Predictive Factors of Self-Care Capacity in Veterans' Care Institution Residents

Li-Fen Wu

vet er ans' care institution res i dents ； self-care capacity

The Journal of Nursing Research

10卷3期（2002 / 09 / 01）

195 - 204

英文

The aim of this research is to deter mine which factors affect the self-care capacity of vet era ns’ self-pay care institution residents and to build a predictive emodel of their level of independence. Our study included 404 residents of aveterans’care institution. Our data collection involved an integrated, multidisciplinary approach. The tools used by each group were all of high validityandreli ability. The resulting data was entered into SPSS statistic soft ware, and then analyzed by related coefficients, Mann-Whitney test, Kruskal-Wallis H test, and step wise multi plc regression. This anal y sis showed that 12.1% of residents were self-care dependent. Residents’ mcdical conditions (stoke, arthritis), physical function (tinnitus, fall), cognitive function (Mini-Mental State Exam i nation score, Geriatric Depression Scale Short-Form score, Acute Confusion Behavior Scale score), and social function (frequency of exerciscper week, frequency of visitors), showed correlation with self-care capacity. The predictive model of self-care capacity was built as follows: Self-care predictive value=93.022-.274×GDS score+.196×MMSE score -3.222×Stroke-1.262×Arthritis+225×Exercise per week. This model explained 10.5% of the totalvanance. The results of this research can act as a basis for elderly admission to and transfer from veterans’ care institutions and can be a reference for recommending relevant nursing ser vice. This research also pro vides important information for those who wish to improve the self-care capacity of care institution residents.

1. Burton, R. M., Damon, W. W., Dillinger, D. C., Erikson, D. J., Peterson, D. W.(1978).Multidimensional functional assessment: The DARS methodology.Durham, NC:Duck Center for Study of Aging Human Development.
2. Chan, K. M., Pang, W. S., Ding, Y. Y., Choo, P.(1999).Functional status of the elderly in Singapore.Singapore Medical Journal,40(10)
3. Collin, C., Wade, D. T., Davies, S., Horne, V.(1988).The Barthel ADL Index: A reliability study.International Disability Studies,10(2)
4. Cress, M. E., Schectman, K. B., Murlrow, C. D., Fiatarone, M. A., Gerety, M. B., Buchner, D. M.(1995).Relationship between physical performance and self-perceived physical function.Journal of the American Geriatrics Society,43(2)
5. Folstein, M. F., Folstein, S. E., McHugh, P. R.(1975).'Mini-Mental State': a practical method for grading the cognitive state of patients for the clinician.Journal of Psychiatry Research,12
6. Granger, C. V., Dewis, L. S., Peters, N. C., Sherwood, C. C., Barrett, J. E.(1979).Stroke rehabilitation: Analysis of repeated Barthel index measures.Archives of Physical Medicine and Rehabilitation,60(1)
7. Hamilton, L., Lyon, P. S.(1995).A nursing-driven program to preserve and restore functional ability in hospitalized elderly patients.Journal of Nursing Administration,25(4)
8. Jette, A., Branch, L.(1981).The Framingham disability study: II. Physical disability among the aging.American Journal of Public Health,71(11)
9. Katz, S., Ford, A. B., Moskowitz, R. W.(1963).Studies of illness in the aged; the index of ADL: A standardized measure of biological and psychological function.Journal of the American Medical Association,185(6)
10. Korner-Bitensky, N., Wood-Dauphinee, S.(1995).Barthel index information elicited over the telephone: Is it reliable?.American Journal of Physical Medicine ＆ Relationships,74(1)
11. Lee, High-Chu B., Chiu, Helen F. K., Kwok, Wing-Yun, Leung, C. M., Kwong, P. K., Chung, D. W. S.(1993).Chinese elderly and the GDS short form: A preliminary study.Clinical Gerontologist,14(1)
12. Mahoney, F. I., Barthel, D. W.(1965).Functional evaluation: The Barthel index.Maryland State Medical Journal,14
13. Moinpour, C. M., McCorkle, R., Saunders, J.(1988).Instruments for Clinical Nursing Research.Norwalk, CT:Appleton ＆ Lange.
14. Shah, S., Vanclay, F., Cooper, B.(1989).Improving the sensitivity of the Barthel index for stroke rehabilitation.Journal of Clinical Epidemiology,42(8)
15. Sheikh, J. A., Yesavage, J. A.(1986).Geriatric Depression Scale (GDS): Recent findings and development of a shorter version.Clinical Gerontologist,5(2)
16. Soderhamn, O., Cliffordson, C.(2001).The structure of self-care in a group of elderly people.Nursing Science Quarterly,14(1)
17. Sveen, U., Bautz-Holter, E., Sodring, K. M., Wyller, T. B., Laake, K.(1999).Association between impairments, self-care ability and social activities 1 year after stroke.Disability and Rehabilitation,21(8)
18. The Elderly Welfare Advance Alliance of Republic of China(2000).Easy-finding for caring and medicare institutions-resources for the disable elderly caring and medicare institutions manual.Taipei:Ministry of Interior Subsidization.
19. Thommessen, B., Bautz-Holter, E., Laake, K.(1999).Predictors of outcome of rehabilitation of elderly stroke patients in a geriatric ward.Clinical Rehabilitation,13(2)
20. 吳麗芬 Wu, Li-Fen(2001)。老年住院手術病人急性混亂發生率及其相關因素研究 Incidence and related factors of acute confusion on post-operative hospitalized elderly patients。榮總護理 VGH Nursing，18(3)
21. 吳麗芬 Wu, Li-Fen(1993).Chicago,University of Illinois.
22. 呂怡靜 Lue, Yi-Jing、 陳順勝 Chen, Shun-Sheng、 鐘育志 Jong, Yuh-Jyh、 林永哲 Lin, Young-Tso(1993)。裘馨型肌肉失養症病患日常生活能力之探討 Investigation of activity of daily living performance in patients with Duchenne muscular dystrophy。高雄醫學科學雜誌 The Kaohsiung Journal of Medical Sciences，9(6)
23. 杜明勳 Tu, Ming-Shium(1996)。南部某榮民安養之家住家榮民健康狀況調查 A survey of the residents' health status at a veteran's home in South Taiwan。中華公共衛生雜誌 Chinese Journal of Public Health，15(1)
24. 郭乃文 Guo, Nai-Wen、 劉秀枝 Liu, Hsiu-Chih、 王珮芳 、 廖光淦 Liao, Kwong-Kum、 甄瑞興 Yan, Sui-Hing、 林恭平 Lin, Kon-Ping、 陳祖裕 Chan, Cho-yu、 徐道昌 Hsu, Tao-Chang(1988)。「簡短式智能評估」之中文施測與常模建立。復健醫學會雜誌 Journal of Rehabilitation Medicine Association，16(1)

1. 吳璨羽(2015)。長期照顧需求與供給分析－以國軍退除役官兵輔導委員會之機構式服務推估。中國統計學報，53(4)，209-225。
2. 楊淑慧,張曼萍,林鉅勝,吳麗芬(2015)。住院老年人心靈安適的相關因素初探。中科大學報，2(1)，117-133。
3. 趙淑員,莊照明,林昭卿,李春國(2008)。長期照護機構住民功能性評估之研究。弘光學報，52，67-79。