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dvd農業經營管理年刊教育實踐與研究臺灣都市與區域發展之
   
   
   
     
   
 
項次 書目
1
題名:The Relationship Between Geriatric Depression and Health-Promoting Behaviors Among Community-Dwelling Seniors    
社區長者憂鬱與健康促進行為之相關性探討
著者:Chyong-Fang Chang(張瓊方) ;Mei-Hsiang Lin(林梅香) ;Jeng Wang(王琤) ;Jun-Yu Fan(范君瑜) ;Li-Na Chou(周利娜) ;Mei-Yen Chen(陳美燕)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:社區健康照護 ; 憂鬱 ; 長者 ; 健康促進 ; community health nursing ; depression ; elderly ; health promotion
刊名:The Journal of Nursing Research
卷期:21卷2期(2013.6)
頁碼:75-82
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

背景 統計顯示,我國65歲以上長者人口比率為10.9%,長者憂鬱的盛行率亦高。護理人員是推動社區健康促進重要的成員,了解影響社區長者健康促進行為與憂鬱的相關性,是推動社區衛生政策的依據,而推動健康老化需透過健康促進策略之規劃。
目的 了解社區長者健康促進行為,並探討偏遠地區社區長者憂鬱與健康促進行為之相關性。
方法 採橫斷式、描述性研究設計,所有參與本計劃的研究對象為樣本。以人口學資料、本計畫所初步發展及使用的長者健康促進量表、簡式老年憂鬱量表為研究工具。
結果 共有427位長者參與本研究,多數為女性、平均年齡75.8歲,不識字者佔多數;近半數個案執行健康促進行為之頻率偏低。憂鬱與整體健康促進行為分數呈負相關,與次量表之社會參與、健康責任、自我保護、活躍生活之得分皆達統計上有意義之關係;多變量分析顯示,控制干擾因素後,憂鬱分數與身體不適,是影響長者執行健康促進行為之重要預測因子。
結論/實務應用 本研究發現,長者健康促進行為之執行情況普遍不理想。憂鬱分數較低者,其健康促進行為也越高。此結果可作為社區推行健康老化的實證依據,特別是提供憂鬱長者更多社會參與及活躍生活層面之策略。
Background: People older than 65 years old account for about 10.9% of Taiwan's total population; it is also known that the older adults experience a higher incidence of depression. Public health nurses play an important role in promoting community health. Policymaking for community healthcare should reflect the relationship between health-promoting behavior and depression in community-dwelling seniors. Therefore, the encouragement of healthy aging requires strategic planning by those who provide health promotion services.
Objective: This study was designed to elicit the health-promoting behaviors of community seniors and investigate the relationship between geriatric depression and health-promoting behaviors among seniors who live in rural communities.
Methods: We used a cross-sectional, descriptive design and collected data using a demographic information datasheet, the Health Promotion for Seniors and Geriatric Depression Scale short forms.
Results: The study included 427 participants. Most were women; mean age was 75.8 years. Most were illiterate; roughly half engaged in a limited number of health-promoting activities. The Geriatric Depression Scale score was negatively associated with health-promoting behavior. Social participation, health responsibility, self-protection, active lifestyle, and total Health Promotion for Seniors score all reached statistical significance. Multivariate analysis indicated that geriatric depression and physical discomfort were independent predictors of health promoting behavior after controlling the confounding factors.
Conclusions/Implications for Practice: Participants practiced less than the recommended level of health-promoting behaviors. We found a negative correlation between the geriatric depression score and health-promoting behavior. Results can be referenced to develop strategies to promote healthy aging in the community, especially with regard to promoting greater social participation and increased activity for community-dwelling older adults experiencing depression.


    

本卷期目次
The Journal of Nursing Research 21卷2期 (2013.6)
The Impacts of Widowhood, Chronic Disease, and Physical Function on Mortality Among Older People/ Shu-Hsi HoWen-Shai Hung
Illness Representations and Coping Processes of Taiwanese Patients With Early-Stage Chronic Kidney Disease/ Chiu-Chu LinMei-Chun ChenHsiu-Fang HsiehShu-Chen Chang
Correlations Among Social Support, Depression, and Anxiety in Patients With Type-2 Diabetes/ Shu-Fang Vivienne WuLi-Sei YoungFang-Chih YehYu-Mei JianKuei-Chen ChengMei-Chen Lee
Smoking in Korean-Chinese Middle School Students: Prevalence and Risk Factors/ SoonBok E. ParkSoon-Nyung YunWen-Ying CuiHyang Kim
Development and Validation of the Postpartum Sleep Quality Scale/ Chiu-Ling YangChen-Hsiang YuChung-Hey Chen
The Relationship Between Geriatric Depression and Health-Promoting Behaviors Among Community-Dwelling Seniors/ Chyong-Fang ChangMei-Hsiang LinJeng WangJun-Yu FanLi-Na ChouMei-Yen Chen
Disability Assessment: The Efficacy of Multimedia Interactive Nurse Education/ Hui-Chaun ChiangFeng-Yu LinYueh-Juen Hwu
Quality of Life Patterns and Survival Among Older People/ Chih-Ping Li
 
   
 
   

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