摘要
目的 了解居家失能老人主动健康行为能力现状及其影响因素。方法 采用多阶段随机抽样方法,以重庆市3个区6个社区282名失能老人为对象,使用自行编制的居家失能老人主动健康行为能力评估问卷进行调查。结果 282名居家失能老人中,轻度失能226名(80.1%),中度失能29名(10.3%),重度失能27名(9.6%)。主动健康行为能力条目均分为(3.22±0.49)分。多元回归分析结果显示,婚姻状况、失能程度、主动健康了解程度、定期体检、受照护者尊重程度、社交活动参与、健康意识、自立意识、生活满意度、死亡态度是居家失能老人主动健康行为能力的影响因素(均P<0.05)。结论 居家失能老人主动健康行为能力处于中等偏下水平,其影响因素较多;需要发挥政府、家庭、社区与专业照护机构的多主体作用,提高居家失能老人主动健康行为能力。
Objective To examine the current status of active health behavior capability and its influencing factors among housebound disabled older people.Methods A total of 282 older people with ADL disability were selected from six communities in three districts of Chongqing using a multi-stage random sampling method.Participants were asked to fill out a self-designed active health behavior capability assessment for the housebound disabled elderly.Results Among the 282 participants,226(80.1%) had mild disability,29(10.3%) had moderate disability,and 27(9.6%) had severe disability.The overall score for active health behavior capability was(3.22±0.49).Multiple regression analysis identified marital status,degree of disability,understanding of active health,regular health check-ups,respect from caregivers,participation in social activities,health awareness,independence awareness,life satisfaction,and attitudes toward death were factors influencing the active health behavior capability of house bound older people(all P<0.05).Conclusion The active health behavior capability of housebound older people is at a moderate-to-low level,which is affected by multiple factors.It is necessary to leverage the roles of government,families,communities,and professional caregiving institutions to enhance the active health behavior capability of this population.
作者
陈黎玉
熊雪
张虹
廖晓艳
欧洋利
罗兰月
王益鑫
李淼
沈军
赵庆华
Chen Liyu;Xiong Xue;Zhang Hong;Liao Xiaoyan;Ou Yangli;Luo Lanyue;Wang Yixin;Li Miao;Shen Jun;Zhao Qinghua(Nursing Department,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
出处
《护理学杂志》
北大核心
2025年第6期24-28,共5页
Journal of Nursing Science
基金
国家社会科学基金项目(22BRK010)。
关键词
失能老人
主动健康行为能力
生活满意度
社区护理
老年护理
社交活动
照护者
居家养老
disabled older adult
active health behavior capability
life satisfaction
community nursing
geriatric nursing
social activity
caregiver
aging at home
