背景：統計顯示，我國65歲以上長者人口比率為10.9%，長者憂鬱的盛行率亦高。護理人員是 推動社區健康促進重要的成員，了解影響社區長者健康促進行為與憂鬱的相關性，是 推動社區衛生政策的依據，而推動健康老化需透過健康促進策略之規劃。
目的：了解社區長者健康促進行為，並探討偏遠地區社區長者憂鬱與健康促進行為之相關
性。
方法：採橫斷式、描述性研究設計，所有參與本計劃的研究對象為樣本。以人口學資料、本 計畫所初步發展及使用的長者健康促進量表、簡式老年憂鬱量表為研究工具。
結果：共有427位長者參與本研究，多數為女性、平均年齡75.8歲，不識字者佔多數；近半數
個案執行健康促進行為之頻率偏低。憂鬱與整體健康促進行為分數呈負相關，與次量 表之社會參與、健康責任、自我保護、活躍生活之得分皆達統計上有意義之關係；多 變量分析顯示，控制干擾因素後，憂鬱分數與身體不適，是影響長者執行健康促進行 為之重要預測因子。
結論/本研究發現，長者健康促進行為之執行情況普遍不理想。憂鬱分數較低者，其健康促 實務應用進行為也越高。此結果可作為社區推行健康老化的實證依據，特別是提供憂鬱長者更 多社會參與及活躍生活層面之策略。

Background: People older than 65 years old account fo「 about 10.9% of Taiwan’s total population; it is also known that the older adults experience a higher incidence of depression. Public health nurses play an important role in promoting com¬munity health. Policymaking for community healthcare should reflect the relationship between health-promoting behavior and depression in community-dwelling seniors. Therefore, the encouragement of healthy aging requires strategic plan¬ning by those who provide health promotion services.
Objective: This study was designed to elicit the health-promoting behaviors of community seniors and investigate the relationship between geriatric depression and health-promoting behaviors among seniors who live in rural communities.
Methods: We used a cross-sectional, descriptive design and collected data using a demographic information datasheet, the Health Promotion for Seniors and Geriatric Depression Scale short forms.
Results: The study included 427 participants. Most were women; mean agewas 75.8years. Mostwere illiterate; roughly half engaged in a limited number of health-promoting activities. The Geriatric Depression Scale score was negatively associated with health-promoting behavior. Social participation, health responsibility, self-protection, active lifestyle, and total Health Promotion for Seniors score all reached statistical significance. Multivariate analysis indicated that geriatric depression and physical discomfort were independent predictors of health- promoting behavior after controlling the confounding factors.
Conclusions/Implications for Practice: Participants prac¬ticed less than the recommended level of health-promoting behaviors. We found a negative correlation between the geri¬atric depression score and health-promoting behavior. Results can be referenced to develop strategies to promote healthy aging in the community, especially with regard to promoting greater social participation and increased activity for community- dwelling older adults experiencing depression.