Wu Fan, Sheng Yu
College of Medicine and Health Science, Wuhan Polytechnic University, Hubei, China.
School of Nursing, Peking Union Medical College, Beijing, China.
Int J Nurs Sci. 2021 Jun 3;8(3):304-309. doi: 10.1016/j.ijnss.2021.05.007. eCollection 2021 Jul 10.
To describe the characteristics and relationships of social isolation and health promoting behaviors of Chinese older adults with different health statuses.
Totally 485 older adults were recruited. They were divided into three groups based on their health status: healthy group ( = 72), group with one disease ( = 183) and group with multimorbidity ( = 230). Lubben Social Network Scale-6 and Health-Promoting Lifestyle Profile II were used to measure their social isolation and health-promoting behaviors, respectively.
Among the aged with one disease or multimorbidity, 30.6% (56/183) and 31.7% (73/230) were socially isolated, respectively, based on the score of the Lubben Social Network Scale-6. The three groups differed significantly in health-promoting behaviors and scores on several subscales. The group with multimorbidity exhibited more social isolation and fewer health-promoting behaviors than other groups. Social isolation was among the factors adversely affecting health-promoting behaviors in older adults.
Health care providers should help older adults with multimorbidity preserve the remaining abilities to improve health-promoting behaviors. Meanwhile, it is important to support healthy older adults to increase self-responsibility to achieve healthy aging.
描述不同健康状况的中国老年人社会隔离与健康促进行为的特征及关系。
共招募485名老年人。根据健康状况将他们分为三组：健康组（n = 72）、患有一种疾病的组（n = 183）和患有多种疾病的组（n = 230）。分别使用鲁本社会网络量表-6和健康促进生活方式量表II来测量他们的社会隔离和健康促进行为。
根据鲁本社会网络量表-6的得分，在患有一种疾病或多种疾病的老年人中，分别有30.6%（56/183）和31.7%（73/230）存在社会隔离。三组在健康促进行为和几个子量表的得分上有显著差异。患有多种疾病的组比其他组表现出更多的社会隔离和更少的健康促进行为。社会隔离是影响老年人健康促进行为的不利因素之一。
医疗保健提供者应帮助患有多种疾病的老年人保持剩余能力，以改善健康促进行为。同时，支持健康的老年人增强自我责任感以实现健康老龄化也很重要。
