面對台灣邁向超高齡社會的趨勢，高齡者的健康管理與生活福祉日益受到關注。隨著數位科技的普及，數位健康識能被視為影響高齡者生活品質的重要因素之一。本研究以高雄市18處長照C據點的318位高齡者為樣本，運用階層迴歸分析探討數位健康識能與生活滿意度之關係，並控制年齡、教育程度、主要經濟來源與運動頻率等背景變項。研究結果顯示，在模型一中僅納入控制變項時，對生活滿意度的解釋力為17.2%（R² = .172，調整後R² = .136，F = 4.848, p < .001）；模型二加入數位健康識能後，整體解釋力顯著提升至20.1%（R² = .201，調整後R² = .164，ΔR² = .029，ΔF = 11.202, p < .001），數位健康識能對生活滿意度具有正向預測力（β = .243, p < .001）。此外，規律運動頻率與穩定的經濟來源亦顯著影響生活滿意度。研究結果顯示，數位健康識能不僅為資訊應用能力的指標，更可提升健康自我效能與整體福祉。建議政策制定者應重視高齡者數位素養的提升，透過教育介入與數位資源的普及化，強化其健康管理能力，實現活躍老化與數位共融的社會目標。

As Taiwan transitions into a super-aged society, the health management and well-being of older adults have become increasingly critical. With the rapid advancement of digital technologies, digital health literacy is regarded as a key factor influencing the quality of life among the elderly. This study surveyed 318 older adults participating in courses at 18 long-term care (LTC) type-C centers in Kaohsiung City, utilizing hierarchical regression analysis to explore the relationship between digital health literacy and life satisfaction, while controlling for variables such as age, education level, primary economic source, and exercise frequency. The results indicated that in Model 1, which included only control variables, the explanatory power for life satisfaction was 17.2% (R² = .172, adjusted R² = .136, F = 4.848, p < .001). After including digital health literacy in Model 2, the overall explanatory power significantly increased to 20.1% (R² = .201, adjusted R² = .164, ΔR² = .029, ΔF = 11.202, p < .001), with digital health literacy showing a significant positive predictive effect on life satisfaction (β = .243, p < .001). Additionally, regular exercise and stable financial sources were also significant predictors. The findings suggest that digital health literacy not only reflects the ability to utilize health information but also enhances self-efficacy and overall well-being. This study highlights the necessity for policymakers to prioritize digital competence education for the elderly, promoting equitable access to digital health resources and supporting healthy aging and digital inclusion.

目錄
論文審定書i
誌謝ii
摘要iii
Abstractiv
第一章 緒論1
第一節 研究背景1
第二節研究目的3
第二章文獻探討4
第一節 高齡化社會4
一、活躍老化4
二、生活滿意度5
三、高齡學習與學習參與7
四、樂齡學習7
五、終身學習8
六、長照C據點10
七、據點參與與生活滿意度相關研究10
八、年齡與生活滿意度相關研究11
九、經濟自主性與高齡者生活滿意度相關研究12
十、運動與老年人生活滿意度相關研究14
十一、高齡者教育程度與生活滿意度之相關探討16
第二節健康識能與數位識能16
一、健康識能16
二、數位識能19
三、健康識能或數位健康識能與生活滿意度的相關研究22
第三章 研究方法23
第一節 研究設計23
第二節 研究對象與資料收集24
第三節 變項測量24
第四節 統計分析26
第四章 研究結果與分析28
第一節 敘述性統計28
第二節 信效度分析31
一、信度分析31
第三節 相關性分析31
第四節 差異檢定32
一、年齡類別32
二、每週參與運動頻率33
三、主要經濟來源34
第五節 階層迴歸分析35
一、研究數據分析35
第五章 結論與建議38
第一節 研究結論與討論38
一、研究結論38
二、實務與政策建議41
三、研究限制43
四、未來研究方向44
五、理論與實務貢獻44
第二節　未來展望45
參考文獻47
附錄1.問卷54
附錄2.IRB同意書59

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