Department of Nursing, Dongguk University, 707 Sukjang-dong, Gyeongju, Gyeongbuk 780-714, South Korea.
Geriatr Nurs. 2013 Jul-Aug;34(4):307-13. doi: 10.1016/j.gerinurse.2013.05.002. Epub 2013 May 30.
The purposes of this study were to examine differences in symptoms, aging-stereotyped beliefs about management of symptoms, and health-promoting behaviors depending on a diagnosis of osteoarthritis and to investigate the associations between symptoms, aging-stereotyped beliefs, and health-promoting behaviors in 171 older Korean women. Compared to older women without osteoarthritis, those with osteoarthritis reported significantly more symptoms, a higher level of aging-stereotyped beliefs, and a lower level of health-promoting behaviors. Regardless of osteoarthritis, older women suffered from multiple symptoms, and musculoskeletal symptoms were the most frequently reported symptoms. Aging-stereotyped beliefs had a negative influence on health-promoting behaviors, whether or not older women were diagnosed with osteoarthritis. Findings of this study suggest that a broader assessment of multiple symptoms, specifically including musculoskeletal symptoms, is needed in order to enhance their management of symptoms. Health care providers should consider age stereotypes with regard to experience and management of symptoms in order to improve self-care behaviors of older people, and development of nursing intervention strategies in order to modify stereotypes and misconceptions about aging and to facilitate positive attitudes about old age is warranted.
本研究旨在探讨症状、与老龄化相关的管理观念以及促进健康行为的差异，以及这些差异与症状、老龄化观念和促进健康行为之间的关系，具体对象为 171 名患有或未患有骨关节炎的老年韩国女性。与没有骨关节炎的老年女性相比，患有骨关节炎的女性报告的症状更多、与老龄化相关的管理观念更强、促进健康行为更少。无论是否患有骨关节炎，老年女性都遭受着多种症状的困扰，其中肌肉骨骼症状最为常见。无论是否患有骨关节炎，与老龄化相关的管理观念对促进健康行为都有负面影响。本研究结果表明，为了改善对症状的管理，需要更全面地评估多种症状，特别是肌肉骨骼症状。医疗保健提供者应该考虑到年龄相关的经验和对症状的管理，以改善老年人的自我护理行为，并制定护理干预策略，以改变对老龄化的刻板印象和误解，促进对老年的积极态度。
