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确定中年和老年人的健康信念,以改变生活方式和健康行为,降低痴呆症风险。

Determining Middle-Aged and Older Adults' Health Beliefs to Change Lifestyle and Health Behavior for Dementia Risk Reduction.

机构信息

Department of Internal Medicine Nursing, Dokuz Eylul University Faculty of Nursing, Inciralti, Izmir, Turkey.

Internal Medicine Nursing Doctorate Programme, Institute of Health Sciences, Dokuz Eylül University, Izmir, Turkey.

出版信息

Am J Alzheimers Dis Other Demen. 2020 Jan-Dec;35:1533317519898996. doi: 10.1177/1533317519898996.

Abstract

BACKGROUND

Global population is getting older and the prevalence of dementia continuously increases. Understanding the related health beliefs is bound to enable lifestyle-based interventions that maximize public engagement in dementia risk reduction behaviors. The aim of this study was to determine health beliefs on dementia prevention behaviors and lifestyle changes and to determine the factors influencing these beliefs among middle-aged and older people in Turkey.

MATERIALS AND METHODS

This descriptive and cross-sectional study was conducted with 284 individuals aged 40 years and older, using nonprobability convenience sampling. Data were collected using a demographic characteristic form and the Turkish version of the Motivation for Changing Lifestyle and Health Behavior for Reducing the Risk of Dementia scale. The study utilized the value, mean, percentage frequency distribution, correlation, independent test, and the one-way analysis of variance test.

RESULTS

The mean age of the participants included in the study was 56.99 ± 12.05, 68.7% of individuals were males. The mean education years of the participants were 11.22 ± 4.55. The majority (72.2%) of participants expressed subjective memory complaints. Presence of family history of dementia was 28.2%. Age, gender, education years, subjective memory complaints, presence family history of dementia, prior experience as a caregiver of dementia, and willingness to know their own risk were determined as essential factors that influence several health belief factors related to dementia risk reduction.

CONCLUSION

Our findings indicate that males, older adults, and lower-educated and income are priority groups that should be guided for lifestyle and behavioral changes regarding dementia risk reduction.

摘要

背景

全球人口老龄化,痴呆症的患病率不断上升。了解相关的健康信念必然能够实施基于生活方式的干预措施,最大限度地提高公众参与降低痴呆症风险行为的积极性。本研究旨在确定土耳其中老年人对预防痴呆症行为和生活方式改变的健康信念,以及影响这些信念的因素。

材料与方法

本描述性和横断面研究采用非概率便利抽样,对 284 名年龄在 40 岁及以上的个体进行了研究。使用人口统计学特征表和土耳其版的《改变生活方式和健康行为动机量表》来收集数据。研究采用了价值、均值、百分比频率分布、相关、独立检验和单因素方差检验。

结果

纳入研究的参与者的平均年龄为 56.99 ± 12.05 岁,其中 68.7%为男性。参与者的平均受教育年限为 11.22 ± 4.55 年。大多数(72.2%)参与者表示存在主观记忆问题。有痴呆家族史的参与者占 28.2%。年龄、性别、教育年限、主观记忆问题、痴呆家族史、曾作为痴呆症护理者、以及愿意了解自身患病风险,被确定为影响与降低痴呆症风险相关的几个健康信念因素的重要因素。

结论

我们的研究结果表明,男性、老年人、教育程度较低和收入较低的人群是需要针对降低痴呆症风险进行生活方式和行为改变的优先群体。

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