题名

榮民之家耄耊日常生活功能、心靈安適與生活品質之相關研究

并列篇名

Correlations Between Activities of Daily Living, Spiritual Well-being, and Quality of Life Among the Oldest Old Living in a Veteran's Home

DOI

10.6142/VGHN.201809_35(3).0002

作者

楊淑慧(Shu-Hui Yang)；張靜雯(Ching-Wein Chang)；朱莉螢(Li-Ying Ju)；吳麗芬(Li-Fen Wu)

关键词

耄耋 ； 日常生活功能 ； 心靈安適 ； 生活品質 ； oldest old ； activity of daily living ； spiritual well-being ； quality of life

期刊名称

榮總護理

卷期/出版年月

35卷3期（2018 / 09 / 01）

页次

234 - 244

内容语文

繁體中文
中文摘要

維持日常生活獨立、避免功能快速衰退及增進生活品質是照顧耄耋的主要目標，本研究之目的在探討榮民之家耄耋的日常生活功能、心靈安適與生活品質之相關研究。採方便取樣橫斷式問卷調查法，選案條件為住在榮家滿3個月85歲以上的長者，共收案80名。研究對象全為男性，年齡為90.15±3.13歲，結果顯示耄耋之生活品質EQ-5D分數為0.73±0.21，EQ-VAS分數為70.19±13.69，生活品質與日常生活功能（r = .76, p＜ .01）及心靈安適呈顯著相關（r = -.47, p＜ .01）。建議榮民之家照護團隊能持續監測長者的生活品質，規劃系統性活動介入，以維持日常生活功能；此外，希望照顧者能多陪伴並深入瞭解其身心靈需求，進而滿足以促進生活品質為最終目標。
英文摘要

The main objective of caring for elderly individuals is improving quality of life (QoL) and maintaining independence in daily living. The purpose of this study was to investigate the relationships between QoL, activities of daily living, and spiritual well-being among the oldest old living in a veteran's home. A cross-sectional study and questionnaire survey were conducted, and 80 participants were enrolled. The mean scores of the QoL EQ-5D and EQ-VAS were 0.73 ± 0.21 and 70.19 ± 13.69, respectively. QoL appeared to be positively correlated with activities of daily living (r= .76, p＜ .01) but negatively correlated with spiritual well-being (r= - .47, p＜ .01). The results suggest that QoL should be regularly monitored and systemic activities should be planned to maintain activities of daily living. In addition, as the ultimate goal, caregivers should be able to accompany elderly adults and understand their physical and spiritual needs in order to promote QoL.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 莊育冠、孫義智、王霓裳、王驤華、葉淑惠(2017)。活動介入對長照機構住民的希望靈性照護之衝擊。榮總護理，34(1)，2-8。
    連結：
  2. 蔡正育、呂惟帆、吳明蒼(2015)。老人憂鬱情緒、休閒阻礙、自我尊榮與靈性健康狀況之探討。嘉大體育健康休閒期刊，14(1)，63-74。
    連結：
  3. Aburuz, S.,Bulatova, N.,Twalbeh, M.,Gazawi, M.(2009).The validity and reliability of the Arabic version of the EQ 5D: A study from Jordan.Annals of Saudi Medicine,29,304-308.
  4. Andersson, L. B.,Marcusson, J.,Wressle, E.(2014).Health-related quality of life and activities of daily living in 85-year-olds in Sweden.Health and Social Care in the Community,22(4),368-374.
  5. Chang, T. J.,Tarn, Y. H.,Hsieh, C. L.,Liou, W. S.,Shaw J. W.,Chiou, X. G.(2007).Taiwanese version of the EQ-5D: Validation in a representative sample of the Taiwanese population.Journal of Formosa Medical Association,106,1023-1031.
  6. Daaleman, T. P, Perera, S.,Studenski, S. A.(2004).Religion, spirituality, and health status in geriatric outpatients.Annals of Family Medicine,2,49-53.
  7. Daaleman, T. P.,Frey, B. B.(2004).The spirituality index of well-being: A new instrument for health-related quality-of-life research.Annals of Family Medicine,2,499-503.
  8. Ferrans, C. E.,Zerwic, J. J.,Wilbur, J. E.,Larson, J. L.(2005).Conceptual model of health-related quality of life.Journal of Nursing Scholarship,37(4),336-342.
  9. Iinuma, T.,Arai, Y.,Takayama M.,Takayama, M.,Abe, Y.,Osawa, Y.,Gionhaku, N.(2017).Satisfaction with dietary life affects oral health-related quality of life and subjective well-being in very elderly people.Journal of Oral Science,59(2),207-213.
  10. Khader, F.(2011).Quality of life in the nursing homes in Jordan: Perspectives of residents.Care Management Journals,12(4),149-162.
  11. Kostka, T.,Jachimowicz, V.(2010).Relationship of quality of life to dispositional optimism, health locus of control and self-efficacy in older subjects living in different environments.Quality of Life Research,19,351-361.
  12. Lai, C. K. Y.,Leung, D. D. M.,Kwong, E. W. Y.,Lee, R. L. P.(2015).Factors associated with the quality of life of nursing home residents in Hong Kong.International Nursing Review,62(1),120-129.
  13. Lawton, M. P.,Brody, E. M.(1969).Assessment of older people: Self -maintaining and instrumental activities of daily living.The Gerontologist,9(3),179-186.
  14. Mahoney, F. I.,Barthel, D. W.(1965).Functional evaluation: The Barthel Index.Maryland State Medical Journal,14,56-61.
  15. Moberg, D. O.(1979).Subjective measures of social indicators of spiritual well-being for quality of life research.Sociological Analysis,40,11-26.
  16. Pascucci, M. A.,Chu, N.,Leasure, A. R.(2012).Health promotion for the oldest of old people.Nursing Older People,24(3),22-28.
  17. Rykkje, L. L.,Eriksson, K.,Raholm, M. B.(2013).Spirituality and caring in old age and the significance of religion-a hermeneutical study from Norway.Scandinavian Journal Caring Science,27(2),275-284.
  18. Santrock, J. W.(2015).Life-span development.Boston:Mcgraw-hill Humanities.
  19. Soósová, M. S.(2016).Determinants of quality of life in the elderly.Central European Journal of Nursing and Midwifery,7(3),484-493.
  20. Wilding, C.(2007).Spirituality as sustenance for mental health and meaningful doing: A case illustration.The Medical Journal of Australia,186(S10),S67-69.
  21. Wu, L. F.,Koo, M.,Liao, Y. C.,Chen, Y. M.,Yeh, D. C.(2016).Development and validation of the spiritual care needs inventory for acute care hospital patients in Taiwan.Clinical Nursing Research,25(6),590-606.
  22. 中彰榮譽國民之家(2018，4 月20 日)．組織沿革· 取自https://www.vac.gov.tw/vac_home/zhongzhung/cp-461-1378-206.html
  23. 朱素貞(2017)。成本效用分析的效用測量。當代醫藥法規月刊，75
  24. 國家發展委員會(2018，3 月24 日) · 人口推估· 取自https://www.ndc.gov.tw/Content_List.aspx? n=C 7C012D8E233C710
  25. 楊桂芬、許哲瀚、唐憶淨、龔建吉(2012)。社區老年日常生活功能、生活品質與幸福感之相關研究。台灣老年醫學暨老年學雜誌，7(4)，217-232。
  26. 楊淑慧、吳麗芬、林鉅勝(2016)。安養中心老年住民心靈安適相關因子探討。台灣老年醫學暨老年學雜誌，11(4)，249-261。
  27. 維基百科全書(2008，5 月) · 老人的定義．取自https://zh.wikipedia.org/wiki/ 老人學
  28. 薛承泰(2014，5 月) · 長期照顧的挑戰與未來- 國家政策研究基金會．取自https://www.npf. org.tw/1/13576
  29. 顧艷秋、劉文健(2005)。安養機構老人生活品質及其影響因素。榮總護理，22(4)，389-398。
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