上海市社区老年人家庭功能与健康自我管理的相关性研究
Study on the Correlation between Family Function and Health Self-management of Elderly People in Shanghai Community
杜荣 1高晶蓉 2江佳艳 1戴丹华 3李静 4李扬 5张斌 6赵琦1
作者信息
- 1. 复旦大学公共卫生学院,国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海,200032
- 2. 上海市老龄事业发展促进中心,上海,200062
- 3. 上海市闵行区七宝社区卫生服务中心,上海,201101
- 4. 上海市松江区中山街道社区卫生服务中心,上海,201613
- 5. 上海市黄浦区豫园街道社区卫生服务中心,上海,200010
- 6. 上海市虹口区嘉兴路街道社区卫生服务中心,上海,200082
- 折叠
摘要
目的 了解上海市社区老年人家庭功能及其健康自我管理水平,并探讨两者之间的相关性.方法 采用便利抽样,对2021年11-12月在上海市社区卫生服务中心和站点就诊的1 685名老年人进行面对面问卷调查,调查问卷包括基本人口学特征、成年人健康自我管理能力和家庭功能量表.结果 调查对象健康自我管理总分为(150.52±24.28)分,其中行为、环境及认知维度的得分分别为(49.97±11.49)分、(38.75±8.32)分和(61.85±8.46)分.731人健康自我管理总体评价较高,占43.4％.与子女经常交流(OR=1.92,95％CI=1.20～3.06)、家庭功能良好(OR=2.42,95％CI=1.85～3.17)、家庭中等收入水平(OR=1.72,95％CI=1.29～2.29)及高收入水平(OR=1.65,95％CI=1.20～2.28)、自评对生活满意(OR=1.31,95％CI=1.03～1.67)等因素有利于老年人的健康自我管理.老年人总体认知水平优于行为能力.结论 良好的家庭关系与氛围有利于提升老年人健康自我管理水平,应关注老年人认知与行为能力的鸿沟,在常规健康知识宣讲的基础上增加良好行为的引导与评价.
Abstract
Objective To understand the family function of elderly people in Shanghai community and their health self-management level,and to explore the correlation between them.Methods A convenience sample of 1 685 older adults who attended community health centers and sites in Shanghai from November to December 2021 were sur-veyed with a questionnaire face-to-face that included basic demographic characteristics,adult health self-management ability,and the Family Functioning Scale.Results The total health self-management score of the survey respondents was 150.52±24.28,of which the scores of behavioral,environmental and cognitive dimensions were 49.97±11.49,38.75±8.32 and 61.85±8.46,respectively.A total of 731 people(43.4％)had a high overall rating of health self-management.The analysis found that frequent communication with children(OR=1.92,95％CI=1.20-3.06),good family functioning(OR=2.42,95％CI=1.85-3.17),moderate family income level(OR=1.72,95％CI=1.29-2.29)and high-income level(OR=1.65,95％CI=1.20-2.28),and self-rated satisfaction with life(OR=1.31,95％CI=1.03-1.67)were favorable to the health self-management of older adults.The overall cognitive level of older adults was better than behavioral ability.Conclusion Good family relationship and atmosphere is conducive to improving the health self-management level of the elderly.Attention should be paid to the gap between the cognitive and beha-vioral abilities of the elderly,and the guidance and evaluation of good behaviors should be added on the basis of regu-lar health knowledge promotion.
关键词
老年人/家庭功能/健康自我管理Key words
Older adults/Family function/Health self-management引用本文复制引用
基金项目
上海市浦江人才计划项目(2020PJC005)
上海市松江区科学技术攻关项目(20SJKJGG215)
出版年
2024
NETL
NSTL
万方数据