The Health Status and Health Promotion Behavior of Low-Income Elderly in the Taipei Area

台北地區低收入老人的健康狀況及其健康促進行為探討

李怡娟(I-Chuan Li)；陳俞琪(Yu-Chi Chen)；郭懷婷(Huai-Ting Kuo)

低收入老人 ； 健康促進 ； low-income elderly ； health promotion

The Journal of Nursing Research

13卷4期（2005 / 12 / 01）

305 - 312

英文

本研究目的為了解台北地區低收入老人的健康狀況及其健康促進行為，利用橫斷面描述性相關研究法收集台北市北投區89位低收入老人，由受過訓練的訪員以結構式問卷，採面對面的訪談方法來收集資料。本研究低收入老人的平均年齡為76.85歲，多為單身(41.6%)且獨居(31.5%)；研究對象之「工具性日常生活活動」較「日常生活活動」的情形為差，且其社會心理健康狀態亦較身體健康狀況更差。此外，老年人最常見的健康促進行為是規律運動，而影響研究對象能否執行健康促進行為的主要因素為「工具性日常生活活動」的狀況，故通常此狀況較差且獨居的老年人，其健康促進行為的表現較少。因此增加健康促進行為的有效方法，包括提供正式人力資源以補強那些因行動不便、或是資源不足而無法自行外出的老人，特別是那些獨居者。

The purpose of this study was to understand health promotion behaviors and their correlated factors among low-income elderly in the Taipei area. This study used a cross-sectional design with a descriptive correlation approach. A total of 89 low-income elderly from Peitou District of Taipei participated in the study. Structured questionnaires, the primary sources of measurement, were read to study subjects by a trained research assistant. The mean age of low-income elderly in the study was 76.85 year-old. A plurality were single (41.6%) and 31.5℃ lived alone. Subject IADLs (instrumental activities of daily living) were not as good as their ADLs (activities of daily living). Their psychosocial health status was worse than their physical health status. Among health promotion behaviors, regular exercise appears to be the most prevalent. The most significant factor among subjects for failing to follow health-promoting behaviors was their IADLs. Homebound elderly who lived alone and had poor IADL were less likely to have health promoting behaviors. A proposal to encourage health promotion behaviors for low-income elderly derived from study results is the initiation of formal personal assistance programs to remedy the inability of many elderly, especially those living alone, to leave the home clue to ADL-related or other limitations.

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