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台湾农村和城市老年人口的功能健康状况:个人控制和社会控制的影响。

Functional health status among rural and urban older adults in Taiwan: the effect of personal control and social control.

机构信息

Department of Nursing, Central Taiwan University of Science and Technology, Taichung City, Taiwan.

出版信息

Int J Older People Nurs. 2010 Sep;5(3):202-10. doi: 10.1111/j.1748-3743.2009.00194.x.

DOI:10.1111/j.1748-3743.2009.00194.x
PMID:20925702
Abstract

AIM

To assess the relationship between perceived social control/personal control and functional health status among older adults in rural and urban Taiwan.

BACKGROUND

The ageing of the population is poised to emerge as a preeminent worldwide phenomenon. It is assumed that even though older adults experience many decades of autonomy and independence, the potential for illness or bodily decline will induce a serious reduction in the level of perceived control in older adult populations.

METHOD

This is a descriptive correlational study using a secondary data base, Social Environment and Biomarkers of Aging Study. Social Environment and Biomarkers of Aging Study is a nationally representative study of health outcomes in the Taiwanese population.

RESULTS

Both perceived levels of social control and personal control had a statistically significant relationship with functional health status. Functional health status was significantly higher for urban older adults than their rural counterparts.

CONCLUSIONS

Personal control and social control were both found to be predictors of functional health status. Major findings are supported by previous studies.

RELEVANCE TO CLINICAL PRACTICE

Nurses should create programs and plan activities to assist older adults to enhance their perceptions of social control or personal control in order to improve the health status of older adults and minimize associated health care costs.

摘要

目的

评估台湾城乡老年人感知社会控制/个人控制与功能健康状况之间的关系。

背景

人口老龄化将成为一个突出的全球现象。人们认为,尽管老年人享有几十年的自主和独立,但疾病或身体衰退的可能性将严重降低老年人群体的感知控制水平。

方法

这是一项使用二次数据库(社会环境和衰老生物标志物研究)进行的描述性相关性研究。社会环境和衰老生物标志物研究是一项针对台湾人口健康结果的全国代表性研究。

结果

感知到的社会控制和个人控制水平均与功能健康状况有统计学显著关系。城市老年人的功能健康状况明显高于农村老年人。

结论

个人控制和社会控制都被发现是功能健康状况的预测因素。主要发现得到了先前研究的支持。

临床实践的相关性

护士应制定方案和计划活动,帮助老年人增强对社会控制或个人控制的认识,以改善老年人的健康状况并最大限度地降低相关医疗保健费用。

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