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患有关节炎的老年女性的应对策略与健康状况

Coping strategies and health status of elderly arthritic women.

作者信息

Burke M, Flaherty M J

机构信息

Georgetown University, School of Nursing, Washington, DC 20007.

出版信息

J Adv Nurs. 1993 Jan;18(1):7-13. doi: 10.1046/j.1365-2648.1993.18010007.x.

Abstract

With increasing age many elderly people experience personal and social losses. Physical health declines, there is a loss of vigour and an increased susceptibility to disease. Osteoarthritis, the most common form of arthritis in the elderly, is the greatest cause of disability and limitation of activity in older populations. The purpose of this descriptive study was to investigate how elderly women cope with the physical impairment and pain associated with osteoarthritis and to examine the relationship between coping strategies and health status. The sample consisted of 130 women over 75 years, living alone in one of five life care communities. Three instruments were used to collect data: The Ways of Coping Scale, The Arthritis Impact Measurement Scale and The Musculoskeletal Impairment Index. Pearson product-moment correlations and stepwise multiple regression were used to analyse data. The mean age of the sample was 83.2 years and over 40% had attained bachelor's degree or higher. The most utilized coping strategy was self-control. The study variables accounted for 49% of the variance in physical health and 20% in psychosocial health.

摘要

随着年龄的增长,许多老年人经历了个人和社会层面的丧失。身体健康下降,活力丧失,患病易感性增加。骨关节炎是老年人中最常见的关节炎形式,是老年人群残疾和活动受限的最大原因。这项描述性研究的目的是调查老年女性如何应对与骨关节炎相关的身体损伤和疼痛,并检验应对策略与健康状况之间的关系。样本包括130名75岁以上的女性,她们独自生活在五个生活照料社区之一。使用了三种工具来收集数据:应对方式量表、关节炎影响测量量表和肌肉骨骼损伤指数。采用皮尔逊积差相关和逐步多元回归分析数据。样本的平均年龄为83.2岁,超过40%的人拥有学士学位或更高学历。最常用的应对策略是自我控制。研究变量解释了身体健康方面49%的变异和心理社会健康方面20%的变异。

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