Duffy M E
Center for Nursing Research, Boston College School of Nursing, MA.
Image J Nurs Sch. 1993 Spring;25(1):23-8. doi: 10.1111/j.1547-5069.1993.tb00749.x.
The purpose of this study was to determine the degree to which selected components derived from Pender's Health Promotion Model (1982) explained engaging in health promotion practices in a sample of 477 persons 65 years and older. One directional hypothesis was tested using canonical correlation analysis. Three significant canonical variates were demonstrated, explaining 88.7 percent of variance. Older healthy persons with high self-esteem and internal locus of control reported practicing five of the six health promotion strategies. Men with higher income and self-esteem but poorer health less often exercised or ate well. Older married subjects with higher incomes who were internally controlled were more likely to engage in exercise, health responsibility and stress management but not in interpersonal support. Findings provide direct multivariate support for the additive nature of the relationships posited in the Health Promotion Model.
本研究的目的是确定从彭德健康促进模型（1982年）中选取的部分因素，对477名65岁及以上老年人参与健康促进实践的解释程度。使用典型相关分析对一个方向性假设进行了检验。结果显示有三个显著的典型变量，解释了88.7%的方差。自尊水平高且具有内控倾向的健康老年人报告称，他们践行了六项健康促进策略中的五项。收入较高、自尊水平较高但健康状况较差的男性较少进行锻炼或保持良好饮食。收入较高、具有内控倾向的已婚老年受试者更有可能参与锻炼、履行健康责任和进行压力管理，但不太会寻求人际支持。研究结果为健康促进模型中所假定关系的累加性质提供了直接的多变量支持。
