difference with the participant gender age and chronic diseases. (5) the statistical discrepancy exists between the overall status of Activities of Daily Living reached and the health status. (6) the statistical discrepancy exists between the overall status of Activities of Daily Living and the level of social participation; (7) the level of social participation was positively related to the depression; (8) the self-perceived health status was negatively related to the status of depression ; (9) the age of the participants in the healthcare institutions can be a significant predictor for depression; (10) participants’ Activities of Daily Living, the self-perceived health status and the level of social participation can be used as a predicting factors of depression of the residents in the long-term care institutions, which is explained by the variance at 25.7%. The study aims to help nursing practitioners to understand the relationship between the status of elder Activities of Daily Living, social participation, the self-perceived health status and depression. Furthermore, to provide early intervention measures to reduce depression and improve the quality of long-term caring service in relevant institutions, eventually to provide a more comprehensive and high-standard caring measures for the elders in the long-term care institutions.

參考文獻


鍾佩容(2007)‧機構榮民健康狀況、憂鬱情形與認知功能之相關性探討(未發表的碩士論文)‧高雄醫學大學護理研究所。
劉小菁(2005)‧養護機構老人健康狀態與憂鬱相關性之探討(未發表的碩士論文)‧臺中市:私立中山醫學大學護理研究所。
王香蘋(2004)‧1999臺灣地區中老年人健康狀況之探討‧弘光學報,43,95-109。
朱哲生、葉慶輝(2010)‧老人憂鬱症‧家庭醫學與基層醫療,25(6),226-233。
林怡君、余豎文、張宏哲(2004)‧新店地區機構和非機構老人憂鬱情形及相關因素之調查‧臺灣家庭醫學雜誌,14(2),81-93。

被引用紀錄


溫芯寧、吳宏蘭、郭倩琳、劉紋妙(2015)。應用藝術創作改善長照機構老人憂鬱及提升自尊護理暨健康照護研究11(4),267-276。https://doi.org/10.6225%2fJNHR.11.4.267
張妤安、施以諾、郭佳慧(2021)。探討娃娃治療介入對長期照顧機構住民憂鬱程度之影響志為護理-慈濟護理雜誌20(6),71-83。https://www.airitilibrary.com/Article/Detail?DocID=16831624-202112-202112270019-202112270019-71-83

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