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題名 健康促進參與對高齡者自我價值與自評健康之影響-以高雄市社區照顧關懷據點為例
The Impact of Health Promotion Participation on Self-Worth and Self-rated Health for the Elderly in Kaohsiung Community Care Centers作者 梁靖勤
Liang, Ching-Chin貢獻者 王明聖
Wang, Ming-Sheng
梁靖勤
Liang, Ching-Chin關鍵詞 高齡者
自我價值
自評健康
社區照顧關懷據點
健康促進
Health promotion
Elderly
Self-worth
Self-rated health
Community care centers日期 2023 上傳時間 1-九月-2023 15:45:45 (UTC+8) 摘要 老年期的適應不良，將影響高齡者自我價值與身心健康，故如何讓高齡者活得久且活得好，已成為世界各國專注之重點。政府為因應高齡化之議題，透過設置社區照顧關懷據點並提供高齡者健康促進活動，期能延緩高齡者之老化情形，並增進其健康與活力。過去研究對自我價值之探討較多集中於兒童、青少年領域，而針對高齡者參與社區照顧關懷據點活動之相關研究則多偏重於生活品質之討論，故本研究旨在探討高齡者參與健康促進活動對自我價值及自評健康之影響，並依據研究結果與發現提供相關單位辦理社區照顧關懷據點之參考。本研究採用問卷調查法，以參與高雄市社區照顧關懷據點健康促進活動之65歲以上長輩為研究對象，將高雄市的平地區域做為抽樣範圍，並分為北、中及南區三個區域，從中各選出4個據點進行調查，最終收回有效樣本共計386份。本研究運用SPSS軟體以「描述性統計」、「獨立樣本t檢定（T-test）」、「單因子變異數分析（one-way ANOVA）」以及「多元迴歸分析」，等統計方法進行分析。主要研究發現如下：一、高齡者平均自我價值得分為35.40分，屬於中上程度；而自評健康之平均得分則為15.01分，屬於中等偏高。二、不同「年齡」、「婚姻狀況」、「每月個人可支配所得」以及「居住安排」對高齡者之自我價值情形有顯著差異；不同「性別」及「教育程度」則對高齡者之自我價值無顯著差異。三、不同「年齡」、「教育程度」、「婚姻狀況」、「每月個人可支配所得」以及「居住安排」對高齡者之自評健康狀況有顯著差異；不同「性別」則對高齡者之自評健康情形沒有顯著差異。四、不同「參與頻率」、「參與時間」以及「參與課程多元性」在高齡者的自我價值上有顯著差異。高齡者每週參與的頻率越高、參與時間較長及參與課程越多元，對其自我價值情形有顯著正向影響。五、不同「參與頻率」以及「參與課程多元性」，在高齡者的自評健康上有顯著差異，當高齡者每週參與的頻率越高及參與課程越多元時，對其自評健康得分有顯著正向影響；而不同「參與時間」則對高齡者之自評健康情形沒有顯著差異。六、高齡者之社會人口變項與健康促進參與情形對自我價值的預測，可有20.3%之解釋力，其中「教育程度」、「婚姻狀況」、「居住安排」、「參與頻率」及「參與課程多元性」為預測高齡者自我價值的重要因子。已婚者之自我價值情形比非已婚者來得差；教育程度越高，自我價值也會越高；居住安排為與家人同住者，其自我價值較獨居者佳；參與頻率越高及參與課程種類越多時，自我價值的得分情形也會隨之提升。七、高齡者之社會人口變項與健康促進參與情形對自評健康的預測，可有16.8%之解釋力，其中「年齡」、「居住安排」及「參與課程多元性」為預測高齡者自評健康的重要因子。當年齡越大時，高齡者之自評健康情形較差；居住安排是與家人同住者，自評健康狀況會比獨居者佳；參與課程種類越多元，其自評健康狀況也會較好。
The maladjustment during the elderly phase can influence the self-worth, as well as the physical and mental well-being of older individuals. Thus, enhancing the longevity and quality of life for the elderly has become a global priority. In response to the challenges posed by aging, governments have established community care centers and implemented health-promotion activities for the elderly, with the aim of delaying the aging process and enhancing overall health and vitality. While prior research has predominantly explored self-worth in the context of children and adolescents, studies focusing on older adults` participation in community care center activities have primarily revolved around discussions on the quality of life. Accordingly, this study aimed to investigate the effects of elderly participation in health-promotion activities on self-worth and self-rated health. The research findings are intended to provide insights for relevant organizations engaged in the establishment and operation of community care centers.This study employed a questionnaire survey method to investigate individuals aged 65 and above who participated in health promotion activities at community care centers in Kaohsiung City, Taiwan. The research focused on stratifying the centers in Kaohsiung City into three regions: North, Central, and South. Subsequently, a purposive sampling approach was utilized to select four centers from each of the aforementioned regions for the survey. Ultimately, a total of 386 valid responses were collected and analyzed.Statistical methods, including "descriptive statistics," "independent samples t-test," "one-way analysis of variance (One-way ANOVA)," and "multiple regression analysis," were employed using the SPSS software. The primary findings of the study are outlined below:1.The average self-worth score for the elderly participants was 35.40, indicating an above-average level, while the average self-rated health score was 15.01, indicating a moderately high level.2.Significant differences were observed in the self-worth among the elderly based on factors such as "age," "marital status," "monthly disposable income," and "living arrangement." However, no significant differences were found in self-worth among the elderly based on "gender" and "educational level."3.Significant differences were found in the self-rated health status of the elderly based on factors such as "age," "educational level," "marital status," "monthly disposable income," and "living arrangement." However, "gender" did not exhibit a significant difference in the self-rated health status among the elderly.4.Significant differences were observed in the self-worth among the elderly based on factors such as "participation frequency," "participation duration," and "diversity of participation courses." Higher weekly participation frequency, longer participation duration, and engagement in a more diverse range of courses positively influenced the self-worth of the elderly.5.Significant differences were found in the self-rated health status among the elderly based on factors such as "participation frequency" and "diversity of participation courses." Higher weekly participation frequency and engagement in a more diverse range of courses positively influenced the self-rated health scores of the elderly. However, "participation duration" did not exhibit a significant difference in the self-rated health status among the elderly.6.The prediction of self-worth based on demographic variables and health promotion participation among the elderly yielded an explanatory power of 20.3%. Among these factors, "educational level," "marital status," "living arrangement," "participation frequency," and "diversity of participation courses" emerged as significant predictors of self-worth among the elderly. Married individuals exhibited lower self-worth compared to those who were unmarried. Higher educational attainment was associated with higher self-worth. Living arrangement was identified as a factor contributing to higher self-worth among those living with family members, in contrast to those living alone. Moreover, greater participation frequency and involvement in a wider variety of courses were positively associated with higher self-worth.7.The prediction of self-rated health among the elderly based on sociodemographic variables and health promotion participation yielded an explanatory power of 16.8%. Among these factors, "age," "living arrangement," and "diversity of participation courses" emerged as significant predictors of self-rated health among the elderly. Older age was associated with poorer self-rated health among the elderly. Living arrangements involving cohabitation with family members were associated with better self-rated health compared to living alone. 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國立政治大學
社會工作研究所
101264013資料來源 http://thesis.lib.nccu.edu.tw/record/#G0101264013 資料類型 thesis dc.contributor.advisor 王明聖 zh_TW dc.contributor.advisor Wang, Ming-Sheng en_US dc.contributor.author (作者) 梁靖勤 zh_TW dc.contributor.author (作者) Liang, Ching-Chin en_US dc.creator (作者) 梁靖勤 zh_TW dc.creator (作者) Liang, Ching-Chin en_US dc.date (日期) 2023 en_US dc.date.accessioned 1-九月-2023 15:45:45 (UTC+8) - dc.date.available 1-九月-2023 15:45:45 (UTC+8) - dc.date.issued (上傳時間) 1-九月-2023 15:45:45 (UTC+8) - dc.identifier (其他 識別碼) G0101264013 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/147120 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 社會工作研究所 zh_TW dc.description (描述) 101264013 zh_TW dc.description.abstract (摘要) 老年期的適應不良，將影響高齡者自我價值與身心健康，故如何讓高齡者活得久且活得好，已成為世界各國專注之重點。政府為因應高齡化之議題，透過設置社區照顧關懷據點並提供高齡者健康促進活動，期能延緩高齡者之老化情形，並增進其健康與活力。過去研究對自我價值之探討較多集中於兒童、青少年領域，而針對高齡者參與社區照顧關懷據點活動之相關研究則多偏重於生活品質之討論，故本研究旨在探討高齡者參與健康促進活動對自我價值及自評健康之影響，並依據研究結果與發現提供相關單位辦理社區照顧關懷據點之參考。本研究採用問卷調查法，以參與高雄市社區照顧關懷據點健康促進活動之65歲以上長輩為研究對象，將高雄市的平地區域做為抽樣範圍，並分為北、中及南區三個區域，從中各選出4個據點進行調查，最終收回有效樣本共計386份。本研究運用SPSS軟體以「描述性統計」、「獨立樣本t檢定（T-test）」、「單因子變異數分析（one-way ANOVA）」以及「多元迴歸分析」，等統計方法進行分析。主要研究發現如下：一、高齡者平均自我價值得分為35.40分，屬於中上程度；而自評健康之平均得分則為15.01分，屬於中等偏高。二、不同「年齡」、「婚姻狀況」、「每月個人可支配所得」以及「居住安排」對高齡者之自我價值情形有顯著差異；不同「性別」及「教育程度」則對高齡者之自我價值無顯著差異。三、不同「年齡」、「教育程度」、「婚姻狀況」、「每月個人可支配所得」以及「居住安排」對高齡者之自評健康狀況有顯著差異；不同「性別」則對高齡者之自評健康情形沒有顯著差異。四、不同「參與頻率」、「參與時間」以及「參與課程多元性」在高齡者的自我價值上有顯著差異。高齡者每週參與的頻率越高、參與時間較長及參與課程越多元，對其自我價值情形有顯著正向影響。五、不同「參與頻率」以及「參與課程多元性」，在高齡者的自評健康上有顯著差異，當高齡者每週參與的頻率越高及參與課程越多元時，對其自評健康得分有顯著正向影響；而不同「參與時間」則對高齡者之自評健康情形沒有顯著差異。六、高齡者之社會人口變項與健康促進參與情形對自我價值的預測，可有20.3%之解釋力，其中「教育程度」、「婚姻狀況」、「居住安排」、「參與頻率」及「參與課程多元性」為預測高齡者自我價值的重要因子。已婚者之自我價值情形比非已婚者來得差；教育程度越高，自我價值也會越高；居住安排為與家人同住者，其自我價值較獨居者佳；參與頻率越高及參與課程種類越多時，自我價值的得分情形也會隨之提升。七、高齡者之社會人口變項與健康促進參與情形對自評健康的預測，可有16.8%之解釋力，其中「年齡」、「居住安排」及「參與課程多元性」為預測高齡者自評健康的重要因子。當年齡越大時，高齡者之自評健康情形較差；居住安排是與家人同住者，自評健康狀況會比獨居者佳；參與課程種類越多元，其自評健康狀況也會較好。 zh_TW dc.description.abstract (摘要) The maladjustment during the elderly phase can influence the self-worth, as well as the physical and mental well-being of older individuals. Thus, enhancing the longevity and quality of life for the elderly has become a global priority. In response to the challenges posed by aging, governments have established community care centers and implemented health-promotion activities for the elderly, with the aim of delaying the aging process and enhancing overall health and vitality. While prior research has predominantly explored self-worth in the context of children and adolescents, studies focusing on older adults` participation in community care center activities have primarily revolved around discussions on the quality of life. Accordingly, this study aimed to investigate the effects of elderly participation in health-promotion activities on self-worth and self-rated health. The research findings are intended to provide insights for relevant organizations engaged in the establishment and operation of community care centers.This study employed a questionnaire survey method to investigate individuals aged 65 and above who participated in health promotion activities at community care centers in Kaohsiung City, Taiwan. The research focused on stratifying the centers in Kaohsiung City into three regions: North, Central, and South. Subsequently, a purposive sampling approach was utilized to select four centers from each of the aforementioned regions for the survey. Ultimately, a total of 386 valid responses were collected and analyzed.Statistical methods, including "descriptive statistics," "independent samples t-test," "one-way analysis of variance (One-way ANOVA)," and "multiple regression analysis," were employed using the SPSS software. The primary findings of the study are outlined below:1.The average self-worth score for the elderly participants was 35.40, indicating an above-average level, while the average self-rated health score was 15.01, indicating a moderately high level.2.Significant differences were observed in the self-worth among the elderly based on factors such as "age," "marital status," "monthly disposable income," and "living arrangement." However, no significant differences were found in self-worth among the elderly based on "gender" and "educational level."3.Significant differences were found in the self-rated health status of the elderly based on factors such as "age," "educational level," "marital status," "monthly disposable income," and "living arrangement." However, "gender" did not exhibit a significant difference in the self-rated health status among the elderly.4.Significant differences were observed in the self-worth among the elderly based on factors such as "participation frequency," "participation duration," and "diversity of participation courses." Higher weekly participation frequency, longer participation duration, and engagement in a more diverse range of courses positively influenced the self-worth of the elderly.5.Significant differences were found in the self-rated health status among the elderly based on factors such as "participation frequency" and "diversity of participation courses." Higher weekly participation frequency and engagement in a more diverse range of courses positively influenced the self-rated health scores of the elderly. However, "participation duration" did not exhibit a significant difference in the self-rated health status among the elderly.6.The prediction of self-worth based on demographic variables and health promotion participation among the elderly yielded an explanatory power of 20.3%. Among these factors, "educational level," "marital status," "living arrangement," "participation frequency," and "diversity of participation courses" emerged as significant predictors of self-worth among the elderly. Married individuals exhibited lower self-worth compared to those who were unmarried. Higher educational attainment was associated with higher self-worth. Living arrangement was identified as a factor contributing to higher self-worth among those living with family members, in contrast to those living alone. Moreover, greater participation frequency and involvement in a wider variety of courses were positively associated with higher self-worth.7.The prediction of self-rated health among the elderly based on sociodemographic variables and health promotion participation yielded an explanatory power of 16.8%. Among these factors, "age," "living arrangement," and "diversity of participation courses" emerged as significant predictors of self-rated health among the elderly. Older age was associated with poorer self-rated health among the elderly. Living arrangements involving cohabitation with family members were associated with better self-rated health compared to living alone. Moreover, greater diversity in participation courses was linked to better self-rated health status. en_US dc.description.tableofcontents 謝 誌 I中文摘要 IIIABSTRACT V目 次 VII表 次 IX圖 次 X第一章 緒論 1第一節 研究背景與動機 1第二節 研究目的 4第三節 名詞釋義 5第二章 文獻探討 7第一節 高齡者老化及相關理論之探討 7第二節 健康促進活動政策與發展現況 15第三節 高齡者自我價值之意涵與相關研究 19第四節 高齡者自評健康之意涵與相關研究 31第三章 研究方法 38第一節 研究架構 38第二節 研究問題與研究假設 39第三節 研究實施及流程 40第四節 研究場域及研究對象 43第五節 研究工具 45第六節 資料處理與統計分析方法 51第四章 研究結果 52第一節 樣本特性分析 52第二節 高齡者之社會人口變項對自我價值之差異分析 59第三節 高齡者之社會人口變項對自評健康之差異分析 65第四節 高齡者參與健康促進活動對自我價值之差異分析 71第五節 高齡者參與健康促進活動對自評健康之差異分析 74第六節 高齡者參與健康促進活動情形與自我價值、自評健康之多元迴歸分析 78第五章 研究結論與建議 84第一節 研究結論 84第二節 研究建議 88第三節 研究限制 92參考文獻 93一、中文部分 93二、英文部分 103 zh_TW dc.format.extent 2932923 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0101264013 en_US dc.subject (關鍵詞) 高齡者 zh_TW dc.subject (關鍵詞) 自我價值 zh_TW dc.subject (關鍵詞) 自評健康 zh_TW dc.subject (關鍵詞) 社區照顧關懷據點 zh_TW dc.subject (關鍵詞) 健康促進 zh_TW dc.subject (關鍵詞) Health promotion en_US dc.subject (關鍵詞) Elderly en_US dc.subject (關鍵詞) Self-worth en_US dc.subject (關鍵詞) Self-rated health en_US dc.subject (關鍵詞) Community care centers en_US dc.title (題名) 健康促進參與對高齡者自我價值與自評健康之影響-以高雄市社區照顧關懷據點為例 zh_TW dc.title (題名) The Impact of Health Promotion Participation on Self-Worth and Self-rated Health for the Elderly in Kaohsiung Community Care Centers en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 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