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資料載入中.....
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請使用永久網址來引用或連結此文件:
https://irlib.pccu.edu.tw/handle/987654321/26577
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| 題名: | 安養機構老人壓力源、壓力因應方式 與心理健康之調查研究
An Investigation on Stressors, Stress Coping Styles,and Mental Health among Residential Care Home Elders |
| 作者: | 黃智瑄 |
| 貢獻者: | 心理輔導學系 |
| 關鍵詞: | 安養機構
老人
壓力源
壓力應方式
心理健康
residential care home
elders
sources of stress
stress coping methods
mental health |
| 日期: | 2014 |
| 上傳時間: | 2014-01-23 13:46:21 (UTC+8) |
| 摘要: | 本研究旨在調查安養機構老人壓力源、壓力因應方式與心理健康之現況，及在不同經濟程度與有無宗教信仰下其差異狀況。研究方法採問卷調查法，以臺北市與新北市三家合法立案之老人公寓與安養機構之安養老人為研究母群，以立意取樣、一對一訪問填答問卷方式進行，共獲得樣本120人。研究工具為研究者自編之「安養機構老人壓力調查問卷」及鄭泰安（1986）修訂之「華人健康問卷」（CHQ-12，得分越高越不健康）。資料統計分析方法，包括描述統計、卡方檢定、t 檢定、F 檢定、二元Logistic迴歸。
資料經統計分析得到以下結論：
1.安養機構老人壓力最大的三個層面，依序為身體、人際關係、失落層面；在CHQ-12上，心理健康不佳者佔了8.33%。
2.不同背景變項安養機構老人在CHQ-12平均得分達顯著差異為：性別，女性＞男性；目前經濟程度，不足組＞尚可組＞充足組；自評心理健程度，不健康組＞尚可組＞健康組；入住機構原因，家中無住的地方組＞家中無人照顧組＞其他組；入住機構準備度，準備入住意願尚可組＞充分準備願意入住組；機構房間安排，一人獨住組＞與配偶同住組。
3.在經濟層面壓力源之「日常生活費用」、「入住機構費用」等向度的人數百分比上，目前經濟程度，不足組＞充足組；在「華人健康問卷量表總分」及身體症狀分量表、焦慮分量表、憂鬱及家庭關係不佳分量表的平均得分上，則是經不足組＞尚可組＞充足組。
4.在「認命接受」、「找資源解決」等壓力因應方式之自我紓壓經驗的人數百分比，及華人健康問卷「身體症狀分量表」的平均得分上，無固定宗教信仰組＞有固定宗教信仰組；在「心靈或宗教寄託」自我紓壓經驗的人數百分比上，有宗教信仰組＞無宗教信仰組。
5.自評心理健康為「尚可」，預測心理健康不佳之機率越「高」；自評心理健康為「健康」，及壓力因應方式之自我紓壓經驗的「沉澱心情」，預測其心理健康不佳之機率越「低」。
The purpose of this study is to investigate the current situation of residential care home elders on stressors, stress coping styles, and mental health; then to explore those differences between elders on different economic situation and between elders with religious belief and without religious belief. By questionnaire survey and purposive sampling, researcher interviews 120 residential care home elders in Taipei City and New Taipei City. Research tools are “Residential Care Home Elders Stress Questionnaire” developed by this study, and “Chinese Health Questionnaire (CHQ-12, poorer health condition with higher scores).” Statistical methods are descriptive statistics, Chi-square Test, t-test, F-test, and binary logistic regression analysis. The results of statistical analysis are as follows:
1. The three most stressful dimensions for elders of residential care home are physical condition, interpersonal relationship and lost. In CHQ-12, there are 8.33% elders in poor mental health status.
2. Backgrounds of elders with significant difference in CHQ-12 scores are as follows: sex: female > male; current economic situation: group of insufficient economic situation > group of acceptable economic situation; self-rated mental health condition: group of poor mental health condition > groups of acceptable mental health condition > group of good mental health condition; reasons for entering residential care home: group of non-living-space at home > group of non-caregiver at home > group of other reasons; degree of readiness for entering residential care home: group of acceptable readiness > group of full readiness; arrangement of room: group of one-man room > group of couple room.
3. For percentage of people on economic stress sources “cost of living” and “charge of residential care home”, current economic situation: group of insufficient economic situation > group of good economic situation; average scores of CHQ-12, physical condition sub-scale, anxiety sub-scale, depression and poor family relationship sub-scale: group of insufficient economic situation > group of acceptable economic situation > group of good economic situation.
4. For percentage of people on stress coping methods “accepting misfortunes ” and “finding solutions” and average score of physical condition sub-scale in CHQ-12, group of without religious belief > group of with religious belief. For percentage of people on stress coping method “depending on religions,” group of with religious belief > group of without religious belief.
5. Self-rated “acceptable” mental health condition has higher chance to predict poor mental health condition. Self-rated “good” mental health condition and “calm down” stress coping methods has lower chance to predict poor mental health condition. |
| 顯示於類別: | [心理輔導學系暨心理輔導研究所 ] 博碩士論文
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文件中的檔案:
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描述 |
大小 | 格式 | 瀏覽次數 |
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| 102PCCU0328006-001.pdf | | 1875Kb | Adobe PDF | 7168 | 檢視/開啟 |
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