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題名:失能老人的資源、居住安排、居住決定的掌控力與生活品質:一個量化的初探
書刊名:社會政策與社會工作學刊
作者:謝美娥 引用關係
作者(外文):Hsieh, Mei-o
出版日期:2004
卷期:8:1
頁次:頁1-49
主題關鍵詞:失能老人老人資源居住安排決定掌控力生活品質Disabled elderlyResourcesLiving arrangementLocus of controlQuality of life
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(12) 博士論文(4) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:11
  • 共同引用共同引用:61
  • 點閱點閱:146
本研究主要在了解失能老人的各種資源、居住安排、決定掌控力與生活品質之間的關係。以訪員親自面訪之方式蒐集資料,總計訪問有效問卷324份,其中社區老人(現非住機構者)199位,機構老人125位。『失能老人』係指至少有一項日常生活活動量表(ADL)或輔助性日常生活活動功能(IADL)需要他人協助者。『機構』的抽樣涵蓋安養、養護及護理之家等設施;『社區』失能老人則以現居住在社區家裡,申請使用居家服務的個案和身心障礙者名冊中去抽樣。 本研究發現老人的資源與居住決定掌控力有顯著的關係,老人所得越高、照顧費用金額越低、日常生活越能自理、使用非正式資源、居住在社區,其居住決定掌控力越高。老人的資源與居住安排的關係,居住在機構的失能老人,其平均年齡較居住在社區者大、以鰥寡者較多、照顧費用較多、經濟來源中較沒有自己可支配的收入、自覺健康較好(但實際ADL計分卻較差,在研究發現中已說明可能因素)、和子女互動頻率變少、較不會主動尋求社區資源。決定掌控力與居住安排方面,居住在社區的老人較居住在機構的老人覺得有居住決定的掌控力。越是有居住掌控力的老人整體生活品質較高。在生活品質方面,住在機構的老人比起住在社區的老人,『自覺』身體較健康,但在其他生活品質面向則均較低。最後由複迴歸分析結果得知,健康資源、經濟資源、家庭資源、社會資源、居位安排決定的掌控力以及居住安排確實可以預測失能老人的生活品質。符合本研究的研究架構與假設。 本研究最後提出實務與政策上的建議,並對研究限制予以討論。
The purpose of this study intended to examine the effect of various resources, living arrangement, and locus of control of living arrangement on quality of life among disabled elderly. Survey research with face to face interview was employed. Feelings and experiences of 324 disabled older persons using structured questionnaires were collected. All of them were cognitively clear and could communicate. Among these subjects, 125 were living in the institutions for disabled elderly, while 199 living in their own homes. The findings indicated that some personal resources in terms of socio­demographic characteristics and health resources, economic resources, family resources as well as social resources did have influences on quality of life. In addition to resources, locus of control on living arrangement and living arrangement also had their effects. More to the point, the disabled elderly who were younger, were healthier, had more income, spent less care expense, had more frequent interactions with adult children, used more informal resources, lived in the community, had larger locus of control, had higher quality of life. The findings support the predictions generated from our research framework. Finally, practice and policy implications are discussed.
期刊論文
1.陳肇男(19931200)。臺灣地區鰥寡老人之居住安排。中國社會學刊,17,163-179。new window  延伸查詢new window
2.Fry, P. S.(2000)。Guest editorial: Aging and quality of life (QOL)-The continuing search for quality of life indicators。International Journal of Aging and Human Development,50(4),245-261。  new window
3.Lawton, M. P.(1997)。Measures of quality of life and subjective well-being。Generations,21(1),45-47。  new window
4.Himes, C. L.、Angel, J. L.、Angel, R. J.(1992)。Minority Group Status, Health Transitions, and Community Living Arrangements among the Elderly。Research on Aging,14(4),496-521。  new window
5.Wilmoth, J. M.(1998)。Living arrangement transitions among American's older Adults。The Gerontologist,38(4),434-444。  new window
6.Forbes, S. A.、Hoffart, N.、Redford, L. J.(1997)。Decision Making by High Functional Status Elders Regarding Nursing Home Placement。Journal of Case Management,6(4),166-173。  new window
7.Scanlon, W. J.(1980)。A Theory of the Nursing Home Market。Inquiry,17(25),41。  new window
8.Reinardy, J.、Kane, R. A.(1999)。Choosing an adult foster home or a nursing home: residents' perceptions about decision making and control。Social Work,44(6),571-585。  new window
9.Cromwell, S.、Russell, C. K.、Lim, Y. M.、Luna, I.、Torres de Ardon, E.、Phillips, L. R.(1996)。Uncovering the cultural context for quality of family caregiving for elders。Western Journal of Nursing Research,18(3),284-298。  new window
10.Lawton, M. P.(1975)。The Philadelphia Geriatric Center Morale Scale: A Revision。Journal of Gerontology,30(1),85-89。  new window
11.張素紅、楊美賞(19990600)。老人寂寞與其個人因素、自覺健康狀況、社會支持之相關研究。The Kaohsiung Journal of Medical Sciences,15(6),337-347。  延伸查詢new window
12.Ware, J. E.、Sherbourne, C. D.(1992)。The MOS 36-item Short-form Health Survey (SF-36): I. Conceptual framework and item selection。Medical Care,30(6),473-483。  new window
13.Baxter, J.、Shetterly, S. M.、Eby, C.、Mason, L.、Cortese, C. F.、Hamman, R. F.(1998)。Social network factors associated with perceived quality of life-The san luis valley health and aging study。Journal of Aging and Health,10(3),287-310。  new window
14.Burr, J. A.、Mutchler, J. E.(1991)。A Longitudinal Analysis of Household and Nonhousehold Living Arrangements in Later Life。Demography,28(3),375-390。  new window
15.黃璉華(19921200)。老人生活滿意度相關因素之因徑分析研究。護理雜誌,39(4),37-47。new window  延伸查詢new window
16.Ferrans, C. E.、Powers, M. J.(1985)。Quality of life index: Development and psychometric properties。Advances in Nursing Science,8(1),15-24。  new window
17.Litwak, Eugene、Longino, Charles F. Jr.(1987)。Migration Patterns Among the Elderly: A Developmental Perspective。The Gerontologist,27(3),266-272。  new window
18.羅紀琼(1987)。近十年來臺灣地區老人家庭結構變遷的研究。臺灣經濟預測,18(2),83-107。new window  延伸查詢new window
19.Worobey, Jacqueline Lowe、Angle, Ronald, J.(1990)。Functional Capacity and Living Arrangements of Unmarried Elderly Persons。Journal of Gerontology: Social Sciences,45(3),95-101。  new window
20.Aquilino, W.(1990)。The Likelihood of Parent-Child Coresidence: Effects of Family Structure and Parental Characteristics。Journal of Marriage and the Family,52,405-419。  new window
21.Guralnik, J. M.、Simonsick, E. M.(1993)。Physical disability in older Americans。Journal of Gerontology,48(Supplement),3-10。  new window
22.Chou, K. L.、Chi, I.(1999)。Determinants of Life Satisfaction in Hong Kong Chinese Elderly: A Longitudinal Study。Aging & Mental Health,3(4),328-335。  new window
23.Avery, R.、Speare, A.、Lawton, L.(1989)。'Social Support', Disability and Independent Living of Elderly Persons in the United States。Journal of Aging Studies,3,279-293。  new window
24.Cohen, V. A.、Tell, E. J.、Wallack, S. S.(1986)。Client-related risk factors of nursing home entry among elderly adults。Journal of Gerontology,42(6),785-792。  new window
25.Cox, E. O.、Dooley, A. C.(1996)。Care-receivers' perception of their role in the care process。Journal of Gerontological Social Work,26(1/ 2),133-152。  new window
26.Crimmins, E. M.、Ingegneri, D. G.(1990)。Interaction and living arrangements of older parents and their children: Past trends, present determinants, future implications。Research on Aging,12(1),3-35。  new window
27.DHHS(1999)。National nursing home survey: 1999 summary。Vital and Health Statistics,Series 13(152)。  new window
28.Duffy, J. A.、Duffy, M.、Kilbourne, W.(1997)。Cross national study of perceived service quality in long-term care facilities。Journal of Aging Studies,11(4),327-337。  new window
29.Dwyer, J. W.(1996)。The influence of Community context on the decision to enter a Nursing home。Journal of Aging Studies,10(3),237-256。  new window
30.Farquhar, M.(1995)。Elderly people' s definition of life。Social Science & Medicine,41(10),1439-1446。  new window
31.Furuseth, O. J.、Walcott, W. A.(1990)。Defining quality of life in North Carolina。Social Science Journal,27(1),75-94。  new window
32.Garrand, J.、Buchanan, J.、Ratner, E.、Makris, L.、Chan, H.、Skay, C.、Kane, R.(1993)。Differences between nursing home admission and residents。Journal of Gerontology,48(6),301-309。  new window
33.Gubrium, J. F.、Holstein, J. A.(1999)。The nursing home as a discursive anchor for the ageing body。Ageing & Society,19(5),519-538。  new window
34.Herzberg, S. R.(1997)。The impact of the social environment on nursing home Residents。Journal of Aging & Social Policy,9(2),67-80。  new window
35.Hwang, Y. R.(1997)。Housing for the elderly in Taiwan。Ageing International,23(3/ 4),133-147。  new window
36.Kasper, J. D.、Steinbach, U.(1994)。Caregiver role appraisal and caregiver tasks as factors in ending caregiving。Journal of Aging and Health,6(3),397-414。  new window
37.Kutner, N. G.、Ory, M. G.(1992)。Measuring the quality of life of the elderly in health promotion intervention clinical trials。Public Health Reports,107(5),530-540。  new window
38.Lamberton, C. E.、Ellingson, W. D.、Spear, K. R.(1986)。Factors determining the demand for nursing home services。Quarterly Review of Economics and Business,26(4),74-89。  new window
39.Lawton, M. P.(1983)。Environment and other determinants of well-being in older People。The Gerontologist,23,349-357。  new window
40.Lin, K.、Manton, K. G.(1989)。The effect of nursing home use on Medicaid Eligibility。The Gerontologist,29(1),59-66。  new window
41.Mack, R.、Salmoni(1997)。Perceived Risks to Independent Living: The Views of Older, Community-Dwelling Adults。Gerontologist,37(6),729-736。  new window
42.Rivlin, A. M.、Wiener, J. M.、Hanley, R. J.、Spence, D. A.(1988)。Caring for the disabled elderly: who will pay?。The Journal of Human Resources,29(4),1101-1120。  new window
43.Soldo, B. J.、Wolf, D. A.、Agree, E. M.(1990)。Family households, and care arrangements of frail older women: A structural analysis。Journal of Gerontology,45(6),238-249。  new window
44.Wolf, D. A.(1990)。Household patterns of older women: Some international Comparisons。Research on Aging,12(4),463-486。  new window
45.Wolinsky, F. D.、Callahan, C. M.、Fitzgerald, J. F.、Johnson, R. J.(1992)。The Risk of Nursing Home Placement and Subsequent Death Among Older Adults。Journal of Gerontology: Social Sciences,47(4),S173-S182。  new window
研究報告
1.吳淑瓊、王正、呂寶靜、莊坤洋、張媚、戴玉慈(2001)。建構長期照護體系先導計畫。內政部。  延伸查詢new window
2.Coughlin, T. A.、McBride, T. D.、Lin, K.(1989)。Determinants of transition and permanent nursing home admission。Washington, DC。  new window
3.Garber, A. M.、MaCurdy, T.(1989)。Predicting nursing home utilization among the high-risk elderly。Cambridge, MA。  new window
4.Newman, S.、Struyk, R.、Wright, P.、Rice, M.(1988)。Over whelming Odds: Caregiving and Risk of Institutionalization。Washington, DC。  new window
學位論文
1.郭玉燕(1993)。機構老人生活滿意度與社會支持之研究--以臺灣省仁愛之家自費安養老人為例(碩士論文)。國立中正大學。  延伸查詢new window
2.林秀純(1997)。臺灣北部地區失能老人家庭照顧品質及相關因素之探討(碩士論文)。長庚醫學暨工程學院。  延伸查詢new window
3.連雅棻(2002)。社區獨居老人人格韌性、社會支持與生活滿意度間之相關性探討(碩士論文)。長庚大學。  延伸查詢new window
4.陳亦暉(1995)。影響安養機構內老人生活滿意度的因素:以中部某榮民之家為例(碩士論文)。國立雲林科技大學。  延伸查詢new window
5.陳妙盡(1996)。影響老年人居住安排因素之分析(碩士論文)。國立中正大學。  延伸查詢new window
6.黃松林(1994)。老人養護機構服務提供與被養護者滿意程度之研究(碩士論文)。東海大學。  延伸查詢new window
7.林三衛(1997)。老年生活品質:非制度化功能支持網絡對老年主觀幸福的影響--臺灣之例子(碩士論文)。東海大學。  延伸查詢new window
8.李碧姿(1997)。機構外籍監護工管理現況及老人服務主觀感受之初探(碩士論文)。國立陽明大學。  延伸查詢new window
9.劉欣宜(2000)。居家失能老人主要照顧者的生活品質及相關因素之探討(碩士論文)。國立臺灣大學。  延伸查詢new window
10.曾淑汝(1999)。護理之家老年住民的生活品質及相關因素探討(碩士論文)。高雄醫學院。  延伸查詢new window
11.吳大偉(1997)。養護機構老年人士氣的研究,沒有紀錄。  延伸查詢new window
12.林昀蓉(2000)。接受居家照護老人主要照顧者之照顧負荷,生活品質及其相關因素探討,沒有紀錄。  延伸查詢new window
13.張雅如(2000)。失智症患者照顧者生活品質極其相關因素之探討,沒有紀錄。  延伸查詢new window
圖書
1.王保進(2000)。視窗版SPSS與行為科學研究。臺北:心理出版社。  延伸查詢new window
2.姚開屏、世界衛生組織生活品質問卷臺灣版問卷發展小組(2001)。臺灣版世界衛生組織生活品質問卷之發展及使用手冊。臺北:臺灣版世界衛生組織生活品質問卷發展小組。  延伸查詢new window
3.Cohn, J.、Sugar, J. A.(1991)。Determinants of quality of life in institutions: Perceptions of frail older residents, staff, and families。The concept and measurement of quality of life in the frail elderly。San Diego, CA。  new window
4.Gentile, K. M.(1991)。A review of the literature on interventions and quality of life in the frail elderly。The concept and measurement and quality of life in the frail elderly。San Diego, CA:Academic Press。  new window
5.Hing, E.(1987)。Use of nursing homes by the elderly: Preliminary data from the 1985 National nursing home survey, Hyattsville。Use of nursing homes by the elderly: Preliminary data from the 1985 National nursing home survey, Hyattsville。MD。  new window
6.Kane, R. A.(1990)。Everyday life in nursing homes: The war things are。Everyday ethics: Resolving dilemmas in nursing home life。New York, NY。  new window
7.Stewart, A. L.、King, A. C.(1994)。Conceptualizing and measuring quality of life on older populations。Aging and quality of life。New York, NY。  new window
8.Weissert, W. G.、Scanlon, W.(1983)。Determinants of Institutionalization of the aged。Project to analyze existing Long-term care data, Volume III。Washington, DC。  new window
9.Wetle, M.(1991)。Resident decision making and quality of life in the frail elderly。The concept and measurement of quality of life in the frail elderly。San Diego。  new window
其他
1.內政部(1996)。中華民國八十五年老人狀況調查摘要分析,沒有紀錄。  延伸查詢new window
圖書論文
1.Arnold, S. B.(1991)。The measurement of quality of life in the frail elderly。The concept and measurement of quality of life in the frail elderly。San Diego, CA:Academic Press。  new window
 
 
 
 
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