安養機構老人生活品質及其影響因素

A Study of Life Quality for Residents in Long-Term Care Facility

本研究主要目的在探討安養機構老人生活品質及其相關影響因素之調查研究。研究樣本為北部某榮民之家以下簡稱榮家位歲以上之老年人，以訪談方式運用中文簡短版健康狀態評估量表收集資料，研究資料以百分率、平均數、複迴歸分析等方法進行資料分析。主要研究結果如下：一榮家老人生活品質較差的是「健康問題造成角色限制」，其次是「情緒問題造成角色限制」；較佳的是「社會功能、身體疼痛」，次佳者為「整體精神健康」。二榮家老人罹患一種以上之疾病；各項疾病之盛行率最高三項為憂鬱、高血壓、心臟血管疾病。三影響榮家老人生活品質的因素：年齡、跌倒經驗、憂鬱、腦中風、心臟血管疾病及痛風性關節炎等，對不同構面之生活品質造成影響。研究結果可供長期照護機構照護計畫之參酌。

The purpose of this study was to explore the quality of life (QOL) for residentsin long-term care facilities and its related factors. We recruited a total of 379 residentsfrom a long-term care facility, using a health-related, structured questionnaire-qualityof life short form 36-to collect data, then to analyze them statistically by means ofdescriptive analysis and multiple regression. The major findings of this study wereas follows: (1) The factors scoring worst for QOL were health problems resulting inrole restriction and emotional problems resulting in role restriction; the factors withbetter scores were social function, body pain, and comprehensive mental health. (2)88.9% residents had more than one kind of disease. The most prevalent diseaseswere depression (53%), hypertension (44.6%), and cardiovascular disease (44.3%).(3) Variables such as age, experience of falls, depression, stroke, cardiovascular diseaseand arthritis were significantly related to QOL. The findings of this study could serveas a reference for the long-term care facilities.