Chen Yuh-Min, Li Yueh-Ping, Yen Min-Ling
School of Nursing, China Medical University, Taichung, Taiwan.
Department of Nursing, China Medical University Hospital, Taichung, Taiwan.
Int J Nurs Pract. 2016 Jun;22(3):239-46. doi: 10.1111/ijn.12401. Epub 2015 May 12.
The purpose of this study was to apply self-efficacy theory to explore predictors of regular exercise among older residents of long-term care institutions. Convenience sampling was used to collect data from 151 older adults residing in three residential care homes in Taiwan. Data collection instruments included a background data sheet, Self Efficacy for Exercise Scale, Outcome Expectations for Exercise Scale and self-reported regular exercise. Results indicated that older residents who exercised regularly had fewer chronic diseases, better perceived health status and functional status, and higher self-efficacy expectations and outcome expectations related to exercise. Older residents with a regular exercise habit prior to institutionalization were more likely to engage in regular exercise. Logistic regression analysis indicated past exercise participation and self-efficacy expectations to be significant positive predictors of regular exercise. To promote regular exercise within this population, these can be potential target areas for interventions. These factors should be targeted in the development and implementation of interventions to promote regular exercise among older residents of long-term care institutions.
本研究旨在应用自我效能理论，探索长期护理机构老年居民定期锻炼的预测因素。采用便利抽样法，从台湾三所养老院的151名老年人中收集数据。数据收集工具包括背景数据表、运动自我效能量表、运动结果期望量表和自我报告的定期锻炼情况。结果表明，经常锻炼的老年居民患慢性病的几率更低，健康状况和功能状态的自我认知更好，与运动相关的自我效能期望和结果期望更高。入住机构前有定期锻炼习惯的老年居民更有可能进行定期锻炼。逻辑回归分析表明，过去的运动参与情况和自我效能期望是定期锻炼的显著正向预测因素。为了在这一人群中促进定期锻炼，这些可能是干预的潜在目标领域。在制定和实施促进长期护理机构老年居民定期锻炼的干预措施时，应针对这些因素。
