Faculty of Health Sciences, Department of Nursing, Muş Alparslan University, Muş, Turkey.
Faculty of Health Sciences, Department of Midwifery, Sakarya University, Sakarya, Turkey.
Psychogeriatrics. 2023 Jul;23(4):609-620. doi: 10.1111/psyg.12969. Epub 2023 Apr 25.
This study was conducted to determine the effect of health literacy and health promotion on quality of life in the elderly.
This descriptive and cross-sectional study was conducted with 981 elderly individuals aged 65 years and older in Turkey. 'Introductory Information Form', 'Health Literacy Scale', 'Elderly Health Empowerment Scale' and 'Quality of Life Scale for the Elderly' were used to collect data. The research data were analyzed by Structural Equation Modelling using SPSS 22.0, AMOS V 24.0, G*Power 3.1 statistical package programs.
Health literacy level increased health empowerment level (t = 5.929 R = 0.035, P < 0.05). Health literacy level increased quality of life level (t = 13.439 R = 0.156, P < 0.05). Health empowerment level was found to affect quality of life level (t = 17.746 R = 0.243, P < 0.05). Health empowerment was found to have a mediating role in the effect of health literacy on quality of life (β = 0.502, 95% confidence interval (lower bound-upper bound) = 0.013-1.038). It was determined that the model created in line with the hypotheses was compatible and the model fit indices x /SD = 4.919, root mean square error of approximation = 0.06, comparative fit index = 0.91, fit index = 0.95, adjusted fit index = 0.93, incremental fit index = 0.91 were within the desired limits.
As the level of health literacy increases, so does the level of health empowerment and quality of life. As the level of health empowerment increases, so does the level of quality of life. It is recommended to design policies that will help to increase the health literacy and health empowerment levels of the elderly. Longitudinal studies on quality of life in the elderly are recommended.
本研究旨在确定健康素养和健康促进对老年人生活质量的影响。
本研究采用描述性和横断面研究方法，在土耳其对 981 名 65 岁及以上的老年人进行了研究。使用了“简介表”、“健康素养量表”、“老年人健康赋权量表”和“老年人生活质量量表”来收集数据。使用 SPSS 22.0、AMOS V 24.0、G*Power 3.1 统计软件包程序进行结构方程建模分析。
健康素养水平提高了健康赋权水平（t=5.929，R=0.035，P<0.05）。健康素养水平提高了生活质量水平（t=13.439，R=0.156，P<0.05）。健康赋权水平被发现影响生活质量水平（t=17.746，R=0.243，P<0.05）。健康赋权在健康素养对生活质量的影响中具有中介作用（β=0.502，95%置信区间（下限-上限）=0.013-1.038）。与假设一致的模型被确定为相容，模型拟合指数 x/SD=4.919，近似均方根误差=0.06，比较拟合指数=0.91，拟合指数=0.95，调整拟合指数=0.93，增量拟合指数=0.91均在预期范围内。
随着健康素养水平的提高，健康赋权和生活质量水平也随之提高。随着健康赋权水平的提高，生活质量水平也随之提高。建议制定有助于提高老年人健康素养和健康赋权水平的政策。建议对老年人的生活质量进行纵向研究。
