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台湾老年人的身体功能轨迹、抑郁症状和生活满意度

Physical function trajectories, depressive symptoms, and life satisfaction among the elderly in Taiwan.

作者信息

Hsu Hui-Chuan

机构信息

Department of Health Care Administration, Asia University, Taiwan, Republic of China.

出版信息

Aging Ment Health. 2009 Mar;13(2):202-12. doi: 10.1080/13607860802342201.

Abstract

OBJECTIVE

The purpose of this study was to examine the effect of physical function trajectories on emotional health and subjective well-being among the elderly in Taiwan.

METHODS

Data was from a 6-year nation-representative panel for analysis. Physical function trajectories were categorized as independent, declined, disabled, improved, fluctuating, died well and died disabled. The effects of physical function trajectories on depressive symptoms and life satisfaction were examined by controlling for demographics, chronic disease, cognitive function and social support. Mixed linear modeling was used for analysis.

RESULTS

Among the physical trajectory groups, differences were shown between depressive symptoms and life satisfaction. An increase in the difficulty of physical function also increases depressive symptoms and reduces life satisfaction. The died-well group showed a difference from the independent group in depressive symptoms and life satisfaction, but these who died without disability did have better emotional health and subjective well-being than the disabled survivors.

CONCLUSION

Coping strategies and supporting resources to help the disabled elderly to improve their successful aging is suggested in future research and health policies.

摘要

目的

本研究旨在探讨身体功能轨迹对台湾老年人情绪健康和主观幸福感的影响。

方法

数据来自一个为期6年的全国代表性面板进行分析。身体功能轨迹分为独立、下降、残疾、改善、波动、良好死亡和残疾死亡。通过控制人口统计学、慢性病、认知功能和社会支持,研究身体功能轨迹对抑郁症状和生活满意度的影响。采用混合线性模型进行分析。

结果

在身体轨迹组中,抑郁症状和生活满意度存在差异。身体功能难度的增加也会增加抑郁症状并降低生活满意度。良好死亡组在抑郁症状和生活满意度方面与独立组存在差异,但那些无残疾死亡的人比残疾幸存者具有更好的情绪健康和主观幸福感。

结论

建议在未来的研究和卫生政策中制定应对策略和支持资源,以帮助残疾老年人实现成功老龄化。

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