基于健康生态学模型的农村慢性病共病老年人社会隔离影响因素  

Influencing factors analysis of social isolation in rural elderly with chronic disease comorbidity based on health ecology model

作　　者：张瑞芹[1] 孙俊俊 聂丽[1] 张会敏[1] 朱丽丽[1] 孙翠勇[1] ZHANG Ruiqin;SUN Junjun;NIE Li;ZHANG Huimin;ZHU Lili;SUN Cuiyong(Xinxiang Medical University,Henan 453003 China)

机构地区：[1]新乡医学院,河南453003

出　　处：《护理研究》2025年第7期1084-1093,共10页Chinese Nursing Research

基　　金：2022年度国家社会科学基金项目,编号:22BGL213;2023年度河南省高校人文社会科学研究一般项目,编号:2023-ZDJH-159;2024年度河南省高等学校重点科研项目,编号:24A320015;河南省软科学研究项目,编号:232400410214。

摘　　要：目的:利用健康生态学模型,探究影响农村慢性病共病老年人社会隔离的因素,为老年人社会隔离的预防提供参考。方法:2023年2月—8月,采用便利抽样方法调查河南省12个乡镇的1 010例农村慢性病共病老年人,以是否发生社会隔离为因变量,采用多因素Logistic回归模型分析农村慢性病共病老年人社会隔离的影响因素。结果:44.85%(453例)的农村慢性病共病老年人存在社会隔离。多因素Logistic回归分析结果显示,性别、年龄、慢性病种类、自评健康状况、运动功能、睡眠质量、抑郁、婚姻状况、隔代抚养、社会支持、家庭功能、社会参与情况、所在农村资源、医疗保险及商业保险是农村慢性病共病老年人发生社会隔离的影响因素(P<0.05)。结论:农村慢性病共病老年人发生社会隔离比例较高,影响因素涉及健康生态学模型中的5个层面,应从多维度、多层面采取干预措施,减少社会隔离的发生。Objective:Based on the health ecology model,to explore the factors influencing social isolation in rural elderly with chronicdisease comorbidity,and to provide reference for the prevention of social isolation among the elderly.Methods:From February to Augustin 2023,1 010 rural elderly with chronic disease comorbidity of 12 towns in Henan province were selected by the convenience samplingmethod.With the occurrence of social isolation as the dependent variable and the inclusion of independent variables,a multivariateLogistic regression model was used to analyze the influencing factors of social isolation in rural elderly with chronic disease comorbidity.Results:44.85% of rural elderly with chronic disease comorbidity had social isolation.The results of the multivariate Logistic analysisshowed that gender,age,the amount of chronic disease,self-rated health,movement function,sleep quality,depression,marital status,grandparenting,social support,family function,social participation,rural resources,medical insurance and commercial insurance were themain influencing factors of social isolation in rural elderly with chronic disease comorbidity.Conclusions:The proportion of socialisolation was relatively higher,and its influencing factors involved the five dimensions of health ecology theory.Therefore,correspondingintervention measures should be implemented at different levels to reduce occurence of social isolation in rural elderly with chronicdisease comorbidity.

关 键 词：社会隔离 健康生态学模型 农村 慢性病共病 老年人 影响因素 

分 类 号：R47[医药卫生—护理学]