高齡醫學周全性評估與療癒環境之研究 -以台中榮民總醫院為例

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Title:	高齡醫學周全性評估與療癒環境之研究 -以台中榮民總醫院為例
Other Titles:	Comprehensive Geriatric Assessment (CGA) and Investigation on Healing Environment Factors of TCVGH’s Center for Geriatrics & Gerontology
Authors:	謝佳敏 HSIEH, CHIA-MIN
Contributors:	周瑛琪;尚君璽 CHOU, YING-CHYI;SHANG, CHUIN-SHEE 企業管理學系碩士班
Keywords:	周全性老年評估;高齡醫學 comprehensive geriatric assessment
Date:	2019
Issue Date:	2019-12-16T03:17:18Z (UTC)
Abstract:	快速高齡化的社會已成為世界性的議題。許多高齡者在沒有疾病影響的情況下，雖然身體機能會隨著年齡的增加而退化，事實上自然老化卻不至於影響到日常生活的能力。一般認為的老年退化症狀，多半為許多老年疾病的綜合表現，或是疾病早期的狀況表現；但是因老年人較無法清楚、主動表述自己的感受及需求(張家銘、蔡智能，2003)，而導致後續發展為高齡慢性病症。本研究針對台中榮總高齡醫學中心調查約1000位高齡者，分析其CGA周全性評估調查結果，藉以了解高齡者疾病的產生是否與他們所處的環境有關，希望找出可以有效影響高齡者的療癒因子，進一步使高齡者在硬體環境中找到改進醫療照護的方法。研究目的係以找到高齡病患之療癒因子設計療癒環境，證明台中榮總高齡醫學中心之外在因子與周全性評估中的巴氏量表、憂鬱量表及多項高齡醫學指標之關係，來證明療癒環境對變換整體恢復成效之正面影響。使高齡者得到身心靈的舒適，能夠降低或趨緩慢性病症的發生，以及從中了解高齡照護團隊之照護模式、危險因子篩檢修正及早期預防慢性病的重要性，提供未來高齡臨床照護參考。 The rapidly aging society has become a world-wide issue. Many elderly people do not suffer from disease. Although physical function will degenerate with age, in fact natural aging will not affect the ability of daily life. It is generally believed that the degenerative symptoms of the elderly are mostly the integrated manifestations of many elderly diseases. The performance of the disease in the early stages, older people are less able to clearly and actively describe their feelings and needs (Zhang Jiaming, Cai Smart, 2003), Subsequent developments are chronic diseases of advanced age. In this study, we surveyed about 1,000 elderly people at TCVGH’s Center for Geriatrics & Gerontology in Taichung, and analyzed the results of the CGA to understand whether the diseases of the elderly were related to their environment. We hope to find out that the healing factors of the person further enable the elderly to find ways to improve medical care in a hardware environment.The purpose of the study was to identify healing factors for elderly patients and establish the relationship between the barthel index, the Depression Scale, and another medical index in the evaluation of factors and comprehensiveness of TCVGH’s Center for Geriatrics & Gerontology. To prove the positive impact of the healing environment on it. To provide elderly people with the comfort of body and mind, to reduce or delay the occurrence of chronic diseases, and to learn about the care model of senior care teams, the screening for correction of risk factors, and the importance of early prevention of chronic diseases, and provide reference for future clinical care for senior citizens.
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