| Summary: | 碩士 === 亞洲大學 === 健康產業管理學系長期照護組 在職專班 === 99 === Introduction and objective: Many factors, including social and physiological, can impact the onset of needing care of the elderly persons. This study was aimed to examine these factors in older Taiwanese.
Method: This study analyzed the 2003 and 2007 datasets of the “Survey of Health and Living Status of the Elderly in Taiwan”. The study analyzed only data of the original cohort because all subjects would over 74 years old in 2003s and would have greater care needs. Statistical analyses were carried out with SPSS for Windows Version 12.0. Binary logistic regression analysis was used to analyze the factors associated with the initiation of needing personal care.
Results: Results showed that ADL (Activities of Daily Living), IADL(Instrumental Activities of Daily Living) dependency and cognitive impairment were the major determinants of becoming needing care. Other factors such as old age, being a female, incontinency, poor cognition and heart disease were also associated with increased risk of needing care.
Conclusion: The study showed that functional disability, cognitive impairment and serious illness are the major determinants of becoming needing care in the elderly. Social factors are not among the major determinants. Results suggest that prolonging functional activity and normal cognition appears to be the major focus point of delaying the onset of needing care.
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