失能老年人健康自我管理行为及影响因素分析  

Analysis of health self-management behavior and influencing factors of disabled elderly people

作　　者：孙秀娜 梅佳 秦殿菊[1] 徐静[1] 白江涛[1] 段莉[1] SUN Xiuna;MEI Jia;QIN Dianju;XU Jing;Bai Jiangtao;DUAN Li(Chengde Medical College,Chengde 067000,China)

机构地区：[1]承德医学院,067000

出　　处：《中国老年保健医学》2023年第6期63-65,共3页Chinese Journal of Geriatric Care

基　　金：2023年河北省社会科学发展研究课题(编号:20230205144);河北省高等学校人文社会科学研究项目(编号:SQ2023044);承德市社科联课题(编号:20233281);承德医学院青年课题(编号:202015)。

摘　　要：目的探讨失能老年人健康自我管理行为并分析其影响因素。方法2022年8月至2023年6月以便利抽样法对老年人采用日常生活能力量表进行失能筛查,对筛选出的632例失能老年人进行健康自我管理行为量表评定,采用描述性分析失能老年人健康自我管理行为的现况,多元线性回归分析其影响因素。结果失能老年人健康自我管理行为平均分为(2.71±0.502)分。同年龄、婚姻状况、文化程度、以前的职业(工作)、是否吸烟、居住情况、子女居住距离、平时患病有无家人陪伴、是否患慢性病、健康状况、睡眠质量对失能老年人健康自我管理行为的影响差异有统计学意义(P<0.05)。多元线性回归分析结果显示,文化程度、是否吸烟、与孙子女居住、平时患病有无家人陪伴、是否患慢性病、自评健康状况、睡眠质量是失能老年人健康自我管理行为的影响因素,差异有统计学意义(P<0.05)。结论失能老年人健康自我管理行为水平较差,可通过加强慢性病预防、促进健康生活方式行为、增加子女关爱等针对性措施,提高失能老年人健康自我管理水平。Objective To explore the health self-management behavior of the disabled elderly and analyze its influencing factors.Methods From August 2022 to June 2023,the elderly were screened for disability by using the Daily Living Ability Scale,and 632 disabled elderly were assessed by the Health Self-management Behavior Scale.The current situation of health self-management behavior of disabled elderly was analyzed by descriptive analysis,and the influencing factors were analyzed by multiple linear regression.Results The average score of health self-management behavior of the disabled elderly was(2.71±0.502).The same age,marital status,education level,previous occupation(work),smoking,living conditions,children s living distance,whether they are accompanied by family members when they are sick,whether they are suffering from chronic diseases,health status and sleep quality have significant differences on the health self-management behavior of the disabled elderly(P<0.05).The results of multiple linear regression analysis show that education level,whether they smoke,live with grandchildren and whether they are accompanied by family members when they are sick.Conclusion The level of health self-management behavior of the disabled elderly is poor,and the level of health self-management of the disabled elderly can be improved by strengthening the prevention of chronic diseases,promoting healthy lifestyle behaviors and caring for children.

关 键 词：失能 老年人 健康自我管理行为 

分 类 号：R592[医药卫生—老年医学]