上海市社区老年人家庭功能与健康自我管理的相关性研究  

Study on the Correlation between Family Function and Health Self-management of Elderly People in Shanghai Community

作　　者：杜荣 高晶蓉 江佳艳 戴丹华 李静 李扬 张斌 赵琦[1] DU Rong;GAO Jingrong;JIANG Jiayan;DAI Danhua;LI Jing;LI Yang;ZHANG Bin;ZHAO Qi(School of Public Health,Fudan University,NHC Key Laboratory of Health Technology Assessment(Fudan University),Shanghai,200032,China;不详)

机构地区：[1]复旦大学公共卫生学院,国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海200032 [2]上海市老龄事业发展促进中心,上海200062 [3]上海市闵行区七宝社区卫生服务中心,上海201101 [4]上海市松江区中山街道社区卫生服务中心,上海201613 [5]上海市黄浦区豫园街道社区卫生服务中心,上海200010 [6]上海市虹口区嘉兴路街道社区卫生服务中心,上海200082

出　　处：《中国社会医学杂志》2024年第3期340-345,共6页Chinese Journal of Social Medicine

基　　金：上海市浦江人才计划项目(2020PJC005);上海市松江区科学技术攻关项目(20SJKJGG215)。

摘　　要：目的 了解上海市社区老年人家庭功能及其健康自我管理水平,并探讨两者之间的相关性。方法 采用便利抽样,对2021年11-12月在上海市社区卫生服务中心和站点就诊的1 685名老年人进行面对面问卷调查,调查问卷包括基本人口学特征、成年人健康自我管理能力和家庭功能量表。结果 调查对象健康自我管理总分为(150.52±24.28)分,其中行为、环境及认知维度的得分分别为(49.97±11.49)分、(38.75±8.32)分和(61.85±8.46)分。731人健康自我管理总体评价较高,占43.4%。与子女经常交流(OR=1.92,95%CI=1.20~3.06)、家庭功能良好(OR=2.42,95%CI=1.85~3.17)、家庭中等收入水平(OR=1.72,95%CI=1.29~2.29)及高收入水平(OR=1.65,95%CI=1.20~2.28)、自评对生活满意(OR=1.31,95%CI=1.03~1.67)等因素有利于老年人的健康自我管理。老年人总体认知水平优于行为能力。结论 良好的家庭关系与氛围有利于提升老年人健康自我管理水平,应关注老年人认知与行为能力的鸿沟,在常规健康知识宣讲的基础上增加良好行为的引导与评价。Objective To understand the family function of elderly people in Shanghai community and their health self-management level,and to explore the correlation between them.Methods A convenience sample of 1685 older adults who attended community health centers and sites in Shanghai from November to December 2021 were surveyed with a questionnaire face-to-face that included basic demographic characteristics,adult health self-management ability,and the Family Functioning Scale.Results The total health self-management score of the survey respondents was 150.52±24.28,of which the scores of behavioral,environmental and cognitive dimensions were 49.97±11.49,38.75±8.32 and 61.85±8.46,respectively.A total of 731 people(43.4%)had a high overall rating of health self-management.The analysis found that frequent communication with children(OR=1.92,95%CI=1.20-3.06),good family functioning(OR=2.42,95%CI=1.85-3.17),moderate family income level(OR=1.72,95%CI=1.29-2.29)and high-income level(OR=1.65,95%CI=1.20-2.28),and self-rated satisfaction with life(OR=1.31,95%CI=1.03-1.67)were favorable to the health self-management of older adults.The overall cognitive level of older adults was better than behavioral ability.Conclusion Good family relationship and atmosphere is conducive to improving the health self-management level of the elderly.Attention should be paid to the gap between the cognitive and beha-vioral abilities of the elderly,and the guidance and evaluation of good behaviors should be added on the basis of regular health knowledge promotion.

关 键 词：老年人 家庭功能 健康自我管理 

分 类 号：R163[医药卫生—公共卫生与预防医学]