社區肥胖老人健康情形之探討:國民健康局2002年次及資料分析

洪淑娟

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社區肥胖老人健康情形之探討:國民健康局2002年次及資料分析

The investigation of health status on community-dwelling obese elder: Secondary analyze data obtained from the 2002 bureau of health promotion

洪淑娟 , Masters　　Advisor：李選;汪正青　　

繁體中文

日常生活功能；自覺健康狀態；慢性病；憂鬱；肥胖老人；社區；國民健康局； obese ； elder ； activity of daily living ； perceived health status ； depression symdrome ； co-morbidity ； community-dwelling ； bureau of health promotion

Abstract │ Reference (392) │ Times Cited (5) │ Altmetrics

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As the society development, steady economy, medical progression, and the advancement of public health, resulting in the average lifespan of Taiwanese extended gradually year by year. It means that the elders would face more problems of adaptation with the future life, and would need nursing care that include physiological, psychological, and social support. The rapid growth of obese population raises that not only increasting the health problems, also increasting the negative psychological factors and psychosocial function problems that may affect their quality of life. Consequently, studying of obesity to work upon in old persons is becoming important matter. The purpose of study was to discuss the relationship among activity of daily life, perceived health status, depressed status, and the co-morbidity within the community-dwelling obese elderly in order to provide the appropriate medical care.
This study is used the samples of Database of the Investigation of the Promotional Knowledge, Attitudes and Behaviors of Citizen’s Health in Taiwan in 2002 published by the Health Bureau of Executive Yuan” for secondary data analysis. The effective sample size was 424 community-inhabited obese elderly and was investigated with structured questions. The analysis was done with cross-sectional.The instruments used for this study including “Activity of Daily Living Scale”, “Self-Perceived Health Status Scale”, “Taiwanese Depression Scale”, and “Self-Rated Co-morbidities”. We used the packet software of spss12.0 and arranged descriptive and collective analysis. The acceptive significant level was lower than 0.05.
The investigation result showed that (1) the average age was 72.38 years old, and women(56%) are more obese than men(44%); the most common co-morbidity was hypertension(62.7%), and the following was hyperlipidemia (36.6%); (2)The Activity of Daily Living Scale revealed most obese elder has some limitations on basic activity of daily living. At least one of difficult problems presented in daily life that accounted for 68.6%, and taking shower is the most difficult with the mean score of 2.27 points. The overall scores within community-inhabited obese elder was between 0~45, and most people were on or little depressive status which mean that most elders were under stable mood. (3)There was no difference betweeb different population characteristics The perceived health status was affected by education and income. The co-morbidity was affected by education, age, and income. The depression was affected by sex, religion, and education.The perceived health status was negative correlation to depression and co-morbidity, and the depression was positive to morbidity within community-inhabited obese elder.
This study supplied the reference to community-dwelling caregiver to order effective health policy and to reach the goal of preventive care.
Key word 
Obese; elder; Activity of Daily Living; perceived health status; depression symdrome; co-morbidity; community-dwelling; bureau of health promotion

Reference ( 392 ) 〈TOP〉

董氏基金會心理衛生組（1999）•大台北地區民眾對憂鬱與憂鬱症認知與現況調查•2009年4月30日取得http://www.jtf.org.tw/psyche/
連結：
王耀輝、陳錦龍、陳春森 (1999)•肥胖症的藥物治療•中華民國內泌暨糖尿病學會會訊，14，10-19。
連結：
王靜枝 (2001)•南台灣鄉間居家老人之精神憂鬱及其相關因素之探討•The Journal of Nursing Research，9(3)，1-12。
連結：
王靜怡、王子娟、郭藍遠、梁忠昭、江傳江（2004）•花蓮市社區老人身體功能障礙發生情況及相關身體功能之初探•物理治療，29(5)，293-301。
連結：
問調查之調查設計、內容、執行方式與樣本人口特性•台灣公共衛生雜誌，
連結：

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