身心障礙福利機構照顧者對智能障礙者健康老化識能之研究

陳妮葦; 陳奎安; 林藍萍; 徐尚為; 林金定

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来源数据

P175 - 192

医药卫生 > 内科
社会科学 > 心理学
社会科学 > 教育学

DOI： 10.30072/JDR

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身心障碍福利机构照顾者对智能障碍者健康老化识能之研究

Institutional Caregivers' Health Literacy of Healthy Ageing toward People with Intellectual Disabilities

陈妮苇(Ni-Wei Chen) ；陈奎安(Kuei-An Chen) ；林蓝萍(Lan-Ping Lin) ；徐尚为(Shang-Wei Hsu) ；林金定(Jin-Ding Lin)

身心障碍研究季刊； 18 卷 3&4 期 (2020 / 12 / 01) ， P175 - 192

繁体中文

智能障碍者；身心障碍福利机构；照顾者；健康老化；健康识能； Intellectual Disability ； disability welfare institution ； caregiver ； health literacy ； healthy ageing

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摘要 │ 参考文献 (28) │ 国际计量

摘要〈TOP〉

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Aims: If institutional caregivers can have a comprehensive understanding of the aging problems faced by persons with intellectual disabilities, it will help to provide timely and appropriate care services and assistance to improve the quality of care. The main purpose of this study is to understand the health literacy and associated factors of healthy ageing toward people with intellectual disabilities by institutional caregivers. Methods: The study selected 16 disability welfare institutions as the research settings by a purposive sampling, and 920 valid questionnaires were used as the research sample (the response rate was 91.9%). This study used a structured questionnaire as a measurement tool which is tested for reliability and validity, and the health literacy of healthy aging was divided into three domains: knowledge, attitude and assisting behavior. The collected data was analyzed by SPSS Statistics 20.0 statistical package software. Results: The results of the study showed that the mean score of caregivers' knowledge about the health and aging awareness of people with intellectual disabilities was 30.6 points, and the score was in the middle to upper level. The knowledge accuracy rate was 76.5%. The average attitude of healthy aging awareness was 31 points, and the attitude of the caregiver was positive generally. The mean score for assisting behaviors in healthy aging awareness was 28.7 points, which was the category with a lower score among the three domains of health literacy and there is still room for growth. There was also further analysis on the associated factors of the three domains of health literacy. Results showed that the education level of caregivers was significantly correlated with the scores of healthy aging knowledge. The univariate analysis of the attitude score of healthy aging had a significant relationship with the education level and marital status of the caregiver. In the univariate analysis of the scores of assistive behaviors for healthy aging, there were statistically significant differences in the gender, age, education level, marital status, working years and accumulated years of caregivers. Conclusion: This research suggests that disability institutions should provide caregivers with education and training related to the aging of persons with intellectual disabilities to meet the needs of individual cases to improve the quality of care.

参考文献 ( 28 ) 〈TOP〉

林金定,严嘉枫,李志伟,吴佳玲,陈美花(2003)。以医疗社福专家观点初探智能障碍者理想医疗照护模式。身心障碍研究，1，32-42。
连结：
Ahlström, G.,Axmon, A.,Sandberg, M.,Flygare Wallén, E.(2020).Health care utilization among older people with Down syndrome compared to specific medical guidelines for health surveillance: A Swedish national register study.BMC Health Service Research,20,949.
Axmon, A.,Ahlström, G.,Sandberg, M.(2019).Falls resulting in health care among older people with intellectual disability in comparison with the general population.Journal of Intellectual Disability Research,63,193-204.
Axmon, A.,Björne, P.,Nylander, L.,Ahlström, G.(2018).Psychiatric diagnoses in older people with intellectual disability in comparison with the general population: A register study.Epidemiology and Psychiatric Sciences,27,479-491.
Bauer, A.,Taggart, L.,Rasmussen, J.,Hatton, C.,Owen, L.,Knapp, M.(2019).Access to health care for older people with intellectual disability: A modelling Study to explore the cost-effectiveness of health checks.BMC Public Health,19,706.

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