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

目的：本研究之目的在於(1)確認老人身體功能(基本日常生活功能、工具型日常生活功能、及活動功能)衰退發生的順序以及(2)找出與老人最早發生衰退之身體功能相關的因子，以作為未來發展老人身體功能障礙篩檢及預防計劃之依據。方法：83名居住於花蓮市的老人自願參與本研究。受測者需符合下列條件：(1)生活於社區中，(2)年紀在65歲或以上，(3)能獨立行走，(4)能聽懂簡單口令，(5)能執行本研究中之身體功能測試。如有不穩定心臟病或高血壓，或是患有神經系統疾患且造成動作功能障礙者則不予測試。所有的受測者皆接受問卷及身體功能測試之檢測。結果：老人身體功能障礙發生之順序依序為活動功能、工具型日常生活功能、及基本日常生活功能。年齡、憂鬱程度、以及所有的身體功能測試皆呈現明顯的組間差異。結論：建議未來發展老人身體功能障礙之篩檢預防工具時，可考慮以活動功能做為依據。

關鍵字

老年人；身體功能障礙；身體功能測試；活動度

並列摘要

Purpose: The purposes of this study were to (1) explore the disability developing sequence of three physical function domains (BADL, IADL, mobility) in community-dwelling older adults and (2) find the factors that are associated with the first declined domain of physical function for future screening tool development. Method: 120 community-dwelling elders in Hualien city volunteered to participate. Inclusion criteria were (1) living in the community, (2) 60 year of age or more, (3) able to walk with or without walking aids, (4) able to follow simple commands, (5) able to perform the physical performance tests required in this study. Exclusion criteria included (1) unstable heart disease or hypertension, and (2) neurological disease or disorders with residual motor dysfunction. All subjects completed questionnaires and physical performance tests. Results: The development of physical disability in elder adults started from decline of mobility, then IADL domain, and finally the BADL domain. We classified all participants into normal group and declined group according to their mobility ability. Age, depression score, and all performance tests demonstrated significant differences between the normal and declined groups. Conclusion: To develop a screening tool to detect elderly at earliest stage of decline, mobility domain of physical function should be focused since it was the first to decline.

並列關鍵字

Elderly ； Physical disability ； Physical performance test ； Mobility

被引用紀錄

賴妤甄（2015）。台灣老年人憂鬱之軌跡分析〔碩士論文，中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2015.00102

盧俊吉（2009）。高齡者休閒與成功老化關係之研究〔博士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2009.10139

周雅惠（2005）。以老人身體活動指標推估社區老人物理治療需要〔碩士論文，亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-0807200916274418

蔡明書（2007）。不同休閒生活型態高齡者下肢肌力探討〔碩士論文，國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-0204200815525741

王瑞鈴（2008）。中老年人憂鬱傾向相關影響因素-變動分析〔碩士論文，亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-0807200916273347

延伸閱讀

尚憶薇、雷文谷、王智弘（2007）。花蓮市老年人運動行為階段與決定因素之研究。運動休閒管理學報，4(1)，58-74。https://doi.org/10.6214/JSRM.200706_4(1).0005
董和銳（2005）。台灣老年人口自評健康與功能障礙情形之轉變。身心障礙研究季刊，3(2)，72-87。https://doi.org/10.30072/JDR.200506.0001
Li, T. C., Lin, C. C., Lai, S. W., & Lai, H. C. (2005). 社區老人日常生活活動障礙之流行病學研究. Mid-Taiwan Journal of Medicine, 10(4), 165-170. https://doi.org/10.6558/MTJM.2005.10(4).1
何華欽、林宏陽、戴品芳、何華倫（2016）。Effects of Community participation on the Psychological Well-being of the Elderly：A Case Study of the Community Caring Concern Centers in Pingtung County。台灣社區工作與社區研究學刊，6(3)，45-80。https://www.airitilibrary.com/Article/Detail?DocID=P20111124002-201612-201701040005-201701040005-45-80
張碩文、吉原利典、陳耀宏、町田修一、內藤久士（2022）。Grip Strength and Physical Function of Community-Dwelling Elderly People Vary Depending on Locomotive Syndrome Degree - Regional Elderly in Xinying District。臺南大學體育學報，(17)，1-16。https://www.airitilibrary.com/Article/Detail?DocID=a0000561-N202303110005-00001

國際替代計量

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

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