本文選題：ADOPT + housebound老年人�。� 參考：《華北理工大學(xué)》2017年碩士論文

【摘要】：目的探討ADOPT干預(yù)對housebound老年人自我感知老化和健康相關(guān)行為的效果,為社區(qū)醫(yī)務(wù)人員開展housebound的有效干預(yù)提供依據(jù)。方法于2015年10月~2016年10月采用分層整群隨機抽樣方法,在河北省邯鄲市的3個行政區(qū)內(nèi)抽簽抽取1個區(qū)復(fù)興區(qū),從復(fù)興區(qū)的65個社區(qū)內(nèi)抽簽法抽取1個社區(qū),即建安社區(qū),以該社內(nèi)211例housebound老年人為研究對象。采用隨機數(shù)字表法將其隨機分為干預(yù)組105例和對照組106例。干預(yù)組依據(jù)ADOPT干預(yù)模式的5個步驟,即態(tài)度(Attitude,A)、定義(Definition,D)、開放思維(Open mind,O)、計劃(Planning,P)和實驗(Try it out,T)進行為期6個月的干預(yù),對照組為空白對照。分別在干預(yù)前和干預(yù)3個月、6個月時對兩組老年人的自我感知老化和健康相關(guān)行為(行為、心理、家庭功能及社會支持)進行效果評價。并用SPSS17.0對數(shù)據(jù)進行統(tǒng)計分析。結(jié)果干預(yù)前,兩組housebound老年人的一般情況進行比較,差異無統(tǒng)計學(xué)意義(P0.05),兩組均衡可比。干預(yù)后,1兩組housebound老年人自我感知老化比較:干預(yù)3個月、6個月時,干預(yù)組自我感知老化狀態(tài)積極老化維度得分高于對照組,消極老化維度得分低于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。2兩組housebound老年人行為狀況比較:干預(yù)3個月、6個月時,干預(yù)組housebound老年人健康行為得分及肺功能指標(FEV1、FEV1/FVC)得分優(yōu)于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。3兩組housebound老年人心理狀況比較:干預(yù)后干預(yù)組老年人抑郁得分低于對照組,健康自我評價得分高于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。4兩組housebound老年人家庭功能和社會支持比較:干預(yù)后,干預(yù)組老年人社會支持及其各維度得分優(yōu)于對照組,差異有統(tǒng)計學(xué)意義(P0.05);干預(yù)組老年人家庭功能得分與對照組比較無明顯改善,差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論1 ADOPT干預(yù)能夠有效改善housebound老年人的自我感知老化狀態(tài),提高積極的自我感知老化,降低消極的自我感知老化;2 ADOPT干預(yù)對housebound老年人健康相關(guān)行為(行為、心理及社會支持)有不同程度的改善作用。
[Abstract]:Objective to investigate the effect of ADOPT intervention on self-perceived aging and health-related behaviors in elderly patients with housebound, and to provide evidence for community medical staff to carry out effective intervention on housebound. Methods from October 2015 to October 2016, the stratified cluster random sampling method was used to draw lots for one district and one community from 65 communities in Handan City, Hebei Province, and one community, Jian'an Community, from October 2015 to October 2016. 211 cases of elderly housebound in the society were studied. It was randomly divided into intervention group (105 cases) and control group (106 cases). According to the five steps of the ADOPT intervention model, the intervention group was treated for 6 months according to the attitude, the definition of definition, the open mind, the planning plan and the experiment ry it out. The control group was the blank control group, and the control group was the blank control group. The effects of self-perceived aging and health-related behaviors (behavior, psychology, family function and social support) were evaluated before intervention, 3 months and 6 months, respectively. The data were statistically analyzed by SPSS17.0. Results before intervention, there was no significant difference between the two groups in the general situation of the elderly with housebound, but there was no significant difference between the two groups (P 0.05), and the balance between the two groups was comparable. Comparison of self-perceived aging between the two groups after intervention: after 3 months and 6 months of intervention, the score of positive aging dimension of self-perceived aging state in intervention group was higher than that of control group, and the score of negative aging dimension was lower than that of control group. There was significant difference between the two groups in the behavior status of the elderly with housebound: after 3 months and 6 months of intervention, the scores of health behavior and pulmonary function of the elderly in the intervention group were better than those in the control group, and the scores of FEV1 / FEV1 / FVCrespectively were higher in the intervention group than in the control group. There was significant difference between the two groups in the psychological status of the elderly with housebound: the depression score of the elderly in the intervention group was lower than that of the control group, and the score of health self-evaluation was higher than that of the control group. There were significant differences in family function and social support between the two groups of housebound: after intervention, the scores of social support and its dimensions in the intervention group were better than those in the control group. There was no significant difference in family function between the intervention group and the control group, but there was no significant difference between the intervention group and the control group (P 0.05). Conclusion (1) ADOPT intervention can effectively improve the self-perceived aging state of the elderly with housebound, increase the positive self-perceived aging, and reduce the negative self-perceived aging. (2) the intervention of ADOPT can improve the health related behaviors (behaviors) of the elderly with housebound. Psychological and social support) have different degrees of improvement.
【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.2

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