隨著人口老化速度加快，為因應所衍生之長期照顧需求，政府陸續提出各項 因應計畫，其中居家服務為使用頻率最多的服務，但居家服務是否能解決個案的 問題，是一個關鍵性的議題。一般來說，居家服務可以幫助受服務者在IADL和 ADL障礙的問題上有所改善，對於照顧者本身更可能有所幫助。更進一步來說， 受服務者本身之社會參與、心理狀況，甚至其生活滿意度，乃是更值得探討的議 題。為此，本文之研究目的：檢視有否使用居家服務之老人受訪者，其社會參與、 曰常生活人際心理狀況及生活滿意度之差異情形。研究方法：運用102年度內政 部統計處2898份老人生活狀況調查之次級資料，探討接受居家服務之老人與未 接受居家服務之老人進行差異比較分析，篩選表達有居家服務需求之受訪老人總 計310人，將已使用與未使用居家服務之受訪老人進行比較分析。研究結果：本 文最重要的發現是有需求但不知如何使用居家服務者、年齡介於75-79歲、失能 狀況越嚴重、同住家人人數愈少亦對於負向人際心理狀況有顯著較高的影響。此 外，對於負向生活滿意度具有預測力者為年齡亦介於75-79歲、有需求而無法使 用居家服務者、有需求不知如何使用居家服務者、同住人數多寡、社會參與程度、 失能項目數與負向人際心理狀況等七個變項。

As the aging population grows, the government proposed series projects to respond to the long-term care needs. Among these strategies, domiciliary care services are the most frequently used. However, whether the domiciliary care services (DCS) can solve the problem of individuals or not is a key issue. In general, domiciliary care services may help the users to improve their IADL and ADL barriers, and may also be helpful to the caregivers as well. Moreover, the social participation, psychological status of the users may be aided by this service delivery. In addition, satisfaction of the users is also another issue to discuss worthwhile. The purposes of this research are to exam the differences between the social participation, daily living psychological status and satisfaction of those DCS users and those who didn’t. Research method: Using the secondary data of 2898 from the Survey of the living conditions of the elderly in the Ministry of Internal Affairs and Statistics in year 2013, we conducted a comparative analysis of differences between them. 310 DCS users were selected to be compared with those who were not DCS users. Research results: The findings of this research are that those non-users, aged between 75-79, more disabled, less cohabitants had higher significant negative daily living psychological status than the DCS users. Lastly, the predictive factors to negative life satisfaction are aged between 75-79, those non-DCS users who are in needs, the numbers of cohabitants, social participation, the level of disability and negative daily living psychological status.