上肢残疾、手动灵活性和精细运动技能对患有骨关节炎的机构养老老年人一般自我效能感的影响。
Influence of upper limb disability, manual dexterity and fine motor skill on general self-efficacy in institutionalized elderly with osteoarthritis.
作者信息
Pérez-Mármol Jose Manuel, Ortega-Valdivieso María Azucena, Cano-Deltell Enrique Elías, Peralta-Ramírez María Isabel, García-Ríos M Carmen, Aguilar-Ferrándiz María Encarnación
机构信息
Department of Physical Therapy, Faculty of Health Science, University of Granada (UGR), Spain.
Department of Personality, Evaluation and Psychological Treatment, University of Granada, Spain.
出版信息
J Hand Ther. 2016 Jan-Mar;29(1):58-65; quiz 65. doi: 10.1016/j.jht.2015.12.001. Epub 2015 Dec 11.
STUDY DESIGN
Descriptive, cross-sectional.
INTRODUCTION
The impact of upper limb (UL) disability, dexterity and fine motor skill on self-efficacy in older adults with osteoarthritis (OA) is not well known yet.
PURPOSES OF THE STUDY
To evaluate the self-efficacy and its relationship with UL function/disability in institutionalized OA.
METHODS
Institutionalized adults (n = 45) over the age of 65 years with OA were evaluated in a single session, to determine pinch strength, active range of motion of the hand and UL disability and functionality. They were classified as self-efficacious or not based on their general self-efficacy level. The influence on self-efficacy on upper limb function was statistically analyzed using bivariate and multivariate regression analyses.
RESULTS
Self-effective older adults showed significantly lower scores in disability and higher scores in pinch strength, dexterity and motion of thumb than those who were classified as non-self-effective. Self-efficacy was associated with pinch strength (p ≤ 0.038), disability (p < 0.001) and dexterity (p ≤ 0.048). Multiple regression analyses showed that disability explained almost 40% of the variability of self-efficacy.
CONCLUSIONS
Older adults classified as non-self-effective have higher UL disability and less pinch strength, manual dexterity and thumb motion than those who are self-effective, suggesting a relationship between impairment and perceived ability.
研究设计
描述性横断面研究。
引言
上肢（UL）残疾、灵活性和精细运动技能对骨关节炎（OA）老年人自我效能的影响尚不清楚。
研究目的
评估机构化OA患者的自我效能及其与上肢功能/残疾的关系。
方法
对45名65岁以上患有OA的机构化成年人进行单次评估，以确定捏力、手部主动活动范围以及上肢残疾和功能情况。根据他们的一般自我效能水平将其分为有自我效能感和无自我效能感两类。使用双变量和多变量回归分析对自我效能对上肢功能的影响进行统计学分析。
结果
有自我效能感的老年人在残疾方面得分显著更低，在捏力、灵活性和拇指活动方面得分高于被归类为无自我效能感的老年人。自我效能与捏力（p≤0.038）、残疾（p<0.001）和灵活性（p≤0.048）相关。多元回归分析表明，残疾解释了自我效能变异性的近40%。
结论
被归类为无自我效能感的老年人比有自我效能感的老年人有更高的上肢残疾，捏力、手部灵活性和拇指活动更少，这表明损伤与感知能力之间存在关联。
Zotero 插件