School of Nursing, National Defense Medical Center, Taipei, Taiwan.
Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.
Geriatr Gerontol Int. 2018 Jan;18(1):154-160. doi: 10.1111/ggi.13141. Epub 2017 Jul 28.
A growing awareness of the rapidly increasing aged population in the world has led to growing attention to mental health in late life. Happiness has been emphasized as an important indicator of physical health and is predicted by a sense of coherence. However, the mechanism of influence of family relations on sense of coherence, happiness and perceived health is unknown. The present study aimed to analyze a conceptual model of the relationships among family relations, sense of coherence, happiness and perceived health in retired persons.
A total of 142 retired participants were recruited from social service centers in Taipei, Taiwan. A structured questionnaire measuring the relationships among family relations, sense of coherence, happiness and perceived health was filled in by each respondent. Data were analyzed using structural equation modeling.
The results showed that family relations is positively correlated with happiness, sense of coherence and perceived health. The results also showed that good family relations and a sense of coherence predict greater happiness. The results from structure equation modeling showed that the relationship between family relations and perceived health is completely mediated by happiness and a sense of coherence, but only the indirect effect of happiness is significant. The results also showed that family relations is partially mediated by the sense of coherence to happiness.
In caring for retired older people, medical professionals need to increase their family relations and sense of coherence simultaneously, and then promote happiness in their interventions. Geriatr Gerontol Int 2018; 18: 154-160.
世界上老年人口的迅速增长，使人们越来越关注老年人的心理健康。幸福感已被强调为身体健康的一个重要指标，它可以通过一致性感来预测。然而，家庭关系对一致性感、幸福感和感知健康的影响机制尚不清楚。本研究旨在分析退休人员家庭关系、一致性感、幸福感和感知健康之间关系的概念模型。
本研究共招募了 142 名来自中国台湾台北市社会服务中心的退休人员。每位被试者都填写了一份结构问卷，用于测量家庭关系、一致性感、幸福感和感知健康之间的关系。采用结构方程模型对数据进行分析。
结果表明，家庭关系与幸福感、一致性感和感知健康呈正相关。结果还表明，良好的家庭关系和一致性感可以预测更高的幸福感。结构方程模型的结果表明，家庭关系与感知健康之间的关系完全由幸福感和一致性感介导，但只有幸福感的间接效应显著。结果还表明，家庭关系部分通过幸福感对幸福感产生中介作用。
在照顾退休老年人时，医疗专业人员需要在干预措施中同时提高他们的家庭关系和一致性感，然后促进他们的幸福感。老年医学与老年病学杂志 2018 年；18：154-160.
