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影响衰弱前期老年人主动健康行为的因素:一项基于计划行为理论的定性研究

Factors influencing proactive health behaviors in pre-frailty older adults: A qualitative study based on theory of planned behavior.

作者信息

Tang Ke, Yao Jin, Wang Run, Ruan Weiqing, Chen Xianhong, Yang Lingli, Li Yueping, Zhang Rui, Zhou Chunlan

机构信息

Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China; School of Nursing, Southern Medical University, Guangzhou, Guangdong, PR China.

Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China.

出版信息

Geriatr Nurs. 2024 Nov-Dec;60:671-676. doi: 10.1016/j.gerinurse.2024.10.029. Epub 2024 Nov 9.

DOI:10.1016/j.gerinurse.2024.10.029
PMID:39522436
Abstract

AIMS

to explore factors that can influence proactive health behaviors in pre-frailty older adults.

DESIGN

this is a qualitative content analysis study.

METHODS

data collected through interviews with 20 pre-frailty older adults in a geriatric unit at a general hospital in Guangzhou, China. We used deductive content analysis to categorize codes and calculate their frequency based on the theory of planned behavior. Inductive content analysis was used to analyze data that could not be analyzed according to the theory of planned behavior.

RESULTS

the data were analyzed and grouped into categories by beliefs similarity, counted from the frequencies. The factors of 6 behavioral beliefs, 6 normative beliefs, and 14 control beliefs were issued. Six themes emerged, including positive attitudes toward proactive health behaviors outcomes, lack of proactive health awareness the negative influence of children on proactive health behaviors, lack of knowledge of proactive health behaviors, spouses play an important role in proactive health behaviors, low resistance to unhealthy behavior.

CONCLUSION

this research will support to the construction of a psychometric scale to measure the intentions of proactive health behaviors in pre-frailty older adults. These influencing factors will also help us to develop measures to improve the ability of pre-frailty older adults to be proactive health in the future.

IMPACT

this research validates and extends the theory of planned behavior. The findings of factors influencing proactive health behaviors help us to develop strategies to enhance proactive health in pre-frailty older adults in the future. These findings also provide content for the construction of the psychometrics of proactive health intentions scales. REPORTING METHOD: this study follows the COREQ reporting norms.

摘要

目的

探讨可能影响衰弱前期老年人积极健康行为的因素。

设计

这是一项定性内容分析研究。

方法

通过对中国广州一家综合医院老年科的20名衰弱前期老年人进行访谈收集数据。我们采用演绎性内容分析根据计划行为理论对编码进行分类并计算其频率。采用归纳性内容分析来分析无法根据计划行为理论进行分析的数据。

结果

对数据进行分析,并根据信念相似性将其分组,从频率进行计数。得出了6个行为信念、6个规范信念和14个控制信念的因素。出现了6个主题,包括对积极健康行为结果的积极态度、缺乏积极健康意识、子女对积极健康行为的负面影响、缺乏积极健康行为知识、配偶在积极健康行为中发挥重要作用、对不健康行为的抵抗力低。

结论

本研究将支持构建一个心理测量量表,以测量衰弱前期老年人积极健康行为的意图。这些影响因素也将有助于我们今后制定措施,提高衰弱前期老年人积极健康的能力。

影响

本研究验证并扩展了计划行为理论。影响积极健康行为的因素的研究结果有助于我们今后制定策略,增强衰弱前期老年人的积极健康。这些研究结果还为积极健康意图量表的心理测量学构建提供了内容。报告方法:本研究遵循COREQ报告规范。

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