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基于“前行-进展”模式的老年人生活质量教育。

Education based on precede-proceed on quality of life in elderly.

作者信息

Mazloomymahmoodabad Saeed, Masoudy Gholamreza, Fallahzadeh Hosain, Jalili Zahra

机构信息

School of health, Shahid Sadoughi University of Medical Sciences Yazd, Iran .IR..

出版信息

Glob J Health Sci. 2014 Jul 29;6(6):178-84. doi: 10.5539/gjhs.v6n6p178.

Abstract

BACKGROUND & OBJECTIVE: One of the most important challenges in public health is to improve the quality of life in elders. Aging may cause various disorders such as disabilities, high risk conditions and some chronic disease. In this study the effect of educational intervention based on precede-proceed on quality of life in elders was examined.

MATERIALS & METHODS: This semi experimental study was carried out on 128 elders over 60 years in Zahedan that were randomly selected by multi-stage sampling method and divided in to control and intervention groups. Data collection tool was a triploid questionnaire that included demographic data, questions of precede-proceed constructs and SF-36 questionnaire. The validity and reliability of questionnaire confirmed by experts and Cranach's Alpha coefficient (76%). After primary data collecting, educational intervention was performed and after nine months data was collected again and analyzed in spss.16 soft-ware using descriptive and analytical statistics.

RESULTS

The results showed that mean score of quality of life in participants was low and more than 61% of them had a mean score less than 50%. After intervention the mean score of quality of life only in experimental group significantly increased from 47.72 to 58.90. Behavior and self-rated health were the strongest predictors for quality of life in this study.

CONCLUSION

Implementation educational intervention based on precedes-proceed model can improve quality of life in elders. Elderly women and older elderly individuals compared with elderly men and younger elderly should be considering as an important risk factor for reducing HRQOL.

摘要

背景与目的

公共卫生领域最重要的挑战之一是提高老年人的生活质量。衰老可能导致各种疾病,如残疾、高危状况和一些慢性疾病。本研究考察了基于“知-信-行”模式的教育干预对老年人生活质量的影响。

材料与方法

本半实验性研究对扎黑丹128名60岁以上的老年人进行,采用多阶段抽样方法随机选取,分为对照组和干预组。数据收集工具是一份三倍体问卷,包括人口统计学数据、“知-信-行”模式构建问题和SF-36问卷。问卷的效度和信度经专家确认,克朗巴赫α系数为76%。收集原始数据后,进行教育干预,九个月后再次收集数据,并使用SPSS.16软件进行描述性和分析性统计分析。

结果

结果显示,参与者的生活质量平均得分较低,超过61%的人的平均得分低于50%。干预后,仅实验组的生活质量平均得分从47.72显著提高到58.90。行为和自我评估健康是本研究中生活质量的最强预测因素。

结论

实施基于“知-信-行”模式的教育干预可以提高老年人的生活质量。老年女性和高龄老年人与老年男性和低龄老年人相比,应被视为降低健康相关生活质量的重要风险因素。

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