銀髮族心理狀態評估系統建置-以幻聽為例

目前多數國家都將面臨到人口結構老化問題。依據我國內政統計資訊服務網統計數字顯示，至2015年止本國65歲以上人口佔全國人口總數12.58%，數字仍每年持續成長中。銀髮族不僅面臨到生理機能的退化與慢性疾病增加，還有心理健康也必須得到重視，根據世界衛生組織預估2020年全球死因前三位為惡性腫瘤(癌症)、愛滋病及憂鬱症，老人憂鬱症中有四點非典型憂鬱症病徵，其中以幻覺及妄想為主的病徵表現。在幻覺中屬幻聽、幻視為最常見的類型。本論文針對老化或各種原因所造成之銀髮族幻聽進行研究以資訊科技協助長者以簡便方式進行自我篩檢。多數銀髮族在產生幻聽時，本人可能沒有察覺到自已有幻聽症狀「缺乏病識感」。透過本論文所開發之「幻聽評估系統」協助銀髮族對所聽到的聲音進行幻聽判斷，並透過幻聽評估系統(以下簡稱本系統)的資訊化數據記錄銀髮族的幻聽頻率與治療成效，藉由幻聽評估系統能有效掌握銀髮族的幻聽病況並協助醫事人員掌握病情，避免長者因幻聽造成自己及家屬生活之困擾。

關鍵字

銀髮照顧；憂鬱症；幻聽

並列摘要

Population ageing is a serious problem for many countries at this moment. According to the Department of Statistics show that the number of people aged 65 years or older is about 12.58% of the total population in Taiwan. And it's still increased every year. With increasing age, numerous underlying physiological changes occur, and the risk of chronic disease rises. The mental health needs of older persons is also an important issue. According to the World Health Organization report, the 3 leading causes of death in the world are malignant tumors (cancer), AIDS and depression. Elderly depression have four points non-typical depression symptoms, the main symptoms with symptoms of illlusion and delusion. Illusion in the visual-hallucination and paracusia the most common type. This thesis according to aging and a variety of reasons cause elderly depression research to information science and technology elderly to easy way to for self screening. The majority of seniors in, elderly possible are not aware of self have paracusia “disease lack knowledge”. Through this thesis development “paracusia assessment system” assist elderly for hear voice paracusia judge , through system information data records elderly paracusia frequency and treatment effectiveness, by means of paracusia assessment system can effective master elderly paracusia condition and assist medical staff the master illness, avoid elderly because paracusia cause my self and family life problem.