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[老年人成功老龄化的结构方程模型——以选择·优化·补偿策略为重点——]

[Structural equation modeling on successful aging in elders - focused on selection · optimization · compensation strategy -].

作者信息

Oh Doo Nam

机构信息

Department of Nursing, The Research Institute for Basic Science, Hoseo University, Asan, Korea.

出版信息

J Korean Acad Nurs. 2012 Jun;42(3):311-21. doi: 10.4040/jkan.2012.42.3.311.

Abstract

PURPOSE

This study was designed to construct and test a structural equation modeling on specific domain health status and the Selection · Optimization · Compensation (SOC) strategy affecting successful aging in elderly people.

METHODS

The model construction was based on the SOC model by Baltes and Baltes. Interviews were done with 201 elderly people aged 65 or older. Interview contents included demographics, functional health status, emotional health status, social health status, SOC strategies, and successful aging. Data were analyzed using SPSS 15.0 and AMOS 7.0.

RESULTS

Model fit indices for the modified model were GFI=.93, CFI=.94, and RMSEA=.07. Three out of 7 paths were found to have a significant effect on successful aging in this final model. Functional health status had a direct and positive effect on successful aging. Emotional health status influenced successful aging through SOC strategies.

CONCLUSION

This study suggests that interventions for improving functional health status and for strengthening SOC strategies are critical for successful aging. Continuous development of a variety of successful aging programs using SOC strategy is suggested.

摘要

目的

本研究旨在构建并检验一个关于特定领域健康状况以及影响老年人成功老龄化的选择·优化·补偿(SOC)策略的结构方程模型。

方法

模型构建基于Baltes和Baltes的SOC模型。对201名65岁及以上的老年人进行了访谈。访谈内容包括人口统计学信息、功能健康状况、情绪健康状况、社会健康状况、SOC策略以及成功老龄化。使用SPSS 15.0和AMOS 7.0对数据进行分析。

结果

修正后模型的拟合指数为GFI = 0.93,CFI = 0.94,RMSEA = 0.07。在这个最终模型中,7条路径中有3条被发现对成功老龄化有显著影响。功能健康状况对成功老龄化有直接的正向影响。情绪健康状况通过SOC策略影响成功老龄化。

结论

本研究表明,改善功能健康状况和加强SOC策略的干预措施对成功老龄化至关重要。建议持续开发各种使用SOC策略的成功老龄化项目。

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