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研究生: 余若寧
Yu, Ruo-Ning
論文名稱: 社區資源及日常活動與高齡者活躍老化之相關性:以花蓮市為例
Community resources and daily activities correlated with active aging among elderly: Hualien City case study
指導教授: 曾治乾
Tseng, Chie-Chien
口試委員: 曾治乾
Tseng, Chie-Chien
吳文琪
Wu, Wen-Chi
郭憲文
Kuo, Hsien-Wen
口試日期: 2024/07/26
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: 2024
畢業學年度: 112
語文別: 中文
論文頁數: 98
中文關鍵詞: 活躍老化在地老化健康促進高齡友善社區資源
英文關鍵詞: Active Aging, Aging In Place, Health Promotion, Age-Friendly, Community Resources
研究方法: 調查研究
DOI URL: http://doi.org/10.6345/NTNU202401539
論文種類: 學術論文
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  • 本研究目的在探討高齡者日常活動、社區資源使用與活躍老化之關聯性。研究對象為花蓮市60歲以上高齡者,共取得有效樣本472人,採半結構式問卷進行施測。本研究之重要結果如下:
    高齡者日常活動主要為「家庭生活」及「健康休閒」。社區資源使用主要為「里活動中心」、其次「公園」,組織資源則是「里辦公室」。
    不同高齡者人口背景對日常活動、社會資源使用、心理憂鬱情形、日常活動能力、整體生活狀況均呈顯著。女性社會參與活動頻率較男性高。女性主要參加學習類型及志工服務等社會參與活動,男性則偏向休閒活動。與配偶同住及教育程度較高的高齡者在整體生活狀況得分都較高。
    高齡者日常活動及社區資源使用對活躍老化之相關影響,高齡者日常活動與社區資源使用,對日常生活活動能力(ADL)及整體生活狀況之關係均呈現正相關,高齡者日常活動與日常生活活動能力呈現正相關,顯示高齡者日常生活活動能力愈佳從事日常活動頻率也較高;高齡者日常活動與社區資源使用對憂鬱症狀呈現負相關,顯示高齡者從事日常活動及社區資源使用,頻率愈高其心理憂鬱的情形較低。
    從高齡者人口背景、日常活動、社區資源使用對活躍老化的迴歸分析中調整後的R平方值為0.28,顯示自變項可解釋活躍老化28%的變異量。所有自變數對活躍老化有正向的影響,解釋力大小排序為:日常活動頻率、教育程度、婚姻狀況、社區資源使用、居住狀況、性別、年齡,高齡者日常活動與社區資源使用的頻率愈高,其活躍老化程度愈高。顯示從事日常活動及使用社區資源對活躍老化有其正向的影響,符合本研究假設。

    The purpose of this study is to explore the correlation between daily activity, use of community resources and active aging among seniors over 60 years old. Reasearch subject of the study were people over 60 years old in Hualien City. A total of 472 valid samples was obtained. A semi-structured questionnaire was used to conduct questionnaire interviews. The important results of this study are as follows:
    1. The major daily activities of the elderly were "family life" category and the "healthy leisure" category. In terms of community resources, the most commonly used material resources were "living activity center", followed by "park". In terms of organizational resources, "living office" was the most used; and "religious building" was the least used, showing that the elderly are less engaged in religious-related activities.
    2. The demographic background of different elderly people showed significant differences in their daily activity behaviors, use of social resources, psychological depression, daily activity abilities, and overall living conditions. In terms of gender, women engaged more in social participation activities than men. Women’s daily activities tended to be more social participation such as learning activities and volunteer services, while men were more inclined to leisure activities. In terms of living status and marriage, older people who lived with their spouse and held a higher education level had higher scores in overall living conditions.
    3. The relationship between daily activities of the elderly and the use of community resources on functional daily living abilities and overall living conditions showed a positive correlation, indicating the elderly with higher frequency of daily activities had higher frequency of using community resources. The elderly's daily activity behavior and functional daily living ability were positively correlated, showing that the elderly with better functional daily living ability had higher frequency of their daily activity behavior. The elderly's daily activities and community resource use are negatively correlated with depressive symptoms, which showed that the more frequently the elderly engage in daily activities and use community resources, the lower their psychological depression.
    4. The regression analysis of demographic background variables, daily activity, and community resource use showed that the adjusted R-squared value is 0.28, indicating that the independent variables can explain 28% of the variation in active aging. All independent variables have a positive impact on active aging. The order of explanatory power is: frequency of daily activity behavior, education level, marital status, community resource use, residential status, gender, age, showing the frequency of daily activity behavior and community resource use. The higher the value, the higher the degree of active aging. It shows that engaging in daily activities and using community resources has a positive impact on active aging, which is consistent with the hypothesis of this study.

    摘要 I ABSTRACT II 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 2 第三節 研究問題 2 第四節 研究假設 2 第五節 名詞操作型定義 3 第六節 研究限制 4 第二章 文獻探討 5 第一節 老化問題與活躍老化之建構與發展 5 第二節 活躍老化與高齡者日常活動 12 第三節 高齡友善城市與社區資源 16 第四節 推動在地活躍老化的困難與挑戰 20 第五節 小結 24 第三章 研究設計與方法 25 第一節 研究架構 25 第二節 研究對象 26 第三節 研究工具 29 第四節 研究步驟 37 第五節 資料處理與分析 40 第四章 實證分析 42 第一節 研究參與者的各類變項描述性統計 42 第二節 高齡者人口背景、日常活動及使用社區資源與活躍老化之關係 59 第三節 高齡者日常活動與社區資源對活躍老化之相關影響 65 第四節 高齡者日常活動與社區資源使用對活躍老化整體之預測力 66 第五章 結論與建議 69 第一節 結論 69 第二節 建議 71 參考文獻 72 一、中文部分 72 二、英文部分 76 附錄 82 附錄一、花蓮市行政區域劃分與各里的人口基本資料 82 附錄二、問卷 89 附錄三 研究倫理審查核可證明書 98

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