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韩国老年成年人中与衰老相关的刻板信念、自我效能感和健康促进行为之间的关联。

Association among ageing-related stereotypic beliefs, self-efficacy and health-promoting behaviors in elderly Korean adults.

作者信息

Yeom Hyun-E

机构信息

Department of Nursing, Dongguk University, Gyeongju, South Korea.

出版信息

J Clin Nurs. 2014 May;23(9-10):1365-73. doi: 10.1111/jocn.12419. Epub 2013 Nov 20.

Abstract

AIMS AND OBJECTIVES

To examine the impact of ageing-related stereotypic beliefs on self-efficacy and health-promoting behaviours and to test the mediating effect of self-efficacy on the relationship between ageing-related stereotypic beliefs and health-promoting behaviours in older Korean people.

BACKGROUND

Despite the growing attention given to ageing-related beliefs that can lead to better health outcomes in old age, little is known about the associations between ageing-related stereotypic beliefs, self-efficacy and health-promoting behaviours.

DESIGN

A cross-sectional, descriptive study.

METHODS

A total of 123 community-dwelling older women were recruited from three cities in south-east Korea. Direct and indirect effects of ageing-related stereotypic beliefs on self-efficacy and health-promoting behaviours were examined using path analyses.

RESULTS

Ageing-related stereotypic beliefs significantly predicted self-efficacy and health-promoting behaviours. A significant indirect effect of ageing-related stereotypic beliefs on health-promoting behaviours through self-efficacy was detected, indicating that self-efficacy mediated the detrimental impact of ageing-related stereotypic beliefs on health-promoting behaviours.

CONCLUSIONS

Ageing-related stereotypic beliefs function as a factor lowering self-efficacy as well as decreasing health-promoting behaviours. Self-efficacy mediates the influence of ageing-related stereotypic beliefs on health-promoting behaviours, indicating that ageing-related stereotypic beliefs decrease self-efficacy which, in turn, could lead to fewer health-promoting behaviours. The findings demonstrate the significance of ageing-related stereotypic beliefs and self-efficacy in guiding the health-promoting behaviours of older people.

RELEVANCE TO CLINICAL PRACTICE

Healthcare providers should play an active role in understanding ageing-related stereotypic beliefs and decreasing the perceptual barriers to health-promoting behaviours of older people. The development of nursing interventions to improve positive attitudes towards old age and self-efficacy is essential for enhancing health-promoting behaviours.

摘要

目的

探讨与衰老相关的刻板信念对自我效能感和健康促进行为的影响,并检验自我效能感在韩国老年人与衰老相关的刻板信念和健康促进行为之间关系中的中介作用。

背景

尽管人们越来越关注与衰老相关的信念,这些信念可能会带来更好的老年健康结果,但对于与衰老相关的刻板信念、自我效能感和健康促进行为之间的关联却知之甚少。

设计

一项横断面描述性研究。

方法

从韩国东南部的三个城市招募了123名居住在社区的老年女性。使用路径分析检验与衰老相关的刻板信念对自我效能感和健康促进行为的直接和间接影响。

结果

与衰老相关的刻板信念显著预测了自我效能感和健康促进行为。检测到与衰老相关的刻板信念通过自我效能感对健康促进行为产生显著的间接影响,表明自我效能感介导了与衰老相关的刻板信念对健康促进行为的不利影响。

结论

与衰老相关的刻板信念起到降低自我效能感以及减少健康促进行为的作用。自我效能感介导了与衰老相关的刻板信念对健康促进行为的影响,表明与衰老相关的刻板信念会降低自我效能感,进而可能导致健康促进行为减少。研究结果证明了与衰老相关的刻板信念和自我效能感在指导老年人健康促进行为方面的重要性。

与临床实践的相关性

医疗保健提供者应积极理解与衰老相关的刻板信念,并减少老年人健康促进行为的认知障碍。开发护理干预措施以改善对老年的积极态度和自我效能感对于增强健康促进行为至关重要。

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