养老院老年人运动自我效能的影响因素和路径分析  

Analysis of influencing factors and paths of exercise self-efficacy of elderly people in nursing homes

作　　者：邹幼清 蓝宇涛[1] 陈娇娇 黄芳英 蔡舒[1] ZOU Youqing;LAN Yutao;CHEN Jiaojiao;HUANG Fangying;CAI Shu(Guangdong Pharmaceutical University,Guangdong 510006 China)

机构地区：[1]广东药科大学 [2]广东药科大学附属第一医院

出　　处：《护理研究》2019年第10期1639-1644,共6页Chinese Nursing Research

基　　金：广东省科技发展专项基金;编号:2017A020215108

摘　　要：[目的]了解养老院老年人运动自我效能的影响因素及影响路径,为制定相关干预措施提高运动自我效能提供依据。[方法]采取便利抽样法选取广州市3所养老院233名老年人,采用自行设计的问卷进行调查和测量,数据采用多重线性回归和路径分析进行分析。[结果]运动自我效能总均分为(5.31±3.08)分;多重线性回归显示:运动自我效能影响因素为近3个月有无规律运动、有无家人或朋友支持鼓励运动、闭眼单脚站立、入住养老院以前有无规律运动、用药种数、入住养老院时长和病程;路径分析显示:近3个月有无规律运动与入住养老院以前有无规律运动、有无家人或朋友支持鼓励和用药种数可通过直接和间接路径影响运动自我效能。[结论]养老院老年人运动自我效能影响因素较多,且影响路径复杂,可参考多重线性回归和路径分析结果制定相关干预措施,以提高其运动自我效能。Objective: To understand the influencing factors and paths of exercise self-efficacy of the elderly in nursing homes,and to provide a basis for formulating relevant intervention measures to improve exercise self-efficacy. Methods: A total of 233 elderly people were selected using convenience sampling method in 3 nursing homes in Guangzhou,and the self-designed questionnaire was used for survey and measurement.The data were analyzed by multiple linear regression and path analysis. Results: The total mean sccre of exercise self-efficacy was (5.31±3.08).Multiple linear regression showed that the influencing factors of exercise self-efficacy were having regular exercise in the last 3 months or not,exercising with family or friends encouraging or not,standing on one foot with closed eyes,having regular exercise before entering the nursing home or not,number of drugs used,length of stay in the nursing home and course of illness.Path analysis showed that having regular exercise in the last 3 months or not,having regular exercise before entering the nursing home or not,exercising with family or friends encouraging or not,and the number of drugs used could affect exercise self-efficacy through direct and indirect paths. Conclusions: There were many factors influencing exercise self-efficacy of the elderly in nursing homes,and the influencing paths were complex.Therefore,relevant intervention measures can be developed according to the results of multiple linear regression and path analysis to improve their exercise self-efficacy.

关 键 词：养老院 老年人 运动自我效能 影响因素 路径分析 广州市 

分 类 号：R473.2[医药卫生—护理学]