School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.
Primary Health Care Nursing, School of Nursing, University of Wollongong, Wollongong, NSW, Australia.
J Clin Nurs. 2023 May;32(9-10):1587-1598. doi: 10.1111/jocn.16104. Epub 2021 Oct 29.
The aim of this integrative review was to investigate current literature exploring relationships between general self-efficacy and the healthy ageing of older people.
Enhancing the health and well-being of older adults, while mitigating consequences of illness and frailty are important priorities in healthy ageing. General self-efficacy is closely associated with human behaviour and has been linked with improved health and well-being.
An integrative review using the five-stage method described by Whittemore and Knafl (Journal of Advanced Nursing, 2005, 52, 546).
Academic databases CINAHL, MEDLINE and APA PsycInfo were searched between 2010 and 2020 for original, peer-reviewed papers, published in English that investigated general self-efficacy and factors associated with the healthy ageing of older people. Included papers were critically appraised using the Appraisal tool for Cross-Sectional Studies (AXIS tool) and Critical Appraisal Skills Programme, and underwent data abstraction and synthesis via a constant comparative method. This review was also evaluated using the PRISMA checklist.
Twenty-one papers were included in this review. Two main themes emerged. The first highlights positive relationships between general self-efficacy and health and ageing perceptions, with subsequent influence on health behaviours. The second includes two sub-themes, which explores general self-efficacy's role in maintaining well-being through its effects on psychological health and overcoming physical decline through adaption to changing physical and health conditions.
Promoting general self-efficacy has potential benefits for the healthy ageing of older people through positive effects on ageing and health perceptions, health behaviours, psychological health and overcoming physical decline.
Understanding how general self-efficacy facilitates healthy ageing can guide nursing practices that reduce or mitigate consequences of illness and physical decline on the health and well-being of older people. Strategies aimed at increasing older people's general self-efficacy can help to facilitate subsequent positive effects on factors that promote healthy ageing.
本次综合回顾的目的是调查当前探索一般自我效能感与老年人健康老龄化之间关系的文献。
增强老年人的健康和福祉，同时减轻疾病和虚弱的后果，是健康老龄化的重要优先事项。一般自我效能感与人的行为密切相关，与改善健康和福祉有关。
使用 Whittemore 和 Knafl（《高级护理杂志》，2005 年，52 卷，546 页）描述的五阶段方法进行综合回顾。
在 2010 年至 2020 年期间，使用 CINAHL、MEDLINE 和 APA PsycInfo 学术数据库搜索了原始的同行评审论文，这些论文以英语发表，探讨了一般自我效能感以及与老年人健康老龄化相关的因素。使用横断面研究评估工具（AXIS 工具）和批判性评估技能计划对纳入的论文进行批判性评估，并通过恒定性比较方法进行数据提取和综合。本综述还使用 PRISMA 清单进行了评估。
本综述共纳入 21 篇论文。出现了两个主要主题。第一个主题强调了一般自我效能感与健康和老龄化认知之间的积极关系，随后对健康行为产生影响。第二个主题包括两个子主题，探讨了一般自我效能感通过对心理健康的影响以及通过适应身体和健康状况的变化来克服身体衰退，在维持幸福感方面的作用。
通过对老龄化和健康认知、健康行为、心理健康和克服身体衰退产生积极影响，促进一般自我效能感对老年人的健康老龄化具有潜在益处。
了解一般自我效能感如何促进健康老龄化，可以指导护理实践，减少或减轻疾病和身体衰退对老年人健康和福祉的影响。旨在增强老年人一般自我效能感的策略可以帮助促进随后对促进健康老龄化的因素产生积极影响。
