老年夫妻电子健康素养对自我感知老化影响的主客体互倚模型分析  

Research on the Impact of Electronic Health Literacy of Elderly Couples on Self-perceived Aging Based on the Subject-Object Interdependence Model

作　　者：张宝凤[1] 杨展[1] 唐姗钐 赵珂 张利娟[1] ZHANG Baofeng;YANG Zhan;TANG Shanshan;ZHAO Ke;ZHANG Lijuan(Cardiovascular Medicine,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450002,China)

机构地区：[1]郑州大学第二附属医院心血管内科,河南郑州450002

出　　处：《河南医学研究》2024年第19期3469-3473,共5页Henan Medical Research

基　　金：2022年河南省医学科技攻关计划联合共建项目(LHGJ20220508)。

摘　　要：目的基于成对样本数据的主客体互倚性模型,探讨老年夫妻双方电子健康素养和自我感知老化的主客体模式。方法便利抽取在郑州大学第二附属医院体检的老年人及其配偶(共248对)作为研究对象,利用自行编制的一般资料问卷、简版自我感知老化量表(B-APQ)、电子健康素养量表进行调查,建立电子健康素养对自我感知老化的主客体互倚模型。结果老年夫妻电子健康素养得分(22.72±6.12)分,自我感知老化得分(49.49±7.42)分。相关分析结果显示,老年夫妻电子健康素养与自我感知老化及各维度呈负相关。丈夫电子健康素养得分为(22.73±6.20)分,自我感知老化得分为(49.77±6.85)分;妻子电子健康素养得分(22.71±6.05)分,自我感知老化得分为(49.20±7.95)分。相关性分析结果表明,妻子与丈夫之间的电子健康素养呈正相关;在主体效应层面,妻子的电子健康素养与自我感知老化呈负相关,丈夫的电子健康素养与自我感知老化呈负相关;在客体效应层面,妻子的电子健康素养与丈夫自我感知老化呈负相关,丈夫的电子健康素养与妻子自我感知老化呈负相关。基于主客体互倚性模型,老年夫妻的电子健康素养负向预测自身自我感知老化(主体效应),同时也负向预测配偶自我感知老化(客体效应)。丈夫电子健康素养对自我感知老化影响路径系数为-0.561(P<0.001),妻子电子健康素养对其自身自我感知老化影响路径系数为-0.702(P<0.001);丈夫电子健康素养对妻子自我感知老化影响路径系数为-0.161(P<0.05),妻子电子健康素养对丈夫自我感知老化影响路径系数为-0.144(P<0.05)。结论老年夫妻的电子健康素养和自我感知老化具有主客体互倚性,这种互倚性不仅表现为明显的主体效应,而且还表现出一定的客体效应。Objective Based on the subject-object interdependence model of paired sample data,this paper explored the subject-object model of electronic health literacy and self-perceived aging of elderly couples.Methods The elderly and their spouses(248 pairs in total)who had physical examination in the Second Affiliated Hospital of Zhengzhou University were selected as the research objects,and the general data questionnaire,the abbreviated version of self-perceived aging scale(B-APQ)and the electronic health literacy scale were used to investigate,so as to establish the subject-object interdependence model of e-health literacy on self-perceived aging.Results The score of e-health literacy was 22.72±6.12,and the score of self-perceived aging was 49.49±7.42.The results of correlation analysis showed that e-health literacy of the elderly was negatively correlated with self-perceived aging and all dimensions.Husbands’e-health literacy scores were 22.73±6.20,husbands’self-perceived aging scores were 49.77±6.85,wives’e-health literacy scores were 22.71±6.05,wives’self-perceived aging scores were 49.20±7.95.The results of correlation analysis showed that there was a significant positive correlation between the e-health literacy of wives and husbands.At the subject effect level,the wife’s e-health literacy was significantly negatively correlated with self-perceived aging,while the husband’s e-health literacy was significantly negatively correlated with self-perceived aging.At the object effect level,wives’e-health literacy was significantly negatively correlated with husbands’self-perceived aging,and husbands’e-health literacy was significantly negatively correlated with wives’self-perceived aging.Based on the sactor partner interdependence model,the electronic health literacy of elderly couples significantly positively and negatively predicts their own self-perceived aging(subject effect),and also significantly and negatively predicts the spouse’s self-perceived aging(object effect).The path coefficien

关 键 词：主客体互倚模型 电子健康素养 自我感知老化 

分 类 号：R-1[医药卫生]