Li I-Chuan, Chen Yu-Chi, Kuo Huai-Ting
Institute of Community Health Nursing, National Yang-Ming University, Taipei.
J Nurs Res. 2005 Dec;13(4):305-12.
The purpose of this study was to understand health promotion behaviors and their correlated factors among low-income elderly in the Taipei area. This study used a cross-sectional design with a descriptive correlation approach. A total of 89 low-income elderly from Peitou District of Taipei participated in the study. Structured questionnaires, the primary sources of measurement, were read to study subjects by a trained research assistant. The mean age of low-income elderly in the study was 76.85 year-old. A plurality were single (41.6%) and 31.5% lived alone. Subject IADLs (instrumental activities of daily living) were not as good as their ADLs (activities of daily living). Their psychosocial health status was worse than their physical health status. Among health promotion behaviors, regular exercise appears to be the most prevalent. The most significant factor among subjects for failing to follow health-promoting behaviors was their IADLs. Homebound elderly who lived alone and had poor IADL were less likely to have health promoting behaviors. A proposal to encourage health promotion behaviors for low-income elderly derived from study results is the initiation of formal personal assistance programs to remedy the inability of many elderly, especially those living alone, to leave the home due to ADL-related or other limitations.
本研究旨在了解台北地区低收入老年人的健康促进行为及其相关因素。本研究采用横断面设计和描述性相关方法。台北市北投区共有89位低收入老年人参与了本研究。结构化问卷是主要的测量工具,由一名经过培训的研究助理向研究对象宣读。本研究中低收入老年人的平均年龄为76.85岁。多数为单身(41.6%),31.5%独自生活。研究对象的工具性日常生活活动(IADLs)不如其日常生活活动(ADLs)。他们的心理社会健康状况比身体健康状况更差。在健康促进行为中,规律运动似乎最为普遍。研究对象中未能遵循健康促进行为的最显著因素是他们的IADLs。独居且IADL能力差的居家老年人进行健康促进行为的可能性较小。根据研究结果,一项针对低收入老年人鼓励健康促进行为的建议是启动正式的个人援助计划,以弥补许多老年人,尤其是那些独居的老年人由于与ADL相关或其他限制而无法离家的情况。