The Relationship of Well-being, Activities of Daily Living, and Health Perception among Older Adults Living in Senior Apartments in Southern Taiwan

• Main Authors: Chih- Ping Sung, 宋芝萍
• Other Authors: Feng-Ping Lee
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/31512369207707979136

碩士 === 輔英科技大學 === 護理系碩士班 === 97 === In Taiwan, 65-year-old or older people account for around 10.48% of the population, and the aging index and the dependent ratio are the second in Asian regions. Therefore, ageing-related issues are important. However, older people’s living environments have been changed because of family structure and society value, so the selection of senior apartments as their living places is increased, and we should concern older people’s living conditions and their inner feeling when they live in the apartments. This study aimed to explore the correlation among daily living function, health perception and well-being of older people who live in senior apartments. The current study used a cross-sectional and descriptive correlational design and took 65-year-old or older people living in community senior apartment in southern Taiwan as subjects for the purpose of sampling conveniently. Mini-Mental State Examination was used to make sure that the senior people’s mental situation was suited for this research before accepting. The research used structure scales as research tools, including Barthel Index, Instrumental Activities of Daily Living Scale, Chinese Health Questionnaire, and Subjective Well-being Questionnaire. All the interviews were taken one by one. This study used a SPSS 12.0 statistics software to conduct descriptive and inferential analysis, hoping that the research can provide a direction for long-turn care agencies and caregivers. In this study, there were 80 subjects in total. The research result found that concerning the daily living function of senior apartment people, most of them were of middle dependence, accounting for 44 subjects (55%）all told, and the main disabled item was who couldn’t go upstairs and downstairs, the score being 4.13 (SD=4.75). In Instrumental activities of daily living function, the average was 4.39(SD=0.89). The most best item about total independence was “telephone-using ability” and “financial ability” (n=77, 96.3%), total dependence item was “going shopping” (n=22, 27.5%). In Health perception, there were 10 subjects (12.6%) who felt unhealthy. In Subjective Well-being Questionnaire, the best was “body and mental health” for 3.25±0.59, and the worse was “interpersonal relationship” for 2.89±0.74. As for the correlation among daily living function, health perception and well-being, the study used product-moment correlation. Instrumental activities of daily living function was correlated with well-being (r = .336，p = .002), and Health perception and Well-being was nodt obviously correlated ( r＝- .169，p＝ .134). The suggestion for the future study : first is that in order to maintain the senior people’s self-care and function before moving into senior apartment, increasing nursing manpower, helping establish self-help groups, and reducing changes for their daily ability and mental health are the directions for nursing clinical practices. Second, because of the limitation of the environments and housework operating experience, we can use daily living function evaluation standard through nursing study. On the whole, it is suggested that older nursing-care education should not only for optional course or advance course, but also for the general perfection course; in doing so, older-care’s cognition and attitude will be advantageous to professional nursing field.