| Summary: | 碩士 === 國立臺北護理健康大學 === 長期照護研究所 === 102 === Abstract
This study was aimed to investigate the key factors in the health functional status, health care, associate factors and trend of disability among the elders in Taiwan. The study was retrospective, derived from the “Longitudinal Study on Health and Living Status of Elderly in Taiwan”; the database included the sociodemography, health function, health seeking & behavior and the relationship between them and Basic Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).
There are 3,216 elders enrolled in the study, average age of 70.8(±6.5), slightly more in male than female, low level of education in general. Disability status had been remarkable in elderly, female, lower education leveler, single. Rather, CI-Q & habitual exercising affecting ADL, CI-Q score higher and those without habitual exercise resulted in more severity of disability, the same trend in self-perceiving healthy & with falling record within one year affecting IADL also. As for any decline trend in daily living had been observed in this study; in 1999, IADL limitation observed in 43.7% of sample subjects in total; up-rose to 75.5% and 81.8% in 2003 and 2007, respectively; with regard to ADL in counterpart, ADL limitation observed in 12.1%, up-rose to 20.7% and 39.7% in 2003 and 2007, respectively. This reflected, just within short years, the significant downshift by the time passing in ADL & IADL. The decline curve could be well-depicted.
Aging decay of living functioning could occur in all age strata, however the disabled representing in non-elderly subpopulation. It’s easier to gain access in elderly rather than in the disabled. Based on the associated factors and trends in the functioning decline, might facilitate coping & handling of intervention care positioning and designing, i.e. catching the disability, maintaining the functional level rather than morbidity detection, just following the long-term care policy making in advanced countries.
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