參與社區關懷據點之長者身體活動與生活品質關係之探討

The Relationship between Physical Activity and Quality of Life in Community-Care-Site Older Adults

10.6225/JNHR.09.2.157

高家常(Chia‐Chan Kao)；林沛綺(Pei‐Chi Lin)；黃惠滿(Hui‐Man Huang)；林祐樺(Yu‐Hua Lin)

生活品質 ； 身體活動 ； 社區關懷據點 ； 老人 ； quality of life ； physical activity ； community‐care‐sites ； older adults

護理暨健康照護研究

9卷2期（2013 / 06 / 01）

157 - 167

繁體中文

背景：生活品質已被視為了解老人生活的重要指標。目的：探討參與社區關懷據點之長者其基本屬性、身體活動與生活品質之關係。方法：採橫斷性研究設計、方便取樣方式，選取參與高雄市八個社區照顧關懷據點活動的176位老人為研究對象。結果：（1）老人自覺健康狀況良好者，其從事休閒性、家務性及職能性活動較多、四範疇生活品質滿意程度也較佳；（2）自覺健康狀況、從事職能性、家務性及休閒性活動為生理健康範疇之預測因子，可解釋總變異量31.5%；（3）自覺健康狀況、經濟狀況及從事職能性活動為心理範疇之預測因子，可解釋總變異量19.5%；（4）經濟狀況及自覺健康狀況為社會關係範疇之預測因子，可解釋總變異量7.6%；（5）經濟狀況、自覺健康狀況及從事職能性活動為環境範疇之預測因子，可解釋總變異量26.9%；（6）老人從事職能性活動者對生理健康、心理及環境範疇的滿意程度有負向影響。結論／實務應用：結果顯示從事休閒性與家務性活動有助於參與社區關懷據點老人生活品質之提升，此結果可提供相關單位在安排參與社區關懷據點老人活動之考量。

Background: Quality of life (QOL) is an increasingly important daily life outcome indicator in older adults. Purpose: This study explores the relationships among personal characteristics, physical activity, and QOL in older adult participants in community‐care‐site. Methods: Cross‐sectional correlation design and convenience sampling were used to select 176 older adult participants in community‐care‐site's activities in Kaohsiung city. Results: (1) Older adults with relatively good perceived health status were more likely to participate in recreational, household, and occupational activities and earn higher scores in the four QOL domains. (2) Perceived health status and participation in occupational, household, and recreational activities were physical domain predictors, accounting for 31.5% of total variance. (3) Perceived health status, economic status, and participation in occupational activities were psychological domain predictors, accounting for 19.5% of total variance. (4) Economic status and perceived health status were social‐relationship domain predictors, accounting for 7.6% of total variance. (5) Economic status, perceived health status, and participation in occupational activities were environment domain predictors, accounting for 26.9% of total variance. (6) This study identified a negative correlation between participation in occupational activity and the 3 QOL domains of physical, psychological, and environment. Conclusions / Implications for Practice: Community healthcare clinics should give stronger encouragement to their older adult clients to participate in recreational and household activities as a way to enhance QOL in this population. We suggest that the government sponsor more age‐appropriate activities available to older adults who use community‐based healthcare services.

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