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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 蘇喜 | |
dc.contributor.author | Yi-Jen Li | en |
dc.contributor.author | 李宜蓁 | zh_TW |
dc.date.accessioned | 2021-06-16T23:43:50Z | - |
dc.date.available | 2017-09-17 | |
dc.date.copyright | 2012-09-17 | |
dc.date.issued | 2012 | |
dc.date.submitted | 2012-07-24 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/65451 | - |
dc.description.abstract | 臺灣正經歷人口老化的全球現象,為因應此現象,臺灣正積極發展長期照護產業,而長照相關議題也逐漸被國人重視。長照機構在社會上扮演著協助性的角色,當居家、社區服務不再足夠時,長期照護機構成為避免或延遲失能者入住護理之家的一種選擇。入住長期照顧機構的原因因人而異,在認知狀況正常的情況下,每個人都應有參與自身相關決定的權利。研究者認為除了提供完善的照護及服務外,尊重老年人選擇晚年生活方式的權利、提升老年人生活品質亦為重要的議題。因此本研究除探討人口特性、健康狀態對生活品質的影響外,加入入住因素與機構滿意度兩因子,探討對住民生活品質是否產生影響。
本研究以結構式問卷作為研究工具,包含基本資料、WHOQOL-BREF台灣版及機構滿意度量表,而健康狀態採用機構既有ADL、IADL分數做為資料來源。本研究為橫斷性研究,以結構式問卷作為研究工具,於2012年2~3月期間由研究者親自至採樣機構中進行問卷發放。因台灣之機構式照護住民分類較為模糊,為避免無法正確回答問卷,除了排除失智專區之住民外,透過機構中之社工、護理師等照護人員,排除安、養護、長照區無意識、意識不清、無法清楚以口語交談之住民,排除後符合選樣標準者共129人。因該機構之住民年紀偏高,獲得住民同意參與研究意願後,以面訪或從旁協助填寫問卷的方式進行資料蒐集。資料以Microsoft Excel 2010整理建檔後,以SAS 9.2及SPSS 18.0,應用次數分配、百分比、標準差、T-test、ANOVA、卡方分配、Fisher’s exact test、皮爾森積差相關及複迴歸分析進行統計分析。 本研究共回收100份研究問卷,其中以女性居多,年齡分布以81~80歲者居多,平均年齡為84歲,居住房型則大部分為單人房。安養區住民IADL平均值為11.96分,養護、長照區ADL平均值為60.31分。研究樣本之入住前同住對象大多為子女,其次為配偶,大多數入住原因為養老(退休)生涯規劃,入住主要決策者大多數為自己決定,大多數有參與入住決策。安養區機構滿意度得分平均值為40.10分,養護、長照區得分平均值為35.5分。整體生活品質兩題之平均得分介於3.66~3.98,生理範疇平均得分為15.79,心理範疇平均得分為15.17,社會關係範疇平均得分為15.31,環境範疇平均得分為16.61,生活品質總分平均為108.75分。 本研究結果顯示性別與是否參與入住決策間有顯著相關,女性參與決策高於男性。安養區男女健康狀況有所差異,女性比男性健康。總樣本中,不同的居住房型及不同入住主要因素之機構滿意度有所差異,單人房及雙人房滿意度皆比其他房型之滿意度高,因養老(退休)生涯規劃入住者之機構滿意度高於因專業照護需求考量入住者。而居住房型的不同也會有不同的生活品質,不同入住主要因素也會有不同的生活品質,單人房及雙人房之生活品質皆高於其他房行者,因養老(退休)生涯規劃入住者之生活品質高於因家庭照顧人力考量、專業照護需求考量入住者。入住主要決策者的不同及是否參與入住決策皆會有不同的生活品質,自己為入住主要決策者之生品質高於配偶或子女為主要決策者,而參與入住決策者之生活品質高於未參與者。研究樣本機構滿意度與生活品質總分呈現正相關,安養區亦呈現相同結果,而養護、長照區區住民之年齡與生活品質總分呈現負相關。以強迫進入法進行複迴歸分析,結果顯示長照機構住民生活品質可由居住房型、是否參與入住決策及機構滿意度進行預測,並有約50%的解釋力。 | zh_TW |
dc.description.abstract | Reasons to stay in long-term care facility varies from person to person, and we think everyone who has normal cognitive ability has right to make decision that relevant to themselves. To enhance long-term care residents’ quality of life (QOL), first of all, we should try to find out factors that associated with quality of life. This study is interested in exploring the factors the affect the QOL of those living in the long-term care in Taipei County.
We recruited all residents in the facility except residents who can’t speak clearly , with dementia or unconsciousness. We examined the residents’ QOL by the WHOQOL-BREF Taiwan version , and we recorded residents’ sociodemographic characteristics, health status (ADL, IADL), factors of accommodation, and satisfaction of services. Due to the residents age are higher than the normal. We conduct the data by Microsoft Excel 2010, and we analyzed the data by SAS 9.2 version and IBM SPSS Statistics 19.0 version. There were 100 residents that attend this study, and most of them are female. The average age were 84 and most of them lived in single room. The average IADL scores of retirement home subjects were 11.96, and the average ADL scores of residential care homes and long-term care subjects were 60.31. Most of the object that subjects lived with before accommodation were their children, and most of main reason of accommodation were retirement planning. Most of main decision-maker of accommodation was subjects themselves, and most of subjects attended the decision-making of accommodation. The average satisfaction scores of retirement home, residential care homes and long-term care were 40.10 and 35.5. The average scores of overall quality of life were 3.66~3.98, and the average scores were 15.79 in physical health domain, 15.17 in psychological health domain, 15.31 in social relationships domain, and 16.61 in environmental domain. The average scores of total quality of life were 108.75. We found that sex has correlation on attend the decision-making of accommodation or not, and health status might be influenced by sex in retirement home. Satisfaction of services and Quality of life might be influenced by room types and main reason of accommodation. Quality of life also might be influenced by main decision-maker of accommodation and attend the decision-making of accommodation or not. The results showed that there exists a positive correlation between satisfaction of services and Quality of life, and there exists a negative correlation between residential care homes and long-term care subjects’ age and quality of life. We used multiple entered linear regression analysis to validate the predictors of quality of life that we assumed. The results showed quality of life of long-term care residents could be predicted by room types, attend the decision-making of accommodation or not, and satisfaction of services. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T23:43:50Z (GMT). No. of bitstreams: 1 ntu-101-R99848034-1.pdf: 1679702 bytes, checksum: 561821c9b94c050b1b525ec06063baf2 (MD5) Previous issue date: 2012 | en |
dc.description.tableofcontents | 口試委員審定書 I
誌謝 II 中文摘要 III Abstract V 圖目錄 IX 表目錄 X 第壹章 緒論 - 1 - 第一節 研究背景與動機 - 1 - 第二節 研究的重要性 - 3 - 第三節 研究目的 - 4 - 第貳章 文獻探討 - 5 - 第一節 長期照護機構 - 5 - 第二節 生活品質定義 - 7 - 第三節 生活品質測量 - 9 - 第四節 生活品質影響因素 - 11 - 第五節 世界衛生組織生活品質問卷 - 14 - 第參章 研究方法 - 18 - 第一節 研究架構 - 18 - 第二節 研究假說 - 19 - 第三節 研究工具 - 20 - 第四節 研究變項 - 23 - 第五節 研究對象與資料收集過程 - 27 - 第六節 資料分析方法 - 29 - 第肆章 研究結果 - 31 - 第一節 研究對象描述性分析 - 31 - 第二節 研究對象生活品質 - 46 - 第三節 雙變項分析 - 51 - 第四節 複迴歸分析 - 62 - 第伍章 討論 - 64 - 第一節 研究方法之討論 - 64 - 第二節 研究結果 - 65 - 第陸章 結論與建議 - 74 - 第一節 結論 - 74 - 第二節 建議 - 75 - 第三節 研究限制 - 76 - 參考文獻 - 77 - 附錄一 研究問卷 - 83 - 附錄二 WHOQOL-BREF 台灣簡明版使用授權書 - 89 - | |
dc.language.iso | zh-TW | |
dc.title | 長照機構住民生活品質影響因素探討-以新北市某長照機構為例 | zh_TW |
dc.title | Factors Associated with Quality of Life in Long-term Care Residents: a case study in Taipei County | en |
dc.type | Thesis | |
dc.date.schoolyear | 100-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 黃松共,張永源 | |
dc.subject.keyword | 長期照護,生活品質,健康狀況,機構滿意度,入住決策者,WHOQOL-BREF, | zh_TW |
dc.subject.keyword | quality of life,WHOQOL-BREF,long-term care,satisfaction of services,decision-maker of accommodation, | en |
dc.relation.page | 89 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2012-07-24 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
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ntu-101-1.pdf 目前未授權公開取用 | 1.64 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。