研究生: |
洪珮淳 Hung, Pei-Chuen |
---|---|
論文名稱: |
探討台灣地區老年人家庭關係和身體健康狀況與幸福感之相關研究 The Research of Elderly with Family Relationship, Physical Health, and Well- Being in Taiwan |
指導教授: |
李思賢
Lee, Szu-Hsien |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2018 |
畢業學年度: | 106 |
語文別: | 中文 |
論文頁數: | 64 |
中文關鍵詞: | 老年人 、家庭關係 、身體健康狀況 、幸福感 |
英文關鍵詞: | elderly, family relationship, physical health, Psychological well-being |
DOI URL: | http://doi.org/10.6345/THE.NTNU.DHPHE.020.2018.F02 |
論文種類: | 學術論文 |
相關次數: | 點閱:322 下載:89 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究目的在於瞭解台灣地區老年人家庭關係和身體健康狀況與幸福感之相關影響,探討心理幸福感是否扮演家庭關係和身體健康狀況中介變項的角色。
本研究使用之二手資料來自104度國民心理健康調查之前驅測試,問卷根據台灣社會變遷基本調查之抽樣分層進行,於全台北、中、南、東四大地理區域進行收案,抽樣調查全台灣65歲以上的老年人,共162位。研究對象平均年齡74.12 ±6.38歲,男性受訪者46.9%;女性占53.1%。統計分析以套裝軟體SPSS 22.0進行描述性統計與相關分析驗證。
結果顯示心理幸福感為家庭關係與身體健康狀況之中介變項;同時考慮家庭關係、心理幸福感對身體健康狀況之解釋力時,家庭關係的解釋力下降(從原來β=.36,p<0.001下降為β=.15,p<0.05),而心理幸福感仍然維持一樣的解釋力(β=.54,p<0.001和β=.47,p<0.001);並以Sobel test檢驗,中介效果的標準化效果量為0.216,且心理幸福感和家庭關係的交互作用不顯著。
本研究結果試圖去呼應華人特有的家庭主義下的關係,會直接的影響到高齡者幸福感的建構,重要家人之間的家庭關係是老年人心理幸福感的重要來源。另外老人的自覺身體健康狀況是透過社會心理學的因素來影響的,在擁有足夠的心理資本下,最終的回饋到外顯的身體健康狀況上。在未來超高齡化的嚴峻挑戰之下,快樂的老人才能活得更健康,達到提高健康平均餘命的願景。
Objective: This study examined the psychological well-being between family relationship and physical health.Despite the recognition of the importance of social support with family relationship, little theoreticalwork has been done that provides a conceptual framework for understandingthe relationships between psychological well-being and physical health. Try to explain the pathways between family relationahip,psychological well-being and physical health with elderly.
Methods : Use secondary data from the pilot study ofHealth and Well-being in Taiwan(2015).Design by stratified sampling with Taiwan Social Change Survey.
Collected data from fourprimaryadministrative district in Taiwan.162 participants were more than 65 years old.Participants mean age were 74.12 ±6.38 years old consists of46.9% men and 53.1% women.
Results: Psychological well-being was a mediating effect between family relationship and physical health.Try to response the Familism in Chinese culture influencing the construction of well-being.The relationship with intimate family members is a important source with elderly.Besides,perceived physical health was impacted by social psychological factor.When elderly possess sufficient psychologicalcapital,it would give positive feedback in explicit physical condition.In facing the challenges of aging society,elderly should live happier to live longer.Reach the vision for healthy life expectancy.
Urethane, A. S. V.(2001)。行政院國家科學委員會專題研究計畫成果報告。
Lee,Y.C.(2009).安適幸福感的構念發展與情緒調控機制之探討。臺灣大學心理學研究所學位論文,1-121。
行政院內政部統計處(2015)。104年第3週內政統計通報。
取自:http://www.moi.gov.tw/stat/news_content.aspx?sn=9148
衛生福利部(2014)。102年老人狀況調查報告。
林歐貴英、郭鐘隆 (譯)(2003)。Nancy R. Hooyman H. Asuman Kiyak 著,社會老人學。台北:五南
取自:http://www.slideshare.net/hseyilishih/102-10310
李維靈、施建彬、邱翔蘭。(2007)。退休老人休閒活動參與及其幸福感之相關研究。Journal of Humanities and Social Sciences,3(2),27-35。
陳秉華, & 游淑瑜. (2001). 台灣的家庭文化與家庭治療. 亞洲輔導學報》(香港), 8(2), 153-174.
蔡琰、臧國仁。(2008)。熟年世代網際網路之使用與老人自我形象與社會角色建構。新聞學研究,97,1-43。
黃仲珊、曾垂孝(1993)。口頭傳播:演講的理論與方法。台北:遠流。
侯佩君、杜素豪、廖培珊、洪永泰、章英華(2008)。台灣鄉鎮市區類型之研究:[台灣社會變遷基本調查] 第五期計畫之抽樣分層效果分析。調查研究-方法與應用,(23),7-32。
高旭繁(2013)。通往華人幸福之路: 性格特質與文化價值的雙重作用。本土心理學研究,(39),165-214。
廖英純, & 林惠如. (2008). 運用生命回顧協助一位中風老人面對無力感之護理經驗. 護 理雜誌, 55(1), 94-98.
蕭秋月, & 葉淑惠. (2004). 運用回憶治療於機構老人照護.長期照護雜誌,8(2), 133-144.
盧瑞芬, 曾旭民, & 蔡益堅. (2003). 國人生活品質評量 (Ⅰ): SF-36 台灣版的發展及心理計量特質分析. 臺灣公共衛生雜誌, 22(6), 501-511.
鄢如平. (2011). 探討成人健康檢查族群其健康促進生活型態之相關因素研究-以台北市某醫學中心為例. 臺灣師範大學健康促進與衛生教育學系在職進修碩士班學位論文, 1-127.
Argyle, M. (2003). 18 Causes and Correlates of Happiness. Well-being: The foundations of hedonic psychology, 353.
Baillie,V., Norbeck,J.S., & Barnes,L.E.A.(1988).Stress,social support, and psychological distress of family caregivers of the elderly. Nursing Research,37(4),217-222.
Baillie,V., Norbeck,J.S.,& Barnes,L.E.A. (1988).Stress,social support, and psychological distress of family caregivers of the elderly. Nursing Research,37 (4),217-222.
Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. Successful aging: Perspectives from the behavioral sciences, 1(1), 1-34.
Barnhill, L. R. (1979). Healthy family systems. Family Coordinator, 94-100.
Bronfenbrenner,U.(1995).The bioecological model from a life course
perspective:Reflections of a participant observer.In P.Moen,G. H.Elder,Jr., & K.Lüscher(Eds.),Examining lives in context: Perspectiveson the ecology of human development (pp.599–618). Washington, DC:American Psychological Association.Eid,M.,& Larsen,R.J.(Eds.).(2008).The science of subjective well-being.Guilford Press.
Bennett, D., & Morris, I. (1983). Support and rehabilitation. Theory and practice of psychiatric rehabilitation, 189-210.
Bishop, A. J., Martin, P., & Poon, L. (2006). Happiness and congruence in older adulthood: A structural model of life satisfaction. Aging and Mental Health, 10 (5), 445-453.
Caplan, G. (1974). Social support and community mental health: Lectures on concept development. New York: B ehavioral P ublications.
Charles, C., Gafni, A., & Whelan, T. (1997). Shared decision-making in the medical encounter: what does it mean?(or it takes at least two to tango). Social science & medicine, 44(5), 681-692.
Chiang, H. H., Chien, L. H., Lin, J. S., Yeh, Y. H., & Lee, T. S. H. (2013). Modeling psychological well‐being and family relationships among retired older people in Taiwan. International journal of mental health nursing, 22 (1), 93-101.
Chida, Y., & Steptoe, A. (2008). Positive psychological well-being and mortality: a quantitative review of prospective observational studies. Psychosomatic medicine, 70(7), 741-756.
Chipperfield, J. G., & Havens, B. (2001). Gender differences in the relationship between marital status transitions and life satisfaction in later life. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56(3), P176-P186.
Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic medicine, 38 (5), 300-314.
Danner, D. D., Snowdon, D. A., & Friesen, W. V. (2001). Positive emotions in early life and longevity: findings from the nun study. Journal of personality and social psychology, 80(5), 804.
Devellis, R.F. (1991) Scale Development: Theory and Applications, Applied Social Research Methods Series 26,Sage: Newbury Park.
Deci, E. L., & Ryan, R. M. (2008). Hedonia, eudaimonia, and well-being: An introduction. Journal of Happiness Studies, 9(1), 1-11.
Diener, E., Oishi, S., & Lucas, R. E. (2003). Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life. Annual review of psychology, 54(1), 403-425.
Diener, E., Lucas, R. E., & Scollon, C. N. (2006). Beyond the hedonic treadmill: revising the adaptation theory of well-being. American psychologist, 61(4), 305.
Diener, E. (2009). Subjective well-being. In The science of well-being (pp. 11-58). Springer Netherlands.
Diener, E., & Chan, M. Y. (2011). Happy people live longer: Subjective well‐being contributes to health and longevity. Applied Psychology: Health and Well‐Being, 3 (1), 1-43.
Dressler, W. W., & Bindon, J. R. (2000). The health consequences of cultural consonance: Cultural dimensions of lifestyle, social support, and arterial blood pressure in an African American community. American anthropologist, 102 (2), 244-260.
Haines-Young,R.,& Potschin,M.(2010).The links between biodiversity, ecosystem services and human well-being. Ecosystem Ecology: a new synthesis,110-139.
Little,B.R.(2000).Free traits and personal contexts: Expanding a social ecological model of well-being. In American Psychological Association Annual Meeting., Aug, 1995, New York, NY, US; This article is based on a paper presented to the symposium on Person–Environment Psychology: Contemporary Models and Perspectives at the aforementioned meeting.Lawrence Erlbaum Associates Publishers.
Lu,L., Gilmour,R.,& Kao,S.F.(2001).Cultural values and happiness:An East-West dialogue.The Journal of Social Psychology,141(4), 477-493.
Folkman, S., & Greer, S. (2000). Promoting psychological well‐being in the face of serious illness: when theory, research and practice inform each other. Psycho‐oncology, 9 (1), 11-19.
Haines-Young,R.,& Potschin,M. (2010).The links between biodiversity, ecosystem services and human well-being. Ecosystem Ecology: a new synthesis,110-139.
Heaney, C. A., & Israel, B. A. (2008). Social networks and social support. Health behavior and health education: Theory, research, and practice, 4, 189-210.
Kapp, M. B. (1991). Health care decision making by the elderly: I get by with a little help from my family. The Gerontologist, 31(5), 619-623.
Kawachi, I., & Berkman, L. F. (2001). Social ties and mental health. Journal of Urban health, 78(3), 458-467.
Keyes,C.L., Shmotkin,D., & Ryff,C.D.(2002).Optimizing well-being: the empirical encounter of two traditions.Journal of personality and social psychology,82 (6) ,1007.
Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: his and hers. Psychological bulletin, 127 (4), 472.
Kiecolt-Glaser, J. K., Gouin, J. P., & Hantsoo, L. (2010). Close relationships, inflammation, and health. Neuroscience & Biobehavioral Reviews, 35 (1), 33-38.
Kim, I. K., & Kim, C. S. (2003). Patterns of family support and the quality of life of the elderly. Social Indicators Research, 62 (1-3), 437-454.
Kim,J.E., & Moen,P.(2002).Retirement transitions,gender,and psychological well-being a life-course, ecological model. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences,57(3),P212-P222.
Krause, N. (2006). Exploring the stress-buffering effects of church-based and secular social support on self-rated health in late life. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 61(1), S35-S43.
Kotkamp-Mothes, N., Slawinsky, D., Hindermann, S., & Strauss, B. (2005). Coping and psychological well being in families of elderly cancer patients. Critical reviews in oncology/hematology, 55(3), 213-229.
Kunzmann, U., Little, T. D., & Smith, J. (2000). Is age-related stability of subjective well-being a paradox? Cross-sectional and longitudinal evidence from the Berlin Aging Study. Psychology and aging, 15 (3), 511.
Lelkes, O. (2007). Happiness over the life-cycle: Exploring age-specific preferences. Mainstreaming Ageing: Indicators to Monitor Sustainable Policies, European Centre Vienna, Ashgate: Aldershot (UK).
Lewis, M. A., McBride, C. M., Pollak, K. I., Puleo, E., Butterfield, R. M., & Emmons, K. M. (2006). Understanding health behavior change among couples: An interdependence and communal coping approach. Social science & medicine, 62(6), 1369-1380.
Little,B.R. (2000).Free traits and personal contexts: Expanding a social ecological model of well-being. In American Psychological Association Annual Meeting., Aug, 1995, New York, NY, US; This article is based on a paper presented to the symposium on Person–Environment Psychology: Contemporary Models and Perspectives at the aforementioned meeting.Lawrence Erlbaum Associates Publishers.
Lucas, R. E., & Gohm, C. L. (2000). Age and sex differences in subjective well-being across cultures. Culture and subjective well-being, 3(2), 91-317.
Lu,L., Gilmour,R.,&Kao,S.F. (2001).Cultural values and happiness:An East-West dialogue.The Journal of Social Psychology,141 (4), 477-493.
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 & mental health, 9(4), 354-362.
Ostir, G. V., Markides, K. S., Black, S. A., & Goodwin, J. S. (2000). Emotional well‐being predicts subsequent functional independence and survival. Journal of the American Geriatrics Society, 48 (5), 473-478.
Patrick, J. H., Cottrell, L. E., & Barnes, K. A. (2001). Gender, emotional support, and well-being among the rural elderly. Sex Roles, 45(1-2), 15-29.
Pinquart, M., & Sörensen, S. (2001). Gender differences in self-concept and psychological well-being in old age: A meta-analysis. The Journals of Gerontology Series B: Psychological sciences and social sciences, 56(4), P195-P213.
Reinhardt, J. P., Boerner, K., & Horowitz, A. (2006). Good to have but not to use: Differential impact of perceived and received support on well-being. Journal of Social and Personal Relationships, 23(1), 117-129.
Ryff,C.D.(1989).Happiness is everything, or is it? Explorations on the meaning of psychological well-being.Journal of personality and social psychology,57(6),1069.
Ryff, C. D. (1995). Psychological well-being in adult life. Current directions in psychological science, 4(4), 99-104.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American psychologist, 55(1), 68.
Ryff, C., & Singer, B. (2002). From social structure to biology. Handbook of positive psychology, 63-73.
Ryff, C. D., & Singer, B. H. (2006). Best news yet on the six-factor model of well-being. Social Science Research, 35(4), 1103-1119.
Seeman,T.E.,Singer,B.H.,Ryff,C.D.,DienbergLove,G.,&Levy-Storms,L. (2002). Social relationships, gender, and allostatic load across two age cohorts. Psychoso- matic Medicine, 64, 395–406.
Shanas,E.(1979).The family as a social support system in old age. The Gerontologist,19(2),169-174.
Shumaker, S. A., & Brownell, A. (1984). Toward a theory of social support: Closing conceptual gaps. Journal of social issues, 40 (4), 11-36.
Smith, J., Borchelt, M., Maier, H., & Jopp, D. (2002). Health and well–being in the young old and oldest old. Journal of Social Issues, 58(4), 715-732.
Stokols,D.(1996).Translating social ecological theory into guidelines for community health promotion.American journal of health promotion,10(4),282-298.
Thoits, P. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journal of health and social behavior, 52 (2), 145-161.
Uchino, B. N. (2006). Social support and health: a review of physiological processes potentially underlying links to disease outcomes. Journal of behavioral medicine, 29 (4), 377-387.
Umberson, D., & Montez, J. K. (2010). Social relationships and health a flashpoint for health policy. Journal of health and social behavior, 51 (1 suppl), S54-S66.
VanLaningham, J., Johnson, D. R., & Amato, P. (2001). Marital happiness, marital duration, and the U-shaped curve: Evidence from a five-wave panel study. Social Forces, 79 (4), 1313-1341.
Veenhoven, R. (2008). Healthy happiness: Effects of happiness on physical health and the consequences for preventive health care. Journal of happiness studies, 9 (3), 449-469.
Walen, H. R., & Lachman, M. E. (2000). Social support and strain from partner, family, and friends: Costs and benefits for men and women in adulthood. Journal of Social and Personal Relationships, 17 (1), 5-30.
Waldinger, R. (2015). What makes a good life? Lessons from the longest study on happiness. Ted Talk https://www. ted. com/talks/robert_waldinger_what_makes_a_good_life_lessons_ from_the_longest_study_on_happiness.
Wilson, C. M., & Oswald, A. J. (2005). How does marriage affect physical and psychological health? A survey of the longitudinal evidence.
Wood, D. A., Kotseva, K., Connolly, S., Jennings, C., Mead, A., Jones, J., ... & Faergeman, O. (2008). Nurse-coordinated multidisciplinary, family-based cardiovascular disease prevention programme (EUROACTION )for patients with coronary heart disease and asymptomatic individuals at high risk of cardiovascular disease: a paired, cluster-randomised controlled trial. The Lancet, 371 (9629), 1999-2012.
Yang, K. S. (1998). Chinese responses to modernization: A psychological analysis. Asian Journal of Social Psychology, 1(1), 75-97.
Zimet,G.D., Dahlem,N.W., Zimet,S.G., & Farley,G.K.(1988).The multidimensional scale of perceived social support.Journal of personality assessment,52(1),30-41.
Zimmer,Z., Hickey, T., & Searle, M. S.(1995). Activityparticipation and well-being among older people witharthritis. The Gerontologist,35(4),463-471.