南華大學機構典藏系統:Item 987654321/26558
English  |  正體中文  |  简体中文  |  全文笔数/总笔数 : 18278/19583 (93%)
造访人次 : 1023197      在线人数 : 235
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜寻范围 查询小技巧：
  • 您可在西文检索词汇前后加上"双引号"，以获取较精准的检索结果
  • 若欲以作者姓名搜寻，建议至进阶搜寻限定作者字段，可获得较完整数据
    •  进阶搜寻


    jsp.display-item.identifier=請使用永久網址來引用或連結此文件: http://nhuir.nhu.edu.tw/handle/987654321/26558


    题名: 銀髮族自覺便秘及醫療利用之影響因素－以台灣雲嘉地區為例
    其它题名: Factors Associated with Perceived Constipation and Health Care Utilization in the Elderly--A Study in the Yunlin-Chiayi Region, Taiwan
    作者: 張淑芬
    CHANG, SUN-FEN
    貢獻者: 自然生物科技學系自然療癒碩士班
    葉月嬌;楊鈺雯
    YEH, YUEH-CHIAO;YANG, YU-WEN
    关键词: 銀髮族;便秘;便秘生活品質評估量表;西醫;輔助醫療
    the elderly;constipation;Patient Assessment of Constipation Quality of Life (PAC-QOL);conventional medicine;complementary medicine
    日期: 2017
    上传时间: 2018-12-20 14:24:59 (UTC+8)
    摘要: 　　背景／目的：高齡化社會引起的健康照護需求議題非常值得重視。其中，老人便秘造成的醫療費用與用藥支出增加問題，更是當務之急。本研究目的在於探究影響自覺銀髮族便秘之因子，以及其使用不同種類的醫療之相關因子。　　方法： 本研究採橫斷式問卷調查，於2017年4至9月期間對居住在雲嘉地區65至85歲自覺有便秘症狀的銀髮族，進行面對面問卷訪談，完成有效樣本369位(92.25%有效問卷完成率)。　　結果：銀髮族受訪者中61.0%為女性、55%沒有每天排便、77.5%至少罹患一種以上慢性疾病，其中以高血壓最多(48.8%)。74.3%至少服用一種以上西藥，以使用降血壓藥物最多(47.7%)。平均便秘病患生活品質評估量表分數為34.4±14.3分，進一步分析沒有每天排便者，量表總分顯著高於每天排便者(38.9±14.1分 vs 28.8±12.6分, P<0.001)。其中，健康狀況不好者(P<0.001)、服用西藥兩種以上者(P=0.04)、罹患蕁麻疹(P=0.013) 、有更年期症候群者(P=0.008)、服用過敏藥物者(P=0.025)、控制血糖藥物者(P=0.040)、口服軟便(P=0.002)、口服瀉藥(P<0.001)、使用塞劑(P=0.004)與灌腸(P=0.001)藥物者、經常使用健康食品(P=0.049)、益生菌(P=0.003)、調理飲食(P=0.001)、偶爾使用按摩(P=0.004)等族群與量表總分呈現正相關。另外，以多變項邏輯斯複迴歸分析影響銀髮族是否每天排便的因子，顯示與學歷、運動習慣、罹患糖尿病、服用口服軟便藥物、灌腸藥物、吃中藥及健康食品者等呈現顯著相關性。　　結論：參與研究的銀髮族便秘情形相當普遍，尤其是學歷低、沒有運動以及罹患糖尿病者為最。自覺便秘患者大多會尋求西醫治療或使用健康食品、益生菌及調理飲食等輔助醫療。本研究結果可提供醫療及健康照護單位在照護老人便秘患者時之參考；並可作為制定高齡照護醫療政策之依據。
    　　Background/Aim: The issue of health care needs in an aging society deserves closer consideration/attention. The rise in medical cost and medication expenditure due to constipation in the elderly is particularly imperative. The aim of this study was to explore the factors associated with perceived constipation and its medical management among the elderly.　　Methods: A cross-sectional face-to-face questionnaire survey was administered to elderly people aged from 65 to 85 years with self-reported symptoms of perceived constipation in the Yunlin-Chiayi region from April to September, 2017. A total of 369 valid samples was obtained (92.25% completion rate).　　Results: Of the surveyed elderly, 61.0% were female, 55% had no daily bowel movement, and 77.5% had at least one chronic disease, of which hypertension was the most common (48.8%). In addition, 74.3% of them were using at least one type of conventional western medicine, of which antihypertensives were the most common (47.7%). The mean score of the Patient Assessment of Constipation Quality of Life (PAC-QOL) was 34.4 (SD±14.3), and the score was significantly higher among the elderly who did not have daily bowel movement compared with those who did (38.9±14.1 vs. 28.8±12.6, P<0.001). The score was significantly associated with poor health (P<0.001), taking two or more types of Western medications (P=0.04), urticaria (P=0.013), menopausal syndrome (P=0.008), anti-allergy medication (P=0.025), antihyperglycemic agents (P=0.040), oral stool softeners (P=0.002), oral laxative (P<0.001), suppository (P=0.004), enema (P=0.001), health food (P=0.049), probiotics (P=0.003), dietary changes (P=0.001), and occasional massage (P=0.004). Furthermore, results from the multiple logistic regression analysis showed that daily bowel movement was significantly associated with educational level, habit of exercise, diabetes mellitus, use of oral stool softeners, use of enema, use of Chinese Medicine and health food.　　Conclusion: Constipation was fairly common among the elderly surveyed in this study, especially among those with low education, no exercise, and diabetes. Most of the elderly people used conventional medicine, as well as the following complementary and alternative medicines: health food, probiotics, and dietary approach to manage perceived constipation. Findings from this study can provide medical and health care institutions with information when taking care of elderly patients with constipation, and can be a basis for the development of health care policies for the elderly population.
    显示于类别:[自然生物科技學系(自然療癒碩士班)] 博碩士論文-自然療癒碩士班

    文件中的档案:

    档案 描述 大小格式浏览次数
    106NHU00067004-004.pdf6666KbAdobe PDF107检视/开启
    index.html0KbHTML1444检视/开启


    在NHUIR中所有的数据项都受到原著作权保护.

    TAIR相关文章

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回馈