老人供餐社區長者進食狀況與其潛在關聯性因素之探討
莊琬瑜、胡淑慧、陳雪芬
10.6283/JOCSG.202112_9(4).349
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中文摘要 透過社區老人供餐服務，可提供社區長者餐飲健康照顧及減少疾病發生，本研究目的為探討接受社區老人供餐服務之中高齡長者進食狀況及潛在關聯性因素。本研究以2017-2019年期間參與臺灣北部地區某技術學院USR計畫社區長者所填寫之身心健康狀態調查資料為研究分析資料，研究資料以結構式問卷為測量工具進行收集，共回收有效問卷281份。依據因牙齒問題而影響進食狀況者，分成無影響、有些影響及嚴重影響三組，研究結果顯示：性別、年齡、外出活動、裝假牙（牙套）、罹患疾病數、食慾不佳、輕度認知異常及抑鬱傾向等因素均顯著影響進食狀況(p<0.05)，以多元羅吉斯迴歸分析顯示裝假牙（牙套）及食慾不佳是兩組有進食影響長者之共同潛在關聯性因子。建議未來在提供社區老人供餐服務時，可就有進食影響長者之假牙（牙套）狀況及食慾不佳情形進行了解，並提供口腔照護及餐飲改善服務，以進一步提升對社區長者之健康照顧。
關鍵字：老人供餐、社區長者、進食狀況、口腔狀態、食慾
文章建立時間：2022-01-03
引用格式(APA)：
莊琬瑜、胡淑慧、陳雪芬(2022)。 老人供餐社區長者進食狀況與其潛在關聯性因素之探討。
福祉科技與服務管理學刊， 9(4)， 349-362。
Investigating the Eating Status and Potential Associating Factors of Older Adults in Community-based Meals Service for the Elderly
Juang, W.-Y., Hu, S.-H., Chen, S.-F.
English Abstract Meals service for the elderly community can provide meals that specifically cater for the health of the elderly and reduce the incidence of diseases. The purpose of this study is to investigate the eating problems and the potential associating factors that affect how older adults receive meals service. The questionnaire was handed out to community-dwelling older adults who had participated in the USR program executed by a technological institute in northern Taiwan and was chosen based on purposive sampling methods. A structural questionnaire was conducted to acquire data. The analysis included 281 valid questionnaires. The study subjects were divided into three groups: no effect, some effects, and severe effects based on their eating situations affected by dental problems. The results showed that factors such as gender, age, outdoor activity, dentures (or braces), number of diseases, cancer, poor appetite, minor cognitive impairments, and depressive symptoms all significantly affected eating (p<0.05). Multivariate logistic regression showed that dentures (or braces) and poor appetite were the common potential contributing factors for both some and severe effects groups. Based on the current study, it is recommended that when providing community-based meals service for the elderly, providers can manage to understand the dentures (or braces) status and poor appetite of older adults with eating problems. Providing oral care and improving catering services can further enhance the health care of community-dwelling older adults.Keywords：elderly meals service, older adults, eating status, oral status, appetite