School of Nursing, Purdue University, 502 N. University Street, West Lafayette, IN 47907, United States.
School of Nursing, Purdue University, United States.
Geriatr Nurs. 2020 Nov-Dec;41(6):984-991. doi: 10.1016/j.gerinurse.2020.07.010. Epub 2020 Aug 5.
The purpose of this study was to investigate the association between three aspects of well-being (positive and negative affect, self-realization, and self-efficacy and resilience) and disease self-management or difficulties in managing care. Logistic regression models were used to analyze data from a sample of community-dwelling Medicare beneficiaries 65-years or older who participated in the National Health and Aging Trends Study and responded to well-being and engagement in health care questions (n = 1663). All three aspects of well-being were significantly associated with reduced difficulties in care management for both the participants and their family and friends who assist them. Self-efficacy and resilience had the strongest association; older adults with higher levels of self-efficacy and resilience were more likely to handle care by self. Our findings highlight the importance of incorporating strategies to enhance well-being of older adults to reduce the difficulties of managing activities necessary to stay healthy.
本研究旨在探讨幸福感的三个方面（积极和消极情绪、自我实现、自我效能和韧性）与疾病自我管理或护理管理困难之间的关系。使用逻辑回归模型分析了参加国家健康老龄化趋势研究并回答了幸福感和参与医疗保健问题的社区居住的医疗保险受益人的样本数据（n=1663）。幸福感的所有三个方面都与参与者及其协助他们的家人和朋友的护理管理困难减少显著相关。自我效能和韧性的关联最强；自我效能和韧性较高的老年人更有可能自行处理护理。我们的研究结果强调了采用策略增强老年人幸福感以减少保持健康所需活动管理困难的重要性。
