長期照護機構老人憂鬱現況及其相關因素之研究

彭雅莉

doi:10.6822/CTUST.2012.00065

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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

彭雅莉 , Masters　　Advisor：黃心樹　　

繁體中文 DOI： 10.6822/CTUST.2012.00065

老人；護理之家；憂鬱；自覺健康狀況；社會參與； Social participation ； Self-perceived health status ； Depression ； Elderly ； Nursing home

Abstract │ Reference (129) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

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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.

Reference ( 129 ) 〈TOP〉

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。
連結：
戎瑾如（2003）‧中老年多元化心理健康促進策略與服務模式之發展與成效探討‧行政院衛生署國民健康局科技研究成果報告（報告編號：DOH92-HP-1102），未出版。
連結：
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。
連結：
江弘基、戴傳文、李明濱、王銘光、張文穎、蔡佩樺（2006）‧老人自殺問題‧臺灣醫學，10（3），353-361。
連結：
江信男（2004）‧罹病嚴重度、自覺健康、社會支持與臺灣地區老人憂鬱之關係（未發表的碩士論文）‧台南市：國立成功大學行為醫學研究所。
連結：

Times Cited (1) 〈TOP〉

溫芯寧(Hsin‐Ning Wen);吳宏蘭(Hung‐Lan Wu);郭倩琳(Chien‐Lin Kuo);劉紋妙(Wen‐Miao Liu)(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。

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