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題名:成功老化:老年健康的正向觀點
書刊名:社區發展季刊
作者:徐慧娟 引用關係
作者(外文):Hsu, Hui Chuan
出版日期:2003
卷期:103
頁次:頁252-260
主題關鍵詞:老年健康
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(19) 博士論文(15) 專書(2) 專書論文(1)
  • 排除自我引用排除自我引用:19
  • 共同引用共同引用:3
  • 點閱點閱:147
人口老化趨勢下,老人學研究已不僅關注在已生病或功能障礙的老人照顧上,還應使所有老年人的生活更健康、更滿足。成功老化因此成為新興研究議題,希望能夠超越生物年紀以及從基因、生物醫學、行為、社會因素等方面來促進人們在老年生活的能力與功能。 成功老化研究中有系統且被廣泛運用的觀點有二:一是Baltes & Baltes的「選擇、最適化與補償」模式,老年生活可透過自我心理調整適應和個人行為改變的過程,考量系統與生態環境,經由教育、動機、健康相關活動等策略,可以達到成功老化的目標。另一是Rowe & Kahn的三元素模式:避免疾病與失能;維持高度心智與身體功能;老年生活的積極承諾。當三面向同時達成時即達到成功老化的狀態。透過疾病預防(例如飲食與運動)、生物醫學途徑、教育、社會支持、增進自我效能等策略,可以幫助達到成功老化。 雖然實證研究已不斷累積,但其成功老化的操作型定義不一,因此不易推行到實務層面來設定健康目標的優先順序。同時,成功老化的定義具有文化特異性,國內相關研究尚不多見,因此建議應定義臺灣老人之成功老化指標,以描述臺灣成功老化之情形,進而探討影響老人成功老化之危險因子與保護因子,以提供老年健康促進政策之參考。
Under the worldwide aging trend in recent decades, gerontological studies have focused not only on the care of the ill or disabled elders, but also on the thoughts of how to make the elder's life healthier and more satisfactory. Studies of 'successful aging' become a new study issue and hope to promote capacities and functions in the genes, biomedical, behavioral, and social aspects of the elder's life beyond their biological limits. Two models of successful aging studies are often applied. One is Baltes & Baltes' "selection, optimization, compensation" model, which emphasizes the process of psychological adjustment and changing self behaviors, considering systematic and ecological view, and through education, motivation, health-promotion related activities and strategies of knowledge and technology, to attain the goal of successful aging. The other model is Rowe & Kahn's three-element model: "low risks of diseases and disability, high physical and mental function, and engagement with life". Successful aging is attained when all three dimensions are simultaneously achieved. The strategies to promote successful aging include disease prevention (e.g., diet and exercise), biomedical approach, education, social support, increasing self efficacy, etc. Though many empirical studies have done, the operational definition of successful aging was not consistent in previous studies. Thus, it is difficult to set policy priorities or goals for health promotion for elders. Meanwhile, the concept and definition of successful aging is specific to culture. Relevant studies in Taiwan are not much yet. To define successful aging and indexes to describe the elders successful aging status in Taiwan is suggested to be the first priority. In the future, we need to explore the risk factors and protective factors of successful aging in order to give policy suggestions of health promotions for the elders.
期刊論文
1.von Faber, Margaret、Bootsma-van der Wiel, Annetje、van Exel, Eric、Gussekloo, Jacobijn、Lagaay, Anne M.、van Dongen, Els、Knook, Dick L.、van der Geest, Sjaak、Westendorp, Rudi G. J.(2001)。Successful aging in the Oldest old: who can be characterized as successful aged?。Archive of Internal Medicine,161(22),2694-2700。  new window
2.Khaw, K. T.(1997)。Healthy aging。British Medical Journal,315,1090-1096。  new window
3.Garfein, A. J.、Herzog, A. R.(1995)。Robust Aging among the Young-old, Old-old, and Oldest-old。Journal of Gerontology. Series B, Psychological sciences and social sciences,50(2),S77-S87。  new window
4.Glass, T. A.、Seeman, T. E.、Herzog, A. R.、Kahn, R.、Berkman, L. F.(1995)。Change in productive activity in late adulthood: MacArthur studies of successful aging。J Gerontol B Psychol Sci Soc Sci,50(2),S65-S76。  new window
5.Crowther, Martha R.、Parker, Michael W.、Achenbaum, W. A.、Larimore, Walter L.、Koenig, Harold G.(2002)。Rowe and Kahn's model of successful aging revisited: positive spirituality--the forgotten factor。The Gerontologist,42(5),613-620。  new window
6.Fries, James F.(1980)。Aging, natural death, and the compression of morbidity。New England Journal of Medicine,303(3),130-135。  new window
7.Albert, M. S.、Jones, K.、Savage, C. R.、Berkman, L.、Seeman, T.、Blazer, D.、Rowe, J. W.(1995)。Predictors of cognitive change in older persons: MacArthur studies of successful aging。Psychology and Aging,10(4),578-589。  new window
8.Rowe, John W.、Kahn, Robert L.(1987)。Human aging: usual and successful。Science,237(4811),143-149。  new window
9.Phelan, Elizabeth A.、Larson, Eric B.(2002)。"Successful aging": where next?。Journal of the American Geriatrics Society,50(7),1306-1308。  new window
10.Strawbridge, W. J.、Cohen, R. D.、Shema, S. J.、Kaplan, G. A.(1996)。Successful aging: predictors and associated activities。American Journal of Epidemiology,144(2),135-141。  new window
11.Seeman, T. E.、Berkman, L. F.、Charpentier, P. A.、Blazer, D. G.、Albert, M. S.、Tinetti, M. E.(1995)。Behavioral and psychosocial predictors of physical performance: MacArthur studies of successful aging。The Journals of Gerontology: Series A, Biological sciences and medical sciences,50(4),M177-M183。  new window
12.Chou, Kee-Lee、Chi, Iris(2002)。Successful aging among the young-old, old-old, and oldest-old Chinese。International Journal of Aging and Human Development,54(1),1-14。  new window
13.王琪珍、藍忠孚、陳建仁(1994)。臺灣地區肝癌、肺癌、胃癌多重危險因子之世代研究。中華衛誌,13,308-314。new window  延伸查詢new window
14.Steverink, N.、Lindenberg, S.、Ormel, J.(1998)。Towards understanding successful ageing: patterned change in resources and goals。Ageing & Society,18,441-467。  new window
15.Torres, S.(2001)。Understanding of successful ageing in the context of migration: the case of Iranian immigrants in Sweden。Ageing & Society,21,333-355。  new window
16.Abraham, J.D.、Hansson, R.O.(1995)。Successful aging at work: an applied study of selection, optimization, and compensation through impression management。J Gerontololyg,50B,94-103。  new window
17.Lee, Y.、Lin, R.S.、Sung, F.C.、Yang, C.、Chien, K.、Chen, W.、Su, T.、Hsu, H.(2000)。Community Cardiovascular Cohort in Taiwan-baseline data and five-year follow-up morbidity and mortality。Journal of Clininal Epidemiology,53,838-46。  new window
18.Seeman, T.E.、Berkman, L.F.、Blazer, D.、Rowe, J.W.(1994)。Social ties and support and neuroendocrine function: the MacArthur studies of successful aging。Annal Behav Med,16,95-106。  new window
19.Wu, S. C.、Leu, S.-Y.、Li, C.-Y.(1999)。Incidence of and predictors for chronic disability in activities of daily living among older people in Taiwan。Journal of American Geriatric Society,47(9),1082-1086。  new window
學位論文
1.胡澤芷(1997)。臺灣地區老人健康狀況之動態研究:多重狀態生命表的應用與分析(碩士論文)。國立中正大學,嘉義縣。  延伸查詢new window
圖書
1.Cumming, E.、Henry, W.(1961)。Growing old。New York, NY:Basic Books。  new window
2.吳淑瓊、張明正(1997)。台灣老人健康照護之現況分析。台灣省家庭計畫研究所台灣老人研究叢刊系列(六)。  延伸查詢new window
3.Schaie, K.W.(1990)。The optimization of cognitive functioning in old age: predictions based on cohortsequential and longitudinal data。Successful Aging: Perspectives from the Behavioral Sciences \\ Baltes, P.B. & Baltes, M.M., (eds.)。Cambridge。  new window
其他
1.World Health Organization(2002)。Active ageing: A policy framework,World Health Organization。,http://whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf,(WHO/NMH/NPH/02.8)。 。  new window
圖書論文
1.Baltes, P. B.、Baltes, M. M.(1990)。Psychological perspectives on successful aging: The model of selective optimization with compensations。Successful aging: Perspectives from the behavioral sciences。Cambridge。  new window
2.Rowe, John Wallis、Kahn, Robert L.(1998)。The structure of successful aging。Successful Aging。Dell Publishing。  new window
3.Rowe, J. Wallis、Kahn, Robert L.(1998)。The Structure of Successful Aging。Successful Aging。New York:Random House。  new window
4.張明正(1997)。台灣地區高齡人口自評健康及功能障礙之追蹤研究。人口老化與老年照護論文集。臺北:中華民國人口學會。  延伸查詢new window
 
 
 
 
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