Influential factors of health self-management and perceived self-efficacy in community elders
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摘要: 目的分析河北省唐山市社区老年人健康自我管理及一般自我效能影响因素,为完善社区健康自我管理提供科学依据。方法采用自编一般人口学调查表、成年人健康自我管理能力测评量表及一般自我效能感量表对唐山市社区1 500名≥60岁老年人进行问卷调查。结果老年人健康自我管理行为、健康自我管理环境、健康自我管理认知评分分别为(54.87±9.506)、(40.36±7.352)、(61.65±6.207)分,一般自我效能评分为(25.09±5.893)分,多元线性回归分析显示,社区老年人健康自我管理行为、健康自我管理环境、健康自我管理认知的影响因素均为婚姻状况、有无固定收入、健康状况、文化程度(P均<0.05);社区老年人一般自我效能的影响因素为性别、有无固定收入、健康状况、文化程度(P均<0.05)。结论唐山市社区老年人健康自我管理能力与一般自我效能均处于中等及偏上水平,影响因素复杂,应注重社区健康管理。Abstract: ObjectiveTo analyze the influential factors of health self-management and general self-efficacy among community elders in Tangshan city and to provide scientific basis to improve community health self-management.MethodsInvestigations were carried out among 1 500 elderly people aged 60 years and above in communities of Tang shan city using a self-designed general demographic questionnaire,Adult Health Self-Management Skills Assessment Scale(AHSMSRS) and General Self-Efficacy Scale(GSES).ResultsThe score for health self-management behavior,health self-management environment,and health self-management awareness were 54.87±9.506,40.36±7.352,and 61.65±6.207,respectively,and the general self-efficacy score was 25.09±5.893 among the elderly.Multiple linear regression analyses showed that marital status,whether having fixed income,health status,and education level were influential factors of health self-management behavior,health self-management environment,and health self-management awareness in the community elders with statistical significance(P<0.05).Gender,whether having fixed income,health status,and education were influential factors of the general self-efficacy in the community elders,with statistical significance(P<0.05).ConclusionHealth self-management and general self-efficacy of the community elderly in Tangshan are at midium and high level and are influenced by complex factors.Special concern should be paid to community-based health management.
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Key words:
- community /
- the elderly /
- health self-management /
- influential factor
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[1] 傅华, 王家骥, 李枫, 等.健康管理的理论与实践[J].健康教育及健康促进, 2007, 2(3):16. [2] 王才康, 胡中锋, 刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学, 2001, 7(1):37-40. [3] 陈正英.民族地区农村老年人自我健康管理现状调查[J].中国老年学杂志, 2011, 31(17):3340-3343. [4] 赵秋利, 黄菲菲.成年人健康自我管理能力测评量表的编制及信效度建议[J].中华现代护理杂志, 2011, 17(8):869-872. [5] 唐丹, 邹君, 申继亮.老年人一般自我效能感的影响因素[J].中国老年学杂志, 2006, 26(11):1451-1453. [6] 胡蕴绮, 周兰姝.社区老年人健康行为自我效能及其影响因素[J].中国老年学杂志, 2013, 33(2):897-898. [7] 吕雅男.城市老年人健康状况及其影响因素研究[D].长沙:中南大学硕士论文, 2012. [8] 刘恒, 巢健茜, 杨迎春, 等.老年人自评健康影响因素分析及程度比较[J].中国全科医学, 2009, 12(7A):1161-1163. [9] 王席伟, 曹永军.社区中老年人健康行为调查分析[J].护理研究, 2008, 22(17):1524-1525. [10] 李卉, 赵彬, 安舜禹, 等.美国社区卫生服务体系现状及启示[J].中国公共卫生, 2012, 28(2):183-184.
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