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題名:原、漢老人健康需求比較研究
書刊名:護理雜誌
作者:李玲玲 引用關係林淑緩嚴嘉楓 引用關係莊瑞菱
作者(外文):Lee, Ling-lingLin, Shu-shuanYen, Chia-fengChuang, Jui-ling
出版日期:2016
卷期:63:2
頁次:頁58-68
主題關鍵詞:社區老人健康需求評估獨立需求衰弱風險跌倒風險Community older peopleHealth needs assessmentIndependent needsRisk of frailtyRisk of falls
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(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:145
  • 點閱點閱:33
背景 老人健康照護為目前重要國家政策,探討老人健康需求的研究多以都會老人為主,較缺乏針對不同族群老人健康需求之比較研究。原住民與漢人在體質或社會文化發展背景皆有所差異,若能瞭解原、漢老人健康需求,可區隔不同健康照護服務供給,以有效應用健康照護資源,達到不同族群老人所需之健康照護。目的 本研究以全面性老人健康需求評估工具,比較原、漢老人健康需求之差異。方法 採橫斷式研究設計,依比例取樣選取社區65歲以上原、漢老人,以面對面訪談蒐集資料,使用益健社區老人健康需求評估工具於老人家中或社區活動中心進行資料收集。結果 總計收案原、漢老人共計180位,多數原、漢老人有一種以上慢性疾病、失能或虛弱情形。原住民老人在健康需求之不同面向與類別均顯著高於漢族老人。然而,在「居住和財務」、「社會參與及隔離」兩個面向,漢族老人之健康需求較原住民老人為高。迴歸分析發現,「獨立需求」、「衰弱風險」與「跌倒風險」三類別對原、漢老人整體健康需求皆有顯著影響(原住民老人R2 = 64.0%,漢族老人R2 = 69.6%),且三類別對原、漢老人整體健康需求影響有所差異。結論/實務應用 本研究比較原、漢老人健康需求之差異結果發現,原住民老人應從提高其獨立自我照顧能力,漢族老人應考量降低其衰弱風險著手,建議由社區健康服務提供者擬訂介入計畫,提供適合的健康照護服務,以提昇社區老人健康照護成效與品質。
Background: Providing healthcare to older people is an essential policy in Taiwan. Previous studies have assessed the health needs of older people residing in urban areas. Evidence related to the differences in healthcare needs between older aboriginal and older ethnic Chinese people in Taiwan is insufficient. As both groups exhibit mutually distinct physical and socio-cultural attributes, understanding their different health needs is necessary to provide tailored and effective healthcare. Purpose: To investigate the distinct health needs of older aboriginal and older ethnic Chinese using a comprehensive health-needs assessment tool. Methods: A cross-sectional study design was used. Older people aged 65 or over were proportionally sampled from communities. The Elderly Assessment System Care Standard instrument was used to collect data through interviews held in participant homes or in community activity centers between October 20th and December 20th, 2011. Results: A total of 180 older people were recruited. A majority of participants had at least one chronic disease, disability, or frailty. Across a range of dimensions and categories of health needs, older aboriginal people had statistically significant higher health needs than non-aboriginal ones. However, older ethnic Chinese participants had higher levels of need in the domains of housing/financing and social participation/isolation. Regression analysis found that independence, risk of frailty, and risk of falls explained the majority of health needs, with R^2 values of 64% and 69.6% for older aboriginal and older ethnic Chinese participants, respectively. However, the respective impact of these three categories on overall health needs varied between the two groups. Conclusions / Implications for Practice: Based on our findings, healthcare providers should focus on improving the self-care capabilities of older aboriginal people and on reducing the risk of breakdowns in care for older ethnic Chinese people in order to enhance the quality of elderly care in Taiwan.
期刊論文
1.張軒睿、張尹凡、楊宜青、陳全裕、張秦松、杜嘉煒、趙育箴、謝裕弘、吳至行(20100200)。老化社區之老年女性跌倒及相關危險因子之流病調查。臺灣老年醫學暨老年學雜誌,5(1),50-61。  延伸查詢new window
2.唐翔威、林佩欣、鄭惠信、劉栩含、劉守莊、黃美涓(20081000)。臺灣地區不同健康狀況社區居住老年人下肢膝伸直肌力和三十秒坐站測試之間的關係。物理治療,33(5),287-293。  延伸查詢new window
3.魏大森(20080500)。老年人跌倒的篩檢與評估。臺灣老年醫學暨老年學雜誌,3(2),91-105。  延伸查詢new window
4.吳沄蓁、趙淑員(20110600)。社區獨居老人的健康需求、需求滿意度及影響因素探討--以彰化縣某鄉鎮為例。弘光學報,63,44-64。new window  延伸查詢new window
5.陳施妮、孫嘉玲(20081000)。獨居老人健康、生活功能與跌倒概況分析。長期照護雜誌,12(3),249-265。  延伸查詢new window
6.張朝琴(20081100)。貧窮與健康--社經地位與原住民族健康問題探析。嘉義大學通識學報,6,461-486。  延伸查詢new window
7.蕭伃伶、陳靜敏(20040800)。原住民部落長期照護資源使用障礙評估--以花東新村為例。新臺北護理期刊,6(2),73-85。  延伸查詢new window
8.林佳臻、杜明燦、陳俊傑、陳宣志、顏啟華、李孟智(20130500)。臺灣地區老人自覺健康狀況相關因子之探討。臺灣老年醫學暨老年學雜誌,8(2),75-89。  延伸查詢new window
9.許志成、羅勻佐、徐瑱淳、許雅婷、羅慶徽(20070600)。臺灣老人人口分佈與自覺健康之地區性差異。臺灣家庭醫學雜誌,17(2),59-72。  延伸查詢new window
10.趙善如、樊台聖、李一靜、范慧華(20070700)。原住民的人口特徵、健康相關行為與健康情形。醫護科技學刊,9(3),169-187。new window  延伸查詢new window
11.林淑緩、李玲玲、賴思穎、彭少貞(20131200)。英國EASY-Care Standard評估工具於臺灣老人之應用初探。安泰醫護雜誌,19(4),51-62。  延伸查詢new window
12.陳靜敏(20090500)。護理引領老人健康照護。源遠護理,3(1),5-10。  延伸查詢new window
13.蕭伃伶、劉淑娟、謝佳容、曾櫻枝、陳靜敏(2006)。原住民部落長期照護資源使用現況調查:以苗栗縣泰安鄉為例。社區化長期照護季刊,3,45-62。  延伸查詢new window
14.Campbell, N. R. C.、McAlister, F. A.、Quan, H.、Hypertension Outcomes Research Task Force(2013)。Monitoring and evaluating efforts to control hypertension in Canada: Why, how, and what it tells us needs to be done about current care gaps。Canadian Journal of Cardiology,29(5),564-570。  new window
15.Hart, C, R.、Berry, H. L.、Tonna, A. M.(2011)。Improving the mental health of rural New South Wales communities facing drought and other adversities。Australian Journal of Rural Health,19(5),231-238。  new window
16.LoGiudice, D. C.、Smith, K.、Atkinson, D.、Dwyer, A.、Lautenschlager, N.、Almeida, O. A.、Flicker, L.(2012)。Preliminary evaluation of the prevalence of falls, pain and urinary incontinence in remote living Indigenous Australians over the age of 45 years。Internal Medicine Journal,42(6),102-107。  new window
17.Maple-Brown, L. J.、Cunningham, J.、Zinman, B.、Mamakeesick, M.、Harris, S. B.、Connelly, P. W.、Hanley, A, J.(2012)。Cardiovascular disease risk profile and microvascular complications of diabetes: Comparison of indigenous cohorts with diabetes in Australia and Canada。Cardiovascular Diabetology,11(1),30。  new window
18.Philp, I.(1997)。Can a medical and social assessment be combined?。Journal of the Royal Society of Medicine,90(32),11-13。  new window
19.Philp, I.、Lowles, R. V.、Armstrong, G. K.、Whitehead, C.(2002)。Repeatability of standardized tests of functional impairment and well-being in older people in a rehabilitation setting。Disability and Rehabilitationy,24(5),243-249。  new window
20.Philip, K. E.、Alizad, V.、Oates, A.、Donkin, D. B.、Pitsillides, C.、Syddall, S. P.、Philp, I.(2014)。Development of EASY-Care, for brief standardized assessment of the health and care needs of older people; with latest information about cross-national acceptability。Journal of the American Medical Directors Association,15(1),42-46。  new window
21.Sousa, L.、Galante, H.、Figueiredo, D.(2003)。Quality of life and well-being of elderly people: An exploratory study in the Portuguese population. Revista de Sadde Publica。Journal of Public Health,37(3),364-371。  new window
22.Tseng, C. H.(2006)。Higher risk of hypertension in indigenous type 2 diabetic patients in Taiwan。Journal of Hypertens,24(9),1817-1821。  new window
23.王涵儀、楊哲銘、邱文達、陳正怡、郭家英(20060700)。都會區集體住宅50歲以上居民之健康需求。北市醫學雜誌,3(7),702-712。  延伸查詢new window
24.史麗珠、蔡玉霞、鄭學慧、涂慧慈、林琴玲、薛敏生、何佩紋、藍旻暉(20080900)。高血壓控制的飲食衛教活動在都會原住民部落之成效。臺灣營養學會雜誌,33(3),97-107。  延伸查詢new window
25.吳麗芬(20071200)。周全性老人評估與護理。護理雜誌,54(6),61-66。new window  延伸查詢new window
26.林麗嬋、吳肖琪、蔡誾誾、張淑卿(20101200)。現行長期照護評估工具的問題與因應。長期照護雜誌,14(3),255-265。  延伸查詢new window
27.胡愈寧、酈欽菁、李佳、林榮輝、胡國琦(2009)。老年人各項日常生活活動功能與自評健康狀態之調查及相關性探討。臺灣復健醫誌,37(2),107-114。  延伸查詢new window
28.楊惠如、呂桂雲、陳宇嘉、張永源(20060900)。社區獨居老人健康狀況與長期照護需求研究。實證護理,2(3),229-240。new window  延伸查詢new window
29.張桂霖、張金鶚(20100600)。老人居住安排與居住偏好之轉換:家庭價值與交換理論觀點的探討。人口學刊,40,41-90。new window  延伸查詢new window
30.陳嫣芬、林晉榮(20060300)。社區老人身體活動與生活品質相關之研究。體育學報,39(1),87-99。new window  延伸查詢new window
31.曾瀝儀、張金鶚、陳淑美(20061200)。老人居住安排選擇--代間關係之探討。住宅學報,15(2),45-64。new window  延伸查詢new window
32.李百麟(20090900)。高齡者之生活滿意度與成功老化各因素關係之探討。危機管理學刊,6(2),25-38。new window  延伸查詢new window
33.劉樹泉、李玲玲、林瑞祥、劉益宏、余豎文、鄧世雄、盛培珠(20010800)。The Health Status of Rural and Urban Ambulatory Elderly in Taipei County。長庚醫學,24(8),492-501。  延伸查詢new window
34.薛承泰(20080300)。臺灣家庭變遷與老人居住型態:現況與未未。社區發展季刊,121,47-56。new window  延伸查詢new window
會議論文
1.Davis, H.、Philp, I.、Ritters, K.(201107)。Easy-care: Improving the lives of older people through better assessment and response to their health and care needs。Symposium conducted at the conference of the Social Policy Association。Kent County, UK。  new window
研究報告
1.內政部統計處(201520214)。104年第7週內政統計通報(103年底原住民人口概況)。  延伸查詢new window
2.行政院原住民委員會(2015)。101年原住民族人口及健康統計年報。  延伸查詢new window
3.衛生福利部國民健康署(2014)。民國一百年台灣地區中老年身心社會生活狀況長期追蹤(第七次)調查成果報告。  延伸查詢new window
學位論文
1.蘇秀華(2010)。原住民老人生活滿意度之調查研究--以南投縣仁愛鄉為例(碩士論文)。南開科技大學。  延伸查詢new window
2.林淑緩(2013)。原漢老人健康需求評估比較(碩士論文)。慈濟大學。  延伸查詢new window
3.王冠今(2009)。台灣社區老人的社會支持改變、健康狀況改變與社會參與之縱貫性研究(博士論文)。國立臺灣師範大學。new window  延伸查詢new window
其他
1.內政部統計處(20151130)。民國103年原住民簡易生命表題要分析,http://sowf.moi.gov.tw/stat/Life/103年原住民簡易生命表提要分析..pdf。  延伸查詢new window
2.行政院原住民委員會(2015)。103年台灣原住民經濟狀況調查,http://www.apc.gov.tw/portal/docDetail.html?CID=C5FBC20BD6C8A9B0andDID=0C3331F0EBD318G26CDB64C048198BF8。  延伸查詢new window
3.衛生福利部統計處(20141030)。民國102年老人狀況調查,http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312andfod_list_no=4695。  延伸查詢new window
4.Cavanagh, S.,Chadwick, K.(2005)。Health needs assessment: A practical guide,https://www.urbanreproductivehealth.org/sites/mle/files/Health_ Needs_Assessment__A_Practical_Guide.pdf。  new window
5.World Health Organisation。Process of translation and adaptation of instruments,http://www.who.int/substance_abuse/research_tools/translation/en/。  new window
 
 
 
 
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