Suppr超能文献

评估新冠疫情期间伊洛卡诺老年人群的生活质量:一项关于促进健康行为与生活质量之间关联以及社会人口学特征调节作用的横断面研究

Assessing the Quality of Life of the Ilocano Older Adults During COVID-19 Pandemic: A Cross-Sectional Study on the Association Between Health-Promoting Behaviors and Quality of Life, and the Moderating Effect of Socio-Demographic Profile.

作者信息

Navasca Shiela B, Lipardo Donald

机构信息

Master of Science in Physical Therapy Program, University of Santo Tomas, UST Graduate School, Manila, Philippines.

College of Allied Health Sciences, Northwestern University, Laoag, Philippines.

出版信息

J Cross Cult Gerontol. 2025 Mar;40(1):77-92. doi: 10.1007/s10823-024-09519-4. Epub 2024 Dec 13.

Abstract

The COVID-19 pandemic has affected the lives of people across ages, with older adults identified as a vulnerable group. This vulnerability has been magnified by circumstantial indications of ageism emerging at different levels. Crucial at this point is the practice of healthy lifestyle behaviors to maintain functional independence and to improve the quality of life of these susceptible individuals. This study generally aims to comprehensively evaluate the quality of life among Ilocano older adults amidst the COVID-19 pandemic, exploring the relationship between their health-promoting behaviors and quality of life, while considering the moderating influence of socio-demographic factors. A total of 383 community-dwelling older adults from Ilocos Norte aged 60-93 y/o (M 69.68, SD = 7.13) without cognitive impairment, and who can verbally communicate were recruited through stratified random sampling from February to March 2022. Data measures used were the Ilocano translated socio-demographic questionnaire, the Health-Promoting Lifestyle II(HPLP) for HPB, and the World Health Organization Quality of Life -BREF for QOL. The translation process followed the WHO protocol. Reliability and validity testing were done and established. A Mini-Cog test was administered to validate subject inclusion. Data were obtained face-to-face with full observance of health and safety protocol. The Statistical Package for Social Science (SPSS) v.28.0 was used for the descriptive and inferential analysis of study data. Diagnostic testing like outlier screening and distribution checking were conducted prior to data analysis. Tests of normality were conducted prior to the regression analysis. Ilocano older adults (IOA) generally have a high level of HPBs (M = 2.91, SD 0.49) and average perception of QOL (M = 3.37, SD = 0.46) regardless of their demographic profile. However, the physical activity subscale was reported to be low. An analysis of variance (ANOVA) with the Scheffe post hoc test revealed statistically significant differences in the HPB scores of the IOA according to age, civil status, and educational attainment and a significant difference in the perceived QOL of the IOA when classified according to their health status. The Pearson R correlation test revealed a positive (r = .467, p < .01 level of significance) and a moderate magnitude of correlation (.4 < between HPBs and QOL. Multiple linear regression tests with a stepwise method revealed physical activity ( = .205, p = .001), nutrition ( = -.242, p = .001), and spiritual growth ( = .205, p = .008) influence the quality of life of Ilocano older adults. They explained 25% of the variance of QOL while other subscales of HPB explained 26% of it (adjusted R.251, R change = .263), significant at p < 0.05. Moderation analysis showed age and health status to have an effect on the relationship between HPB and QOL with a p-value of .000 and .001 respectively. This study showed that HPBs are positively associated with the QOL of IOA. Physical activity, nutrition, and spiritual growth affect the QOL perception while age and health status were found to influence the association. The practice of HPB must be encouraged with a focus on increased physical activity engagement, proper nutrition, and religious practices that foster spiritual growth for this identified vulnerable group. The findings of this study have offered a lucid description of the current HPB practice and QOL perceptions of the IOA and have posed the fundamental basis for possibly proposing health policy reforms and implementing health-promoting interventions that will lead to the lifelong well-being of the IOA during the pandemic and are sustained after the health crisis.

摘要

新冠疫情影响了各年龄段人群的生活,老年人被视为弱势群体。不同层面出现的年龄歧视迹象加剧了这种脆弱性。此时,关键在于践行健康的生活方式行为,以维持功能独立性并提高这些易感人群的生活质量。本研究总体旨在全面评估新冠疫情期间伊洛卡诺族老年人的生活质量,探究他们的健康促进行为与生活质量之间的关系,同时考虑社会人口学因素的调节作用。2022年2月至3月,通过分层随机抽样,从北伊洛科斯省招募了383名年龄在60 - 93岁(M = 69.68,SD = 7.13)、无认知障碍且能进行言语交流的社区居住老年人。所使用的数据测量工具包括伊洛卡诺语翻译版的社会人口学问卷、用于健康促进行为的《健康促进生活方式II》(HPLP)以及用于生活质量的世界卫生组织生活质量简表(WHOQOL - BREF)。翻译过程遵循了世界卫生组织的方案,并进行了信效度测试。采用简易认知测试来验证受试者的纳入情况。数据是在充分遵守健康和安全协议的情况下面对面获取的。使用社会科学统计软件包(SPSS)v.28.0对研究数据进行描述性和推断性分析。在数据分析之前进行了异常值筛查和分布检查等诊断测试。在回归分析之前进行了正态性检验。无论人口统计学特征如何,伊洛卡诺族老年人(IOA)总体上具有较高水平的健康促进行为(M = 2.91,SD = 0.49)和平均生活质量感知(M = 3.37,SD = 0.46)。然而,据报告身体活动子量表得分较低。方差分析(ANOVA)及谢弗事后检验显示,根据年龄、婚姻状况和教育程度,IOA的健康促进行为得分存在统计学显著差异;根据健康状况分类时,IOA的生活质量感知也存在显著差异。皮尔逊相关系数R检验显示健康促进行为与生活质量呈正相关(r = 0.467,p < 0.01显著性水平),且相关性中等(0.4 < r < 0.7)。采用逐步法的多元线性回归测试显示,身体活动(β = 0.205,p = 0.001)、营养(β = -0.242,p = 0.001)和精神成长(β = 0.205,p = 0.008)影响伊洛卡诺族老年人的生活质量。它们解释了生活质量方差的25%,而健康促进行为的其他子量表解释了26%(调整后R² = 0.251,R变化 = 0.263),在p < 0.05时具有显著性。调节分析显示年龄和健康状况分别对健康促进行为与生活质量之间的关系产生影响,p值分别为0.000和0.001。本研究表明,健康促进行为与IOA的生活质量呈正相关。身体活动、营养和精神成长影响生活质量感知,而年龄和健康状况被发现会影响这种关联。必须鼓励这一特定弱势群体践行健康促进行为,重点是增加身体活动参与度、合理营养以及促进精神成长的宗教活动。本研究结果清晰描述了当前IOA的健康促进行为实践和生活质量感知,并为可能提出的健康政策改革和实施健康促进干预措施奠定了基础,这些措施将在疫情期间及健康危机过后促进IOA的终身福祉。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验