Applied PRECEDE model to to analyze the multifactor structure of the elderly people’s life satisfactionStudy on PRECEDE model of the elderly people’s life satisfaction

• Main Authors: Mei-Chuan Lai, 賴玫娟
• Other Authors: Kuan-Chia Lin
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/65023748247274599837

碩士 === 國立台北護理學院 === 醫護教育研究所 === 94 === With the rise of population aging, the phenomenon of aging has become one of the important issues in the public health of Taiwan. Based upon PRECEDE model, this study is designed to analyze the multifactor structure of the elderly people’s life satisfaction and to study the aspects and contents of their education. The life satisfaction of the elderly people was taken as an example to study the four-year-long change of the multi-factor structure. The database analyzed in the current study was the “Survey of the health and lives of the mid-aged and elderly people in Taiwan area, 1989-1999,” provided by the Investigation Center of Bureau of Health Promotion, Department of Health, Taiwan. The study results of the structure equation model are shown as follows: according to the educational and organizational diagnosis level of PRECEDE model, the factors of mood and attitude were the ones which, in the predisposing factors, showed significant meanings in statistics. And in terms of reinforcing factors, significantly, in statistics, meaningful were the satisfactory degree of natural health insurance, the current usage state of medical heath service, and volunteering service. In addition, in terms of enabling factors, significantly, in statistics, meaningful were the number of relatives dwelling together, mutual visits of neighbors and friends, depressive tendency, group activities participation, and economic status. The study results of path analysis are shown as follows: in terms of behaviors and environment of the PRECEDE model, recreation activity was the one which most influenced the life satisfaction of the elderly people. And recreation activity tended to be more influential than healthy behaviors to “health self-evaluation domain in the diagnosis level of the epidemiology. In addition, health self-evaluation did make an influence on the life satisfaction of sociology diagnosis. This study is a fixed cohort study. As stated above, the results are shown as follows: in 1996, the satisfaction toward national health insurance was the major relevant factor among reinforcing ones; depressive tendency was the major relevant factor in enabling ones; recreation activity, the major relevant factor in the diagnosis level of behaviors and environment. And in 1999, volunteering service was the major relevant factor among reinforcing ones; depressive tendency was still the major relevant factor among enabling ones; recreation activity, the major relevant factor on the diagnosis level of behaviors and environment. In conclusion, according to the whole spectrum of PRECEDE model, the health self evaluation affected the life satisfaction, while the elderly people’s participation of recreation activities turned out to be the most important in directly or indirectly influencing the health self evaluation. Moreover, the depressive tendency on the diagnosis level of education and organization was the most important structure factor among the enabling ones.