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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳端容(Duan-Rung Chen) | |
| dc.contributor.author | Tsung-Han Lee | en |
| dc.contributor.author | 李宗翰 | zh_TW |
| dc.date.accessioned | 2021-06-15T12:50:17Z | - |
| dc.date.available | 2020-12-31 | |
| dc.date.copyright | 2020-08-26 | |
| dc.date.issued | 2020 | |
| dc.date.submitted | 2020-08-11 | |
| dc.identifier.citation | 1. 臺北市中正區健康服務中心。歷史沿革。取自https://www.zzhc.gov.taipei/cp.aspx?n=FC5EE687DFEA89AD。引用時間2020/07/01。 2. 內政部。內政部統計年報/人口年齡分配。取自https://www.moi.gov.tw/files/site_stuff/321/2/year/year.html。引用時間2020/07/01。 3. 臺北市政府民政局。統計資料/臺北市每年人口數依性別及年齡分(按行政區、里別)。取自https://ca.gov.taipei/News_Content.aspx?n=8693DC9620A1AABF sms=D19E9582624D83CB s=78DC4B104D9D374E。引用時間2020/07/01。 4. 衛生福利部。長期照顧十年計畫2.0（106-115年）。臺北市：衛生福利部。2016。https://1966.gov.tw/LTC/cp-4001-42414-201.html 5. 沙依仁：高齡社會的影響、問題及政策。社區發展季刊 2005;110:56-65。https://www.sfaa.gov.tw/SFAA/Pages/List.aspx?nodeid=166 6. 國家發展委員會。人口推估查詢系統/三階段年齡人口結構。取自https://pop-proj.ndc.gov.tw/chart.aspx?c=18 uid=4112 pid=60。引用時間2020/07/01。 7. 國家發展委員會。全球人口老化之現況與趨勢。取自https://www.ndc.gov.tw/cp.aspx?n=4AE5506551531B06 s=FE1E60C81C6EF92B。引用時間2020/07/01。 8. 陳慶餘召集人：老年人。郭耿南總校閱：2020健康國民白皮書。再版。苗栗縣：國家衛生研究院。2009;220。https://www.mohw.gov.tw/cp-26-36493-1.html 9. 衛生福利部。107年度「預防及延緩失能照護計畫」申請作業須知。臺北市：衛生福利部。2018。 10. 衛生福利部國民健康署。108年度「長者健康管理社區預防及延緩失能服務」計畫申請作業須知。臺北市：衛生福利部國民健康署。2019。 11. Gillespie L D, Robertson M C, Gillespie W J, et al. Interventions for preventing fall in older people living in the community. Cochrane Database Syst Rev 2012;(9): CD007146. https://doi.org/10.1002/14651858.CD007146.pub3 12. Yu P L, Qin Z H, Shi J, et al. Prevalence and related factors of falls among the elderly in an urban community of beijing. Biomed Environ Sci 2009;22(3):179-187. https://doi.org/10.1016/S0895-3988(09)60043-X 13. Xu D, Drew JA. Cause, Nature and Care-Seeking Behaviour for Injuries Among Community-Dwelling Older Adults, USA, 2004-2013. Inj Prev 2016;22(1):46-51. https://doi.org/10.1136/injuryprev-2015-041583 14. Kannus P, Parkkari J, Niemi S, Palvanen M. Fall-induced deaths among elderly people. Am J Public Health 2005;95(3):422-424. https://doi.org/10.2105/AJPH.2004.047779 15. Tinetti M E, Speechley M, Ginter S F. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988;319(26):1701-1707. https://doi.org/10.1056/NEJM198812293192604 16. World Health Organization. WHO global report on falls prevention in older age. 1st ed., France: World Health Organization, 2007;6 17. 張念慈、楊南屏、李建賢、周碧瑟等。單次跌倒與反覆跌倒之盛行率與相關因素探討－以都會區老人為例。台灣衛誌2008;27(4):330-339。http://dx.doi.org/10.6288/TJPH2008-27-04-07 18. American Geriatrics Society, British Geriatrics Society, American Academy of Orthopaedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc 2001;49(5):664-672. https://doi.org/10.1046/j.1532-5415.2001.49115.x 19. Yang N P, Hsu N W, Lin C H, et al. Relationship between muscle strength and fall episodes among the elderly: the Yilan study, Taiwan. BMC Geriatr 2018;18(1):90. https://doi.org/10.1186/s12877-018-0779-2 20. Kojima G. Frailty as a predictor of future falls among community-dwelling older people: a systematic review and meta-analysis. J Am Med Dir Assoc 2015;16(12): 1027-1033. https://doi.org/10.1016/j.jamda.2015.06.018 21. Tinetti M E, Powell L. Fear of falling and low self-efficacy: a case of dependence in elderly persons. J Gerontol 1993;48(special issue):35-38. https://doi.org/10.1093/geronj/48.Special_Issue.35 22. Zijlstra G A R, van Haastregt J C M, van Eijk J Th M, van Rossum E, Stalenhoef P A, Kempen G I J M. Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age Ageing 2007;36(3):304-309. https://doi.org/10.1093/ageing/afm021 23. Liu J Y W. Fear of falling in robust community-dwelling older people: results of a cross-sectional study. J Clin Nurs 2015;24(3-4):393-405. https://doi.org/10.1111/jocn.12613 24. Delbaere K, Crombez G, Vanderstraeten G, Willems T, Cambier D. Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age Ageing 2004;33(4):368-373. https://doi.org/10.1093/ageing/afh106 25. Cumming R G, Salkeld G, Thomas M, Szonyi G. Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. J Gerontol A Biol Sci Med Sci 2000;55(5):299-305. https://doi.org/10.1093/gerona/55.5.M299 26. Howland J, Peterson E W, Levin W C, Fried L, Pordon D, Bak S. Fear of falling among the community-dwelling elderly. J Aging Health 1993;5(2):229-243. https://doi.org/10.1177/089826439300500205 27. Scheffer A C, Schuurmans M J, van Dijk N, van der Hooft T, de Rooij S E. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing 2008;37(1):19-24. https://doi.org/10.1093/ageing/afm169 28. Gagnon N, Flint A J, Naglie G, Devins G M. Affective correlates of fear of falling in elderly persons. Am J Geriatr Psychiatry 2005;13(1):7-14. https://doi.org/10.1176/appi.ajgp.13.1.7 29. Arfken C L, Lach H W, Birge S J, Miller J P. The prevalence and correlates of fear of falling in elderly persons living in the community. Am J Public Health 1994;84(4):565-570. https://doi.org/10.2105/ajph.84.4.565 30. Fried L P, Tangen C M, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56(3):146-156. https://doi.org/10.1093/gerona/56.3.m146 31. Clegg A, Young J, Iliffe S, Rikkert M O, Rockwood K. Frailty in elderly people. Lancet 2013;381(9868):752-762. https://doi.org/10.1016/S0140-6736(12)62167-9 32. Dent E, Kowal P, Hoogendijk E O. Frailty measurement in research and clinical practice: A review. Eur J Intern Med 2016;31:3-10. http://dx.doi.org/10.1016/j.ejim.2016.03.007 33. Mitnitski A B, Mogilner A J, Rockwood K. Accumulation of deficits as a proxy measure of aging. ScientificWorldJournal 2001;1:323-336. http://dx.doi.org/10.1100/tsw.2001.58 34. Rockwood K, Mitnitski A. Limits to deficit accumulation in elderly people. Mechanisms of Ageing and Development,2006;127(5):494-496. https://doi.org/10.1016/j.mad.2006.01.002 35. Ensrud K E, Ewing S K, Taylor B C, et al. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Arch Intern Med 2008;168(4):382-389. https://doi.org/10.1001/archinternmed.2007.113 36. Collard R M, Boter H, Schoevers R A, Voshaar R C O. Prevalence of frailty in community-dwelling older persons: A systematic review. J Am Geriatr Soc 2012;60(8):1487-1492. https://doi.org/10.1111/j.1532-5415.2012.04054.x 37. Gobbens R J, Luijkx K G, Wijnen-Sponselee M T, Schols J M G A. In search of an integral conceptual definition of frailty: opinions of experts. J Am Med Dir Assoc 2010;11(5):338-343. https://doi.org/10.1016/j.jamda.2009.09.015 38. Gobbens R J, Luijkx K G, Wijnen-Sponselee M T, Schols J M G A. Towards an integral conceptual model of frailty. J Nutr Health Aging 2010;14(3):175-181. https://doi.org/10.1007/s12603-010-0045-6 39. Gobbens R J, van Assen M A L M, Luijkx K G, Wijnen-Sponselee M T, Schols J M G A. Determinants of frailty. J Am Med Dir Assoc 2010;11(5):356-364. https://doi.org/10.1016/j.jamda.2009.11.008 40. Mulasso A, Mulasso M, Gobbens R J, Rabaglietti E. Mobility, balance and frailty in community‐dwelling older adults: What is the best 1‐year predictor of falls? Geriatr Gerontol Int 2017;17(10):1463-1469. https://doi.org/10.1111/ggi.12893 41. Makizako H, Shimada H, Tsutsumimoto K et al. Social Frailty in Community-Dwelling Older Adults as a Risk Factor for Disability. J Am Med Dir Assoc 2015;16(11):1003.e7-11. https://doi.org/10.1016/j.jamda.2015.08.023 42. Ma L, Sun F, Tang Z. Social frailty is associated with physical functioning, cognition, and depression, and predicts mortality. J Nutr Health Aging 2018;22(8):989-995. https://doi.org/10.1007/s12603-018-1054-0 43. Makizako H, Shimada H, Doi T et al. Social frailty leads to the development of physical frailty among physically non-frail adults: a four-year follow-up longitudinal cohort study. Int J Environ Res Public Health 2018;15(3):490. https://doi.org/10.3390/ijerph15030490 44. Kempen G I J M, Yardley L, van Haastregt J C M et al. The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. Age Ageing 2008;37(1):45-50. https://doi:10.1093/ageing/afm157 45. Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing 2005;34(6):614-619. https://doi.org/10.1093/ageing/afi196 46. Marques-Vieira C M A, Sousa L M M, Severino S, Sousa L, Caldeira S. Cross-cultural validation of the falls efficacy scale international in elderly: Systematic literature review. Journal of Clinical Gerontology Geriatrics 2016;7(3):72-76. https://doi.org/10.1016/j.jcgg.2015.12.002 47. Delbaere K, Close J C T, Mikolaizak A S, Sachdev P S, Brodaty H, Lord S R. The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study. Age Ageing 2010;39(2):210-216. https://doi:10.1093/ageing/afp225 48. Kamide N, Shiba Y, Sakamoto M, Sato H. Reliability and validity of the Short Falls Efficacy Scale-International for Japanese older people. Aging Clinical and Experimental Research 2018;30:1371-1377. https://doi.org/10.1007/s40520-018-0940-y 49. Kwan M M S, Tsang W W N, Close J C T, Lord S R. Development and validation of a Chinese version of the Falls Efficacy Scale International. Arch Gerontol Geriatr 2013;56(1):169-174. http://dx.doi.org/10.1016/j.archger.2012.10.007 50. 胡倍瑜、游曉微、邱慈穎、林莉玲、陳端容、陳雅美：衰弱量表的效度驗證—一般社區長者以及獨居長者的應用。台灣衛誌2019;38(6):648-659。http://dx.doi.org/10.6288/TJPH.201912_38(6).108093 51. Chen LK, Liu LK, Woo J et al. Sarcopenia in Asia: Consensus report of the Asian working group for sarcopenia. J Am Med Dir Assoc 2014:15(2):95-101. https://doi.org/10.1016/j.jamda.2013.11.025 52. World Health Organization. Body mass index – BMI. Available at: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. Accessed July 1, 2020. 53. Stevens J A, Ballesteros M F, Mack K A, Rudd R A, DeCaro E, Adler G. Gender differences in seeking care for falls in the aged Medicare population. Am J Prev Med 2012;43(1):59-62. http://dx.doi.org/10.1016/j.amepre.2012.03.008 54. Bonguea B, Dupre C, Beauchet Olivier, Rossat A, Fantino B, Colvez A. A screening tool with five risk factors was developed for fall-risk prediction in community-dwelling elderly. J Clin Epidemiol 2011;64(10):1152-1160. https://doi.org/10.1016/j.jclinepi.2010.12.014 55. Gale C R, Cooper C, Sayer A A. Prevalence and risk factors for falls in older men and women: The English Longitudinal Study of Ageing. Age Ageing 2016;45(6):789-794. https://doi.org/10.1093/ageing/afw129 56. Reyes-Ortiz C A, Al Snih S, Markides K S. Falls among elderly persons in Latin America and the Caribbean and among elderly Mexican-Americans. Revista Panamericana de Salud Pública 2005;17(5/6):362–369. https://doi.org/10.1590/S1020-49892005000500008 57. Milat A J, Watson W L, Monger C, Barr M, Giffin M, Reid M. Prevalence, circumstances and consequences of falls among community-dwelling older people: results of the 2009 NSW Falls Prevention Baseline Survey. N S W Public Health Bull 2011;22(3-4):43-48. https://doi.org/10.1071/NB10065 58. Kalula S Z, Ferreira M, Swingler G, Badri M, Sayer A A. Prevalence of Falls in an Urban Community-Dwelling Older Population of Cape Town, South Africa. J Nutr Health Aging 2015;19(10):1024-1031. https://doi.org/10.1007/s12603-015-0664-z 59. Hamed A F, Mohammed N A, Aly H Y. Elderly Falls Prevalence and Associated Factors in Sohag Governorate. The Egyptian Journal of Community Medicine 2017;35(4):1-13. https://doi.org/10.21608/EJCM.2017.5036 60. Orces C H. Prevalence and Determinants of Falls among Older Adults in Ecuador: An Analysis of the SABE I Survey. Curr Gerontol Geriatr Res 2013;2013:495468. http://dx.doi.org/10.1155/2013/495468 61. Wu H, Ouyang P. Fall Prevalence, Time Trend and Its Related Risk Factors Among Elderly People in China. Arch Gerontol Geriatr 2017;73:294-299. https://doi.org/10.1016/j.archger.2017.08.009 62. Park H, Jang I Y, Lee H Y, Jung H W, Lee E, Kim D H. Screening value of social frailty and its association with physical frailty and disability in community-dwelling older Koreans: aging study of PyeongChang rural area. Int J Environ Res Public Health 2019;16(16):2809. https://doi.org/10.3390/ijerph16162809 63. Yamada M, Nishiguchi S, Fukutani N et al. Prevalence of Sarcopenia in Community-Dwelling Japanese Older Adults. J Am Med Dir Assoc 2013;14(12):911-915. https://doi.org/10.1016/j.jamda.2013.08.015 64. Pitchai P, Dedhia H B, Bhandari N, Krishnan D, D'Souza N R J, Bellara J M. Prevalence, risk factors, circumstances for falls and level of functional independence among geriatric population - A descriptive study. Indian Journal Public Health 2019;63(1):21-26. https://doi.org/10.4103/ijph.IJPH_332_17 65. Figueiredo D, Santosc S. Cross-cultural validation of the Falls Efficacy Scale-International (FES-I) in Portuguese community-dwelling older adults. Arch Gerontol Geriatr 2017;68:168-173. http://dx.doi.org/10.1016/j.archger.2016.10.010 66. Hauer K H, Kempen G I J M, Schwenk M et al. Validity and sensitivity to change of the falls efficacy scales international to assess fear of falling in older adults with and without cognitive impairment. Gerontology 2011;57(5):462-472. https://doi.org/10.1159/000320054 67. Ruggiero C, Mariani T, Gugliotta R et al. Validation of the Italian Version of the Falls Efficacy Scale International (FES-I) and the Short FES-I in Community-Dwelling Older Persons. Arch Gerontol Geriatr 2009;49 Suppl 1:211-219. https://doi.org/10.1016/j.archger.2009.09.031 68. Santos-Eggimann B, Cuenoud P, Spagnoli J, Junod J. Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries. J Gerontol A Biol Sci Med Sci 2009;64(6):675-681. https://doi.org/10.1093/gerona/glp012 69. Alvarado B E, Zunzunegui M V, Béland F, Bamvita J M. Life course social and health conditions linked to frailty in Latin American older men and women. J Gerontol A Biol Sci Med Sci 2008;63(12):1399-1406. https://doi.org/10.1093/gerona/63.12.1399 70. Makizako H, Shimada H, Doi T, Tsutsumimoto K, Suzuki T. Impact of physical frailty on disability in community-dwelling older adults: a prospective cohort study. BMJ Open 2015;5(9):e008462. https://doi.org/10.1136/bmjopen-2015-008462 71. Bilotta C, Nicolini P, Case` A, Pina G, Rossi S, Vergani C. Frailty syndrome diagnosed according to the Study of Osteoporotic Fractures (SOF) criteria and adverse health outcomes among community-dwelling older outpatients in Italy. A one-year prospective cohort study. Arch Gerontol Geriatr 2012; 54(2):e23-e28. http://dx.doi.org/10.1016/j.archger.2011.06.037 72. 吳佩穎、侯孟次、張嘉凌等。南臺灣我國偏遠地區老年男性衰弱盛行率及相關危險因子。台灣老誌2011;6(3):161-175 73. Chen C Y, Wu S C, Chen L J, Lue B H. The prevalence of subjective frailty and factors associated with frailty in Taiwan. Arch Gerontol Geriatr 2010;50 Suppl 1:S43-S47. https://doi.org/10.1016/S0167-4943(10)70012-1 74. Hannie C. Psychological frailty. The Netherlands Institute for Social Research. Frail older persons in the Netherlands. 1st ed., Hague: The Netherlands Institute for Social Research, 2011;106-107. 75. Teo N, Gao Q, Nyunt M S Z, Wee S L, Ng T P. Social frailty and functional disability: findings from the Singapore Longitudinal Ageing Studies. J Am Med Dir Assoc 2017;18(7):637.e13-637.e19. https://doi.org/10.1016/j.jamda.2017.04.015 76. Yamada M, Arai H. Social frailty predicts incident disability and mortality among community-dwelling Japanese older adults. J Am Med Dir Assoc 2018;19(12):1099-1103. https://doi.org/10.1016/j.jamda.2018.09.013 77. Daly R M, Rosengren B E, Alwis G, Ahlborg H G, Sernbo I, Karlsson M K. Gender specific age-related changes in bone density, muscle strength and functional performance in the elderly: a-10 year prospective population-based study. BMC Geriatr 2013;13:71. https://doi.org/10.1186/1471-2318-13-71 78. Gobbens R J J, Krans A, van Assen M A L M. Validation of an integral conceptual model of frailty in older residents of assisted living facilities. Arch Gerontol Geriatr 2015;61(3):400-410. https://doi.org/10.1016/j.archger.2015.06.001 79. Margetts B M, Thompson R L, Elia M, Jackson A A. Prevalence of risk of undernutrition is associated with poor health status in older people in the UK. Eur J Clin Nutr 2003;57:69-74. https://doi.org/10.1038/sj.ejcn.1601499 80. Ercan S, Baskurt Z, Baskurt F, Cetin C. Balance disorder, falling risks and fear of falling in obese individuals: cross-sectional clinical research in Isparta. J Pak Med Assoc 2020;70(1):17-23. https://doi.org/10.5455/JPMA.293668 81. Neri S G R, Gadelha A B, Correia A L M, Pereira J C, Safons M P, Lima R M. Association between obesity, risk of falls and fear of falling in older women. Rev Bras Cineantropom Hum 2017;19(4):450-458. http://dx.doi.org/10.5007/1980-0037.2017v19n4p450 82. Payette MC, Bélanger C, Léveillé V, Grenier S. Fall-related psychological concerns and anxiety among community-dwelling older adults: systematic review and meta-analysis. PLoS One 2016;11(4):e0152848. https://doi.org/10.1371/journal.pone.0152848 83. Rockwood K. What would make a definition of frailty successful? Age Ageing 2005;34(5):432-434. https://doi:10.1093/ageing/afi146 84. 廖以誠、葉宗烈、楊延光等人：台灣老年憂鬱量表之編製與信、效度研究。台灣精神醫學2004;18(1):30-40。 85. Lung F W, Lee M B. The five-item Brief-Symptom Rating Scale as a suicide ideation screening instrument for psychiatric inpatients and community residents. BMC Psychiatry 2008;8:53. https://doi.org/10.1186/1471-244X-8-53 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/50642 | - |
| dc.description.abstract | 導論：本研究將衰弱的定義從傳統的身體層面，擴大到涵蓋身體、心理與社會層面，並加以闡明長者衰弱與跌倒及恐懼跌倒的關係。方法：本研究為橫斷研究採方便取樣收案，研究對象為居住或生活於臺北市中正區65歲以上長者(N= 693)，以迴歸分析控制相關變項後，探討跌倒及恐懼跌倒與衰弱的關係。結果：心理及社會衰弱期與跌倒顯著相關，而身體衰弱期僅在未控制心理及社會衰弱變項下，才與跌倒顯著相關。另各衰弱前期中，僅心理衰弱前期與恐懼跌倒顯著相關，而各衰弱期(身體、心理及社會)皆與恐懼跌倒顯著相關。討論：心理或社會衰弱者，即使無身體衰弱狀況，仍需針對其心理或社會衰弱情形進行介入，以降低跌倒發生的機率，又身體衰弱者除可進行體能訓練介入外，也可藉由改善心理及社會衰弱情形，來預防跌倒。另心理衰弱者需從衰弱前期即進行恐懼跌倒防治。本研究指出心理及社會衰弱與身體衰弱不同，評估時須各別考慮身體、心理與社會衰弱情形，以全面檢視長者衰弱狀況。 | zh_TW |
| dc.description.abstract | Background: This study expanded the definition of frailty from the traditional physical aspect to cover physical, psychological, and social aspects, and attempted to clarify the relationships between frailties and falling and fear of falling in the elderly. Method: It was a cross-sectional study with convenience sampling. The subjects of the study were the elderly over 65 years old (N=693) who resided in Zhongzheng District, Taipei City, Taiwan. After controlling for the related variables by the regression analysis, we explored the relationships between frailties (physical, psychological, and social aspects) and falling and fear of falling. Results: Psychological and social frailties were significantly associated with falls, while physical frailty were only significantly associated with falls when psychological and social frailty variables left uncontrolled. In pre-frailty, only the psychological pre-frailty was significantly associated with fear of falling, while each aspects of frailty (physical, psychological and social) was significantly associated with fear of falling. Conclusion: People who are in the state of psychological or social frailty, even if they are not physically frail, still need to receive the interventions for improving psychological or social frailty to reduce the probability of falling. In addition to the physical training interventions, the elderly with physical frailty can also prevent falls by improving their psychological or social frailty status. Moreover, people with psychological frailty need to prevent fear of falls as early as in the pre-frailty stage. This study indicated that psychological and social frailties were different from physical frailty, and physical, psychological and social frailties must be considered separately in the assessment of frailty in order to evaluate the health status of the elderly comprehensively. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T12:50:17Z (GMT). No. of bitstreams: 1 U0001-1108202008172200.pdf: 2052478 bytes, checksum: d52b7636d7be21b908aee4315b18740c (MD5) Previous issue date: 2020 | en |
| dc.description.tableofcontents | 論文口試委員審定書……………………………………………………………………………………………………………………………………P1 謝辭………………………………………………………………………………………………………………………………………………………………………P2 中文摘要及關鍵字…………………………………………………………………………………………………………………………………………P3 英文摘要及關鍵字…………………………………………………………………………………………………………………………………………P4 目錄………………………………………………………………………………………………………………………………………………………………………P5 圖目錄…………………………………………………………………………………………………………………………………………………………………P7 表目錄…………………………………………………………………………………………………………………………………………………………………P8 第一章、導論 第一節、 實習單位特色與簡介…………………………………………………………………………………………P9 第二節、 臺北市中正區人口特性……………………………………………………………………………………P10 第三節、 問題緣起…………………………………………………………………………………………………………………P11 第四節、 文獻回顧…………………………………………………………………………………………………………………P13 第五節、 研究目的與假設…………………………………………………………………………………………………P18 第二章、方法 第一節、 研究對象與問卷設計…………………………………………………………………………………………P19 第二節、 過去3個月內跌倒經驗量測……………………………………………………………………………P20 第三節、 恐懼跌倒量測………………………………………………………………………………………………………P21 第四節、 衰弱變項量測……………………………………………………………………………………………………P21 第五節、 基本資料變項量測……………………………………………………………………………………………P23 第六節、 統計方法………………………………………………………………………………………………………………P24 第三章、結果 第一節、 變項描述性統計…………………………………………………………………………………………………P25 第二節、 過去3個月內跌倒經驗與各自變項之單變項分析…………………………………P28 第三節、 恐懼跌倒分數與各自變項之單變項分析…………………………………………………P30 第四節、 衰弱與過去3個月內跌倒經驗及恐懼跌倒分數之關係………………………P32 第五節、 過去3個月內跌倒經驗與各自變項之回歸分析……………………………………P34 第六節、 恐懼跌倒分數與各自變項之回歸分析………………………………………………………P37 第四章、討論 第一節、 過去3個月內跌倒經驗比例……………………………………………………………………………P40 第二節、 恐懼跌倒平均分數……………………………………………………………………………………………P40 第三節、 衰弱比例………………………………………………………………………………………………………………P41 第四節、 過去3個月內跌倒經驗與各自變項之關係………………………………………………P42 第五節、 恐懼跌倒分數與各自變項之關係………………………………………………………………P44 第六節、 各衰弱層面預防跌倒介入的重點方向……………………………………………………P46 第七節、 結論與建議…………………………………………………………………………………………………………P47 參考文獻……………………………………………………………………………………………………………………………………………………………P50 附錄……………………………………………………………………………………………………………………………………………………………………P61 | |
| dc.language.iso | zh-TW | |
| dc.subject | 心理衰弱 | zh_TW |
| dc.subject | 恐懼跌倒 | zh_TW |
| dc.subject | 跌倒 | zh_TW |
| dc.subject | 社會衰弱 | zh_TW |
| dc.subject | 身體衰弱 | zh_TW |
| dc.subject | Social frailty | en |
| dc.subject | Social frailty | en |
| dc.subject | Psychological frailty | en |
| dc.subject | Fear of fall | en |
| dc.subject | Physical frailty | en |
| dc.subject | Fear of fall | en |
| dc.subject | Fall | en |
| dc.subject | Physical frailty | en |
| dc.subject | Psychological frailty | en |
| dc.subject | Fall | en |
| dc.title | 社區長者身、心、社會衰弱指標與跌倒及恐懼跌倒關係 | zh_TW |
| dc.title | A Study on the Relationships of Physical, Psychological and Social Frailties with Fall Experience and Fear of Fall Among Community-Dwelling Older Adults | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 108-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陳雅美(Ya-Mei Chen),張惠美(Hui-Mei Chang) | |
| dc.subject.keyword | 跌倒,恐懼跌倒,身體衰弱,心理衰弱,社會衰弱, | zh_TW |
| dc.subject.keyword | Fall,Fear of fall,Physical frailty,Psychological frailty,Social frailty, | en |
| dc.relation.page | 65 | |
| dc.identifier.doi | 10.6342/NTU202002894 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2020-08-13 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 公共衛生碩士學位學程 | zh_TW |
| 顯示於系所單位： | 公共衛生碩士學位學程 | |
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