本文選題：老年人 + 居家不出　； 參考：《華北理工大學(xué)》2017年碩士論文

【摘要】：目的探討社區(qū)老年人自我感知老化、健康行為及housebound(居家不出)的影響因素,并構(gòu)建三者間的結(jié)構(gòu)方程模型,明確老年人自我感知老化、健康行為與housebound的關(guān)系,為有效改善老年人的housebound提供依據(jù)。方法本研究采用整群抽樣方法。首先,將邯鄲市的3個行政區(qū)編號,抽簽抽取1個行政區(qū),即復(fù)興區(qū);然后按上述方法從復(fù)興區(qū)的65個社區(qū)中抽簽抽取1個社區(qū)。于2015年10月~2016年4月對抽取的建安社區(qū)內(nèi)符合條件的1455名老年人進行問卷調(diào)查,采用統(tǒng)一的housebound量表、健康促進生活方式量表、老化感知量表、家庭關(guān)懷度量表、老年抑郁量表、社會支持量表和一般情況調(diào)查表,以在社區(qū)衛(wèi)生服務(wù)中心現(xiàn)場參與的方式對研究對象進行面對面訪談式調(diào)查。對不能到調(diào)查現(xiàn)場的老年人進行入戶調(diào)查,確保社區(qū)內(nèi)每一位符合要求的老年人均能被調(diào)查。所有問卷填寫完成后當(dāng)場收回,并及時檢查。所有資料應(yīng)用SPSS22.0和AMOS21.0統(tǒng)計軟件包進行數(shù)據(jù)分析,統(tǒng)計方法包括描述性分析、t檢驗、χ~2檢驗、方差分析、Pearson相關(guān)分析、多元線性回歸分析、多因素非條件Logistic回歸分析及結(jié)構(gòu)方程模型分析等。結(jié)果1老年人自我感知老化消極維度的得分指標(biāo)(72.58%)較積極維度的得分指標(biāo)(61.20%)高。多元線性回歸分析結(jié)果顯示:高齡、體重指數(shù)異常、職業(yè)為其他、患慢性病數(shù)量多、使用助行器、健康自評差、經(jīng)常有孤獨感、家庭關(guān)懷度差是老年人自我感知老化消極維度的危險因素。2職業(yè)為其他、月收入低、患慢性病數(shù)量多、長期用藥、使用助行器、健康自評差、經(jīng)常有孤獨感、抑郁、家庭關(guān)懷度差、社會支持少是老年人健康行為差的影響因素。3邯鄲市社區(qū)老年人housebound的發(fā)生率為15.4%。4 Pearson相關(guān)分析結(jié)果顯示:老年人自我感知老化的積極維度總分、積極控制維度及健康行為與housebound呈負相關(guān)(r=-0.362~-0.468,P0.05);自我感知老化的消極維度總分、周期時間性維度、情感表征維度、認(rèn)同維度與housebound呈正相關(guān)(r=0.315~0.388,P0.05)。結(jié)構(gòu)方程模型顯示:健康行為對housebound有直接負向效應(yīng)(β=-0.177,P0.05);自我感知老化的積極控制維度對housebound有直接負向效應(yīng)(β=-0.299,P0.05),消極維度對housebound有直接正向效應(yīng)(β=0.772,P0.05),健康行為還以自我感知老化的消極維度為中介變量對housebound有間接影響(β=-0.336,P0.05)。結(jié)論1老年人自我感知老化消極維度的得分指標(biāo)較高,高齡、體重指數(shù)異常、職業(yè)為其他、患慢性病數(shù)量多、使用助行器、健康自評差、經(jīng)常有孤獨感、家庭關(guān)懷度差是老年人消極自我感知老化的影響因素。2職業(yè)為其他、月收入低、患慢性病數(shù)量多、長期用藥、使用助行器、健康自評差、經(jīng)常有孤獨感、抑郁、家庭關(guān)懷度差、社會支持少的老年人健康行為較差。3社區(qū)老年人housebound的發(fā)生率為15.4%。4老年人的自我感知老化、健康行為和housebound相關(guān);健康行為及積極的自我感知老化負向影響housebound,消極的自我感知老化正向影響housebound;健康行為還以消極的自我感知老化作為中介變量間接負向影響其housebound。
[Abstract]:Objective to explore the influencing factors of self perceived aging, healthy behavior and housebound (not home) of the elderly in the community, and construct the structural equation model between the three people, to identify the aging of the elderly, the relationship between the healthy behavior and the housebound, and to provide the basis for the effective improvement of the housebound of the elderly. First, the 3 administrative districts of Handan were numbered, and 1 administrative districts were drawn, namely, the revival area; and then 1 communities were drawn from 65 communities in the revival area according to the above methods. In April, October 2015, a questionnaire survey was conducted on the eligible 1455 eligible elderly people in the Jianan community, and the unified housebound scale was adopted. To promote life style scale, aging perception scale, family care measure, senile depression scale, social support scale and general questionnaire to conduct face-to-face interview on research subjects in the way of community health service center. An elderly person who met the requirements could be investigated. All the questionnaires were completed and checked in time. All the data were analyzed with SPSS22.0 and AMOS21.0 software packages. The statistical methods included descriptive analysis, t test, X ~2 test, variance analysis, Pearson correlation analysis, multiple linear regression analysis, multi factor non strip analysis. Logistic regression analysis and structural equation model analysis. Results the score index of negative dimension of self perceived aging in 1 elderly people (72.58%) was higher than that of the positive dimension (61.20%). The results of multivariate linear regression analysis showed that the elderly, the body mass index was abnormal, the occupation was his, the number of chronic diseases, the use of AIDS, health self-assessment, Often there is a sense of loneliness. Poor family care is the risk factor for the aging negative dimension of aging,.2 occupation is other, the monthly income is low, the number of chronic diseases is more, the long-term use of drugs, the use of the aid, the poor health, the loneliness, the depression, the poor family care, the less social support are the influencing factors of the old people's poor health behavior,.3 Handan. The incidence of housebound in the elderly people in the community was 15.4%.4 Pearson correlation analysis. The results showed that the positive dimension total score, the positive control dimension and the healthy behavior were negatively correlated with housebound (r=-0.362~-0.468, P0.05), the elimination dimension total score, the periodic time dimension, the emotion characterization dimension, The identity dimension was positively correlated with housebound (r=0.315~0.388, P0.05). The structural equation model showed that healthy behavior had a direct negative effect on housebound (beta =-0.177, P0.05); the positive control dimension of self perceived aging had direct negative effect on housebound (beta =-0.299, P0.05), and negative dimensions had direct positive effects on housebound (beta =0.772, P0.0). 5), healthy behavior also has indirect influence on housebound (beta =-0.336, P0.05). Conclusion the score index of negative dimension of self perceived aging in 1 elderly people is higher, older age, abnormal body mass index, occupation for other, more chronic disease, use aid, health self-evaluation, often loneliness, Poor family care degree is the influence factor of senile negative self perception aging,.2 occupation is other, the monthly income is low, the number of chronic diseases is more, the long-term use of drugs, health self-assessment, often loneliness, depression, poor family care, poor social support for the elderly people with poor health behavior in the elderly.3 community housebound incidence rate is 15.4%.4 elderly people's self perceived aging, healthy behavior and housebound related, healthy behavior and positive self perceived aging negatively affect housebound, negative self perceived aging is positively affecting housebound; healthy behavior also negatively affects its housebound. with negative self perceived aging as an intermediary variable.
【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】：R161.7

【參考文獻】

相關(guān)期刊論文 前10條

1 張?zhí)?王玉靜;景麗偉;張超;邢鳳梅;汪鳳蘭;張小麗;安紫薇;邵通;;河北省社區(qū)老年人身心狀況、社會支持與居家不出的關(guān)系[J];中國老年學(xué)雜志;2016年08期

2 程彥如;路雪芹;陳傳波;陳超然;李彥杰;王彬;;河南開封農(nóng)村失能老年人健康行為及影響因素研究[J];現(xiàn)代預(yù)防醫(yī)學(xué);2016年06期

3 王瑞梅;郭繼志;張涵;李敏;胡善菊;莊立輝;羅盛;董毅;;山東省老年人社會支持狀況對心理健康的影響[J];中國衛(wèi)生事業(yè)管理;2016年03期

4 任峰;李健;張會敏;;KTH整合式健康教育對老年高血壓患者健康行為的影響[J];新鄉(xiāng)醫(yī)學(xué)院學(xué)報;2016年01期

5 王維;謝紅;;居家養(yǎng)老老年人幸福度現(xiàn)狀及其影響因素調(diào)查[J];中國護理管理;2015年10期

6 汪鳳蘭;張小麗;邢鳳梅;么婷;吳慶文;景麗偉;張盼;劉瑞華;;社區(qū)Homebound老人發(fā)生現(xiàn)狀及特征分析[J];現(xiàn)代預(yù)防醫(yī)學(xué);2015年17期

7 劉華玲;時艷霞;朱海萍;何香;肖美芳;;中青年腦卒中患者健康行為調(diào)查及影響因素分析[J];中華護理雜志;2015年08期

8 景麗偉;王玉靜;張超;邢鳳梅;汪鳳蘭;張?zhí)?張小麗;安紫薇;邵通;;河北省社區(qū)老年人居家不出現(xiàn)狀及影響因素[J];中國公共衛(wèi)生;2015年09期

9 景麗偉;張超;邢鳳梅;邵通;張?zhí)?梁攀龍;王飛爽;解飛;李珊珊;;自我效能干預(yù)對煤礦居家不出老年人群心理狀況及生活質(zhì)量的影響[J];中國老年學(xué)雜志;2015年12期

10 蔣懷濱;張斌;楊曉涵;林麗紅;陳艷梅;;老年人控制感、心理彈性與成功老化的關(guān)系[J];中國老年學(xué)雜志;2015年12期

相關(guān)碩士學(xué)位論文 前2條

1 劉華玲;中青年腦卒中患者自我效能、家庭功能與健康行為的相關(guān)性研究[D];南昌大學(xué)醫(yī)學(xué)院;2015年

2 董小方;鄭州市社區(qū)腦卒中高危人群健康行為影響因素分析[D];鄭州大學(xué);2014年

，

本文編號：2080058