Lim Young Mi, Sung Mi Hae, Joo Kyung Sook
Yonsei University, Wonju College of Medicine, Department of Nursing, Wonju, Korea.
J Gerontol Nurs. 2010 Oct;36(10):42-50. doi: 10.3928/00989134-20100504-05. Epub 2010 May 21.
The purpose of the study was to examine a staged theoretical causal model on health-promoting behavior of community-dwelling Korean older women (N = 438). Sixty-two percent of the variance in the health-promoting behaviors of the sample was explained by the direct effect of social support (β = 0.53), self-efficacy (β = 0.18), perceived health status (β = 0.16), education (β = 0.12), and presence of a spouse (β = 0.10). Twenty-nine percent of the variance in social support was explained by the direct effect of self-efficacy (β = 0.31), personal control (β = 0.10), perceived health status (β = 0.16), age (β = -0.31), and religion (β = 0.15). The results indicate that self-efficacy, personal control, and perceived health status had an indirect influence on health-promoting behavior through social support. The findings of this study suggest that social support is a mediating variable on health-promoting behavior of community-dwelling older women, and further refinement of the underlying model is warranted.
该研究的目的是检验一个关于韩国社区老年女性(N = 438)健康促进行为的阶段性理论因果模型。样本中健康促进行为62%的方差可由社会支持(β = 0.53)、自我效能感(β = 0.18)、感知健康状况(β = 0.16)、教育程度(β = 0.12)和配偶的存在(β = 0.10)的直接效应来解释。社会支持29%的方差可由自我效能感(β = 0.31)、个人控制感(β = 0.10)、感知健康状况(β = 0.16)、年龄(β = -0.31)和宗教信仰(β = 0.15)的直接效应来解释。结果表明,自我效能感、个人控制感和感知健康状况通过社会支持对健康促进行为产生间接影响。本研究结果表明,社会支持是社区老年女性健康促进行为的一个中介变量,有必要对基础模型进行进一步完善。