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題名：長照機構之老年住民復原力及其相關因素探討
書刊名：護理暨健康照護研究
作者：劉萱／邱啟潤 引用關係
作者(外文)：Liu, Xuan／Chiou, Chii-jun
出版日期：2012
卷期：8:3
頁次：頁179-190
主題關鍵詞：復原力；老年住民；長期照護；Resilience；Elderly residents；Long-term care
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(6) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:58
  • 點閱點閱:126
背景：截至2011年6月底止，老人已占總人口比例達10.76%，老人入住機構的比率為2.28 %，是1996年的2.25倍。復原力在成功老化中具重要角色，故瞭解機構老年住民之復原力，將有助於瞭解機構在成功老化方面所做的努力，以提升機構照護品質。目的：探討長照機構之老年住民復原力及其相關因素。方法：採橫斷式研究設計，以隨機叢集取樣高雄市14家長照機構，抽樣到的機構其老年住民願意參與本研究問卷者，共計121位，由研究者一對一訪談或協助填答以取得資料，完成率為100%。研究工具包含復原力量表（resilience scale）、健康狀態量表（SF-12）和家庭支持度量表。各量表的Cronbach's α介於.82－.95。結果：機構老年住民具中度復原力。「教育程度」、「心理健康」和「家庭支持」為復原力的預測變項，共可解釋11%的變異量；「心理健康」每減少1分，落入「低復原力組」之風險為1.02倍；「活動程度」每減少一個等級，落入「低復原力組」之風險為1.78倍。結論／實務應用：機構工作人員可提供增進住民活動能力、心理健康及其家庭支持的照護措施，如：實施促進活動能力照護措施、連結心理照護資源及提供親善的家庭成員互動環境等，將有助於老年住民提升復原力，以增進因應困境的能力，降低壓力事件而致不良效果。
Background: Statistics released in June 2011 show that senior citizens account for 10.76% of the total population. The proportion of those that live in institutions is 2.28%, a percentage 2.25 times higher than 1996. Resilience is important to successful aging. Therefore, exploring resilience in institutionalized elderly can help increase our understanding of how institutions facilitate successful aging.Purpose: This study investigated the resilience of institutionalized elderly participants and significant factors of influence.Methods: A cross-sectional study design was adopted; random cluster samples were recruited from 14 long-term care institutions located in Kaohsiung; 121 elderly residents agreed to answer the study questionnaire, with a valid return rate of 100%. Research tools used in this study included a resilience scale, health status scale (SF-12), and family support level scale. Cronbach's α for the scales ranged between .82 and .95.Results: Participants reported moderate resilience; education level, mental health status, and family support were predictive variables of resilience, explaining a collective 11% of total variance. Each 1-point reduction in participant mental health score increased by 1.02 times that participant's likelihood of being in the low resilience category; each 1-point reduction in activity level increased by 1.78 times the participant's likelihood of being in the low resilience category.Conclusion/Implications: Institutions should implement care measures to increase resident activity level, psychological health, and family support. Measures such as enhancing mobility, integrating psychological care resources, and providing friendly environments for family interaction can strengthen the resilience of elderly residents, enhance stress coping abilities, and reduce the adverse effects of stressful events.
期刊論文
1.謝佳容、蕭伃伶、劉淑娟(20070600)。老年住民在長期照護機構中的心理健康促進與情緒調適。長期照護雜誌，11(2)，132-140。  延伸查詢new window
2.Ahern, N. R.、Kiehl, E. M.、Sole, M. L.、Byers, J.(2006)。A review of instruments measuring resilience。Issues in Comprehensive Pediatric Nursing，29(2)，103-125。  new window
3.劉月敏、劉湘俐、駱敏淑、馬麗卿、張宏哲(20100600)。血液透析患者的復原力與社會支持。臺灣腎臟護理學會雜誌，9(1)，33-43。  延伸查詢new window
4.洪瑄曼、陳桂敏(20070900)。銀髮太極健身操運動對都市老年人健康促進成效之探討。實證護理，3(3)，225-235。new window  延伸查詢new window
5.Hardy, S. E.、Concato, J.、Gill, T. M.(2004)。Resilience of community-dwelling older persons。Journal of the American Geriatrics Society，52(2)，257-262。  new window
6.Wagnild, G. M.、Young, H. M.(1993)。Development and psychometric evaluation of the Resiliency Scale。Journal of Nursing Measurement，1(2)，165-178。  new window
7.Earvolino-Ramirez, M.(2007)。Resilience: A concept analysis。Nursing Forum，42(2)，73-82。  new window
8.Richardson, G. E.(2002)。The Metatheory of Resilience and Resiliency。Journal of Clinical Psychology，58(3)，307-321。  new window
9.Dyer, J. G.、McGuinness, T. M.(1996)。Resilience: Analysis of the concept。Archives of Psychiatric Nursing，10(5)，276-282。  new window
10.邱美汝、陳玉敏、李月萍(20070600)。長期照護機構老人的生活適應及影響因素。實證護理，3(2)，119-128。new window  延伸查詢new window
11.陳金彌、陳月枝(20070600)。青少年復原力之概念分析。腫瘤護理雜誌，7(1)，31-41。  延伸查詢new window
12.梁鍵燊、黃妍華(20060000)。護理之家中風老人的需求評估。臺灣職能治療研究與實務雜誌，2(2)，99-106。new window  延伸查詢new window
13.Smilkstein, G.、Ashworth, C.、Montano, D.(1982)。Validity and reliability of the family APGAR as a test of family function。Journal of Family Practice，15(2)，303-311。  new window
14.Faul, Franz、Lang, Alert-Georg、Erdfelder, Edgar、Buchner, Axel(2009)。Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses。Behavior Research Methods，41(4)，1149-1160。  new window
15.Shah, S.、Vanclay, F.、Cooper, B.(1989)。Improving the sensitivity of the barthel index for stroke rehabilitation。Journal of Clinical Epidemiology，42(8)，703-709。  new window
16.Masten, A. S.(2001)。Ordinary magic: Resilience processes in development。The American Psychologist，56(3)，227-238。  new window
17.Nygren, B.、Aléx, L.、Jonsén, E.、Gustafson, Y.、Norberg, A.、Lundman, B.(2005)。Resilience, sense of coherence, purpose in life and self-transcendence in relation to perceived physical and mental health among the oldest old。Aging and Mental Health，9(4)，354-362。  new window
18.Jacelon, C. S.(1997)。The trait and process of resilience。Journal of Advanced Nursing，25(1)，123-129。  new window
19.曾文志(20071200)。大一學生歷經創傷事件與復原力模式之研究。教育心理學報，39(2)，317-334。new window  延伸查詢new window
20.Friborg, O.、Hjemdal, O.、Rosenvinge, J. H.、Martinussen, M.、Aslaksen, P. M.、Flaten, M. A.(2006)。Resilience as a moderator of pain and stress。Journal of Psychosomatic Research，61(2)，213-219。  new window
21.黃德祥(20080800)。弱勢學生復原力的培養與輔導。教育研究月刊，172，53-65。new window  延伸查詢new window
22.Lamond, A. J.、Depp, C.、Allison, M.、Langer, R.、Reichstadt, J.、Moore, D. J.、Jeste, D. V.(2008)。Measurement and predictors of resilience among community-dwelling older women。Journal of psychiatric research，43(2)，148-154。  new window
學位論文
1.楊蕙菱(2009)。老年癌症患者憂鬱症狀、自尊、復原力及其相關因素探討(碩士論文)。臺北醫學大學。  延伸查詢new window
2.羅文苑(2005)。一位綜合高中學生反敗為勝的求學歷程之研究--探討其間的復原力(碩士論文)。國立中正大學。  延伸查詢new window
圖書
1.Ware, J. E.、Kosinski, M.、Kerller, S. D.(1998)。SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales。Lincoln, RI：Quality Metric。  new window
其他
1.譚水桃、張曼莉、孫利娜、金巧紅、郁鵬程(2009)。不同心理復原力中學生家庭環境因子比較。  延伸查詢new window
2.Caltabiano, M. L. ; Caltabiano, N. J.(200611)。Resilience and health outcomes in the elderly。  new window
3.Kralik, D. ; van Loon, A. ; Visentin, K.(2006)。Resilience in the chronic illness experience。  new window
4.Li, M. H.(2008)。Relationships among stress coping, secure attachment, and the trait of resilience among Taiwanese college students。  new window
5.Mehta, M. ; Whyte, E. ; Lenze, E. ; Hardy, S. ; Roumani, Y. ; Subashan, P. ; Studenski, S.(2008)。Depressive symptoms in late life: Associations with apathy, resilience and disability vary between young-old and old-old。  new window
6.Neabel, B. ; Fothergill-Bourbonnais, F. ; Dunning J.(2000)。Family assessment tools: A review of the literature from 1978-1997。  new window
7.Netuveli, G. ; Wiggins, R. D. ; Montgomery, S. M. ; Hildon, Z. ; Blane, D.(2008)。Mental health and resilience at older ages: Bouncing back after adversity in the British household panel survey。  new window
8.Wagnild, G.(2003)。Resilience and successful aging: Comparison among low and high income older adults。  new window
9.Wagnild, G.(2009)。A Review of the resilience scale。  new window
10.Wagnild, G. ; Young, H. M.(1990)。Resilience among older women。  new window
 
 
 
 
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