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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳秀熙(Hsiu-Hsi Chen),陳雅美(Ya-Mei Chen) | |
| dc.contributor.author | Yu-Chun Wang | en |
| dc.contributor.author | 王瑜鈞 | zh_TW |
| dc.date.accessioned | 2022-11-24T03:10:07Z | - |
| dc.date.available | 2021-11-03 | |
| dc.date.available | 2022-11-24T03:10:07Z | - |
| dc.date.copyright | 2021-11-03 | |
| dc.date.issued | 2021 | |
| dc.date.submitted | 2021-10-25 | |
| dc.identifier.citation | Barcelos-Ferreira R, Nakano EY, Steffens DC, Bottino CM. Quality of life and physical activity associated to lower prevalence of depression in community-dwelling elderly subjects from Sao Paulo. J Affect Disord. 2013;150(2):616-622. doi:10.1016/j.jad.2013.02.024 Bhattarai N, Charlton J, Rudisill C, Gulliford M. Prevalence of depression and utilization of health care in single and multiple morbidity: a population-based cohort study. Psychol. Med. 2013;(43):1423-1431 Cao W, Guo C, Ping W, Tan Z, Guo Y, Zheng J. A Community-Based Study of Quality of Life and Depression among Older Adults. Int J Environ Res Public Health. 2016;13(7):693. Published 2016 Jul 9. doi:10.3390/ijerph13070693 Chang CK, Hayes RD, Broadbent M, Fernandes AC, Lee W, Hotopf M, Stewart R. All-cause mortality among people with serious mental illness (SMI), substance use disorders, and depressive disorders in southeast London: a cohort study. BMC Psychiatry 2010;10 Cheung G, Chai Y, Troya MI, Luo H. Predictive factors of nonfatal self-harm among community-dwelling older adults assessed for support services. Int Psychogeriatr. 2020 Dec 18:1-14. doi: 10.1017/S1041610220003853. Epub ahead of print. PMID: 33336632. Cho SM, Saw YM, Saw TN, et al. Prevalence and risk factors of anxiety and depression among the community-dwelling elderly in Nay Pyi Taw Union Territory, Myanmar. Sci Rep. 2021;11(1):9763. Published 2021 May 7. doi:10.1038/s41598-021-88621-w Chu W, Chang SF, Ho HY, Lin HC. The Relationship Between Depression and Frailty in Community-Dwelling Older People: A Systematic Review and Meta-Analysis of 84,351 Older Adults. J Nurs Scholarsh. 2019;51(5):547-559. doi:10.1111/jnu.12501 de Lima Silva V, de Medeiros CACX, Guerra GCB, et al. Quality of Life, Integrative Community Therapy, Family Support, and Satisfaction with Health Services Among Elderly Adults with and without Symptoms of Depression. Psychiatr Q. 2017;88(2):359-369. doi:10.1007/s11126-016-9453-z Demura S, Sato S. Relationships between depression, lifestyle and quality of life in the community dwelling elderly: a comparison between gender and age groups. J Physiol Anthropol Appl Human Sci. 2003;22(3):159-166. doi:10.2114/jpa.22.159 de Oliveira LDSSCB, Souza EC, Rodrigues RAS, Fett CA, Piva AB. The effects of physical activity on anxiety, depression, and quality of life in elderly people living in the community. Trends Psychiatry Psychother. 2019;41(1):36-42. doi:10.1590/2237-6089-2017-0129 Erlangsen A, Banks E, Joshy G, et al. Physical, mental, and social wellbeing and their association with death by suicide and self-harm in older adults: a community-based cohort study. Int J Geriatr Psychiatry. 2021;36(5):647-656. doi:10.1002/gps.5463 Geerlings SW, Beekman ATF, Deeg DJH, Tilburg WV. Physical health and the onset and persistence of depression in older adults: an eight-wave prospective community-based study. Psychological Medicine 2020;(30): 369–380. Ghiga I, Pitchforth E, Lepetit L, Miani C, Ali GC, Meads C. The effectiveness of community-based social innovations for healthy ageing in middle- and high-income countries: a systematic review. J Health Serv Res Policy. 2020 Jul;25(3):202-210. doi: 10.1177/1355819619888244. Epub 2020 Apr 6. PMID: 32252559; PMCID: PMC7307416. Hsu NW, Tsao HM, Chen HC, Chou P. Anxiety and depression mediate the health-related quality of life differently in patients with cardiovascular disease and stroke-preliminary report of the Yilan study: a population-based community health survey. PLoS One. 2014;9(9):e107609. Published 2014 Sep 16. doi:10.1371/journal.pone.0107609 Hughes CC, Kneebone II, Jones F, Brady B. A theoretical and empirical review of psychological factors associated with falls-related psychological concerns in community-dwelling older people. Int Psychogeriatr. 2015 Jul;27(7):1071-87. doi: 10.1017/S1041610214002701. Epub 2015 Jan 30. PMID: 25633917. Jennifer R. Reada, Louise Sharpea, Matthew Modinia, Blake F. Dearb (2017). Multimorbidity and depression: A systematic review and meta-analysis. Journal of Affective Disorders (221): 36-46. Jeong EH, Park JH. The Relationship Among Leisure Activities, Depression and Quality of Life in Community-Dwelling Elderly Koreans. Gerontol Geriatr Med. 2020;6:2333721420923449. Published 2020 Jun 8. doi:10.1177/2333721420923449 Kong LN, Hu P, Yao Y, Zhao QH. Social support as a mediator between depression and quality of life in Chinese community-dwelling older adults with chronic disease. Geriatr Nurs. 2019;40(3):252-256. doi:10.1016/j.gerinurse.2018.10.014 Oyama H, Sakashita T, Ono Y, Goto M, Fujita M, Koida J. Effect of community-based intervention using depression screening on elderly suicide risk: a meta-analysis of the evidence from Japan. Community Ment Health J. 2008 Oct;44(5):311-20. doi: 10.1007/s10597-008-9132-0. Epub 2008 Mar 25. PMID: 18363103. 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. Published 2016 Apr 4. doi:10.1371/journal.pone.0152848 Russell D, Turner RJ, Joiner TE. Physical disability and suicidal ideation: a community-based study of risk/protective factors for suicidal thoughts. Suicide Life Threat Behav. 2009;39(4):440-451. doi:10.1521/suli.2009.39.4.440 Sakashita T, Oyama H. Overview of community-based studies of depression screening interventions among the elderly population in Japan. Aging Ment Health. 2016;20(2):231-9. doi: 10.1080/13607863.2015.1068740. Epub 2015 Jul 30. PMID: 26226514. Tengku Mohd TAM, Yunus RM, Hairi F, Hairi NN, Choo WY. Social support and depression among community dwelling older adults in Asia: a systematic review. BMJ Open. 2019 Jul 17;9(7):e026667. doi: 10.1136/bmjopen-2018-026667. PMID: 31320348; PMCID: PMC6661578. Wada T, Ishine M, Sakagami T, et al. Depression, activities of daily living, and quality of life of community-dwelling elderly in three Asian countries: Indonesia, Vietnam, and Japan. Arch Gerontol Geriatr. 2005;41(3):271-280. doi:10.1016/j.archger.2005.03.003 Wang L, Shen X, Wu Y, Zhang D. Coffee and caffeine consumption and depression: A meta-analysis of observational studies. Aust N Z J Psychiatry. 2016 Mar;50(3):228-42. Yoon S, Cummings S. Factors Protecting against Suicidal Ideation in South Korean Community-Dwelling Older Adults: A Systematic Literature Review. J Gerontol Soc Work. 2019;62(3):279-305. doi:10.1080/01634372.2018.1557310 Zis P, Daskalaki A, Bountouni I, Sykioti P, Varrassi G. Depression and chronic pain in the elderly: links and management challenges. Clinical Interventions in Aging 2017; (12):709–720. 鄭偉伸、黃宗正、李明濱、廖士程 (2016)，高齡者憂鬱症與自殺防治。臺灣老年醫學暨老年學雜誌11(1)：16-30。 衛生福利部國民健康署104年中老年身心社會生活狀況長期追蹤調查成果報告 (2018)。衛生福利部國民健康署。臺灣老人研究叢刊系列十三：43-44。 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/80589 | - |
| dc.description.abstract | "研究背景 隨著高齡人口逐年攀升，而高齡者自殺死亡率又是全年齡層之冠，因此針對65歲以上高齡族群之憂鬱篩檢及關懷訪視乃為高齡者自殺防治之手段之一，再者，高齡者自殺傾向除了憂鬱之外，尚可能合併其他生理問題，進而影響自身情緒，因此本研究藉由彰化縣衛生局的主動到點高齡者整合式健康檢查，推估社區長者以PHQ-9問卷所定義的中憂鬱傾向及高憂鬱傾族群的盛行率，並與SF-8生活品質量表進行關聯分析，探討兩者之間的關係，及其與生活習慣、個人病史、跌倒史及認知功能之相關。 材料與方法 本研究為橫斷性研究，以彰化縣結合長照C據點，於108年底開始推動辦理的「高齡者整合式健康檢查」為基礎，針對65歲以上長者提供主動到點的健康檢查，篩檢項目包含憂鬱(Depression)、失智(Dementia)、失能(Disability)及骨密度雙能量X光吸收儀(Dual-energy X-ray Absorptiometry, DXA)檢查，簡稱為「4D健檢」。利用結構式問卷進行變項收集，包括病人健康狀況量表(PHQ-9)、生活品質量表(SF-8)、人口學變項、生活習慣、跌倒狀況、個人病史及認知功能等。本研究先以PHQ-9分數將長者憂鬱傾向分為低(分數介於0-2分)、中(分數介於3-9分)及高憂鬱傾向(分數為10分以上或具死亡念頭)三類，分別以多元羅吉斯迴歸分析(Polytomous logistic regression)及比例風險模式(Proportional Odds Model)探討各因子與憂鬱傾向之相關。 結果 本研究共納入2,861位長者，其中PHQ-9分數介於0-2分的佔72.1% (n=2063)、介於3-9分者佔23.8% (n=682)，而PHQ-9分數在10分以上或者有死亡念頭的長者—亦即憂鬱傾向較高者佔約4% (n=116)。在基本人口學變項、生活習慣、個人跌倒史與病史及認知功能置入多元羅吉斯迴歸模式後加入生活品質變項，結果發現人口學變項中的年齡每增加一歲，其中憂鬱傾向勝算比會增加至3% (95%信賴區間：1-5%)、高傾向的勝算比則增高1% (aOR=1.01，95%信賴區間：0.97-1.06)，抽菸、喝酒、喝咖啡及運動習慣的顯著性則被其他因子解釋後不再具顯著意義，擔心跌倒程度較高者會增加憂鬱傾向的風險且具統計顯著性(中傾向aOR=1.47，95%信賴區間：1.18-1.83；高傾向aOR=1.39，95%信賴區間：0.75-2.59)，慢性病也會會增加憂鬱傾向的風險(中傾向aOR=1.56，95%信賴區間：0.97-2.52；高傾向aOR=5.08，95%信賴區間：1.98-13.00)，認知功能差者有較高的憂鬱傾向(中傾向aOR=2.62，95%信賴區間：1.84-3.73；高傾向aOR=7.07，95%信賴區間：3.81-13.10)，而生活品質量表中的整體快樂程度、自許健康狀況、自許健康限制活動力、情緒問題、自許健康限制社交活動及情緒限制社交等單一題目同樣具顯著影響力，此外，SF-8總分亦仍然顯著影響PHQ-9的健康狀況分類(每增加一分，中傾向aOR=1.19，95%信賴區間：1.16-1.22；高傾向aOR=1.40，95%信賴區間：1.33-1.47)。比例風險模式亦呈現相似的結果，顯示利用PHQ-9分數所定義出的低、中、高憂鬱傾向具有等比例風險的性質。 結論 本研究利用社區主動到點篩檢進行長者關懷與憂鬱篩檢，結果發現生活品質與憂鬱傾向息息相關，而在考慮生活品質之下，個案本身的慢性疾病史、擔心跌倒程度、認知功能及年齡仍為獨立危險因子。而利用PHQ-9分數所定義出的低、中、高憂鬱傾向在本研究中具有等比例風險的性質，顯示長者憂鬱程度可能是循序漸進，因此主動及早期的偵測與關懷可做為高齡者自殺防治策略。" | zh_TW |
| dc.description.provenance | Made available in DSpace on 2022-11-24T03:10:07Z (GMT). No. of bitstreams: 1 U0001-2310202122382300.pdf: 1369151 bytes, checksum: c26d2bb18619c5dbe74e6bfe8c29bc3f (MD5) Previous issue date: 2021 | en |
| dc.description.tableofcontents | 口試委員審定書 i 謝辭 ii 中文摘要 iii Abstract v 第一章 緒論 1 第一節 前言 1 第二節 實習單位簡介 1 第三節 文獻探討 6 (一) 台灣中老年人憂鬱盛行率 6 (二) 憂鬱症與疾病、慢性疼痛 6 (三) 焦慮症和憂鬱症影響老年人的生活品質 8 (四) 焦慮症和憂鬱症與自殺之相關 10 (五) 病患健康問卷(PHQ-9) 10 (六) 生活品質量表-8 (SF-8) 11 第四節 研究動機與目的 12 第二章 材料與方法 13 第一節 資料來源 13 第二節 變項收集與量測 13 第三節 統計分析 14 第三章 結果 16 第一節 描述性統計分析 16 第二節 影響不同憂鬱危險傾向類別的相關因子 24 第三節 影響不同憂鬱危險傾向相關因子的比例風險 39 第四章 討論與結論 53 第五章 建議 55 第六章 參考文獻 58 附錄 61 彰化縣衛生局高齡者整合式健檢問卷 61 | |
| dc.language.iso | zh-TW | |
| dc.subject | 自殺 | zh_TW |
| dc.subject | 社區 | zh_TW |
| dc.subject | 高齡 | zh_TW |
| dc.subject | 憂鬱症 | zh_TW |
| dc.subject | 生活品質 | zh_TW |
| dc.subject | Suicide | en |
| dc.subject | Community | en |
| dc.subject | Elderly | en |
| dc.subject | Depression | en |
| dc.subject | Quality of life | en |
| dc.title | 生活品質SF-8與PHQ-9高危險群之相關分析-以高齡者憂鬱社區服務計畫為基礎 | zh_TW |
| dc.title | Association between SF-8 and PHG-9 risk group: A Community-based Service Program for Elderly Residents | en |
| dc.date.schoolyear | 109-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.coadvisor | 葉彥伯(Yen-Po Yeh) | |
| dc.contributor.oralexamcommittee | #VALUE! | |
| dc.subject.keyword | 高齡,社區,憂鬱症,自殺,生活品質, | zh_TW |
| dc.subject.keyword | Community,Depression,Elderly,Quality of life,Suicide, | en |
| dc.relation.page | 67 | |
| dc.identifier.doi | 10.6342/NTU202104075 | |
| dc.rights.note | 同意授權(限校園內公開) | |
| dc.date.accepted | 2021-10-26 | |
| 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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