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社区居住的未老化和老年慢性病患者自我护理的路径分析:一个健康促进模型。

Path analysis of self-care amongst community-dwelling pre-ageing and older adults with chronic diseases: A salutogenic model.

机构信息

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore Level 5, Centre for Translational Medicine, Block MD6, 14 Medical Drive, Singapore 117599.

Community Nursing Department, Changi General Hospital, 2 Simei Street 3, Singapore, 529889.

出版信息

Geriatr Nurs. 2024 Sep-Oct;59:516-525. doi: 10.1016/j.gerinurse.2024.07.034. Epub 2024 Aug 14.

Abstract

With the trend towards ageing population globally, the salutogenic model can be integrated in interventions for pre-ageing and older adults to better support healthy ageing. However, there is limited research examining the salutogenic model's pathway amongst pre-ageing and older adults. Hence, this study aims to investigate pathways of the salutogenic model amongst pre-ageing and older adults with chronic diseases. Two hundred and eight pre-ageing and older adults were recruited from 11 Senior Activity Centres in Singapore. Data was collected using a self-reported questionnaire and analysed using path analyses. The indirect pathway from Subjective Cognitive Complaints to self-care abilities via sense of coherence and health practices were significant. Participants with higher sense of coherence may have increased capacities to execute more complex forms of self-care. Future interventions integrating the salutogenic model could enhance pre-ageing and older adults' self-care abilities to cope with chronic diseases and contribute to healthy ageing.

摘要

随着全球人口老龄化趋势的发展,健康促进模式可以融入到针对老年人和老年人的干预措施中,以更好地支持健康老龄化。然而,针对老年人和老年人的健康促进模式的途径的研究有限。因此,本研究旨在探讨慢性病老年人和老年人的健康促进模式途径。从新加坡的 11 个老年人活动中心招募了 208 名老年人和老年人。使用自我报告问卷收集数据,并使用路径分析进行分析。从主观认知抱怨到自我保健能力的间接途径通过连贯性和健康实践是显著的。具有更高的连贯性的参与者可能具有更高的能力来执行更复杂形式的自我保健。未来结合健康促进模式的干预措施可以提高老年人和老年人的自我保健能力,以应对慢性疾病,促进健康老龄化。

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