久坐行为在社区老年糖尿病患者跌倒效能与生活空间移动性之间的中介效应
Mediating effect of sedentary behavior on the relationship between falls efficacy and life-space mobility in elderly diabetics in the community
张海燕 1于卫华 2张利 1邓曼 1杨侠 1张雨溪1
作者信息
- 1. 230001,合肥市,安徽医科大学护理学院;230062,合肥市,安徽医科大学第三附属医院(合肥市第一人民医院)护理部
- 2. 230062,合肥市,安徽医科大学第三附属医院(合肥市第一人民医院)护理部
- 折叠
摘要
目的 探讨跌倒效能对社区老年糖尿病患者生活空间移动性的影响,以及久坐行为的中介效应.方法 采用便利抽样法选取合肥市某 3 个社区的 310 例老年糖尿病患者为研究对象,使用一般资料问卷、修订版跌倒效能量表、国际体力活动问卷简表、中文版生活空间量表进行调查.结果 社区老年糖尿病患者跌倒效能得分为(7.80±1.12)分、久坐时间为(6.61±0.84)h/d、生活空间移动性得分为(60.17±12.55)分;跌倒效能(B=3.914,P＜0.01)和久坐行为(B=-5.204,P＜0.01)是社区老年糖尿病患者生活空间移动性的独立影响因素,共同解释13.6%的变异;久坐行为在跌倒效能与生活空间移动性之间的中介效应值为3.081,占总效应的37.39%.结论 社区老年糖尿病患者生活空间移动性有待提高,跌倒效能在其久坐行为与生活空间移动性之间发挥部分中介效应.社区护理人员应积极开展以影响老年糖尿病患者跌倒效能路径为依据的干预策略,以增进生活空间移动性水平,进而达到促进其身体活动、提高生活质量的目的.
Abstract
Objective To explore the falls efficacy on life-space mobility(LSM)in elderly community-dwelling diabetics and the me-diating role between sedentary behavior(SB)and LSM.Methods A total of 310 elderly diabetics from 3 communities in Hefei through con-venient sampling were investigated by the general information questionnaire,Modified Falls Efficacy Scale,International Physical Activity Questionnaire Short Form,Chinese version of the Life Space Assessment,Results The falls efficacy score was(7.80±1.12),with a sedenta-ry time of(6.61±0.84)hours per day,and LSM score was(60.17±12.55).The falls efficacy(B=3.914,P＜0.01)and SB(B=-5.204,P＜0.01)were independent influences on LSM,which together explained 13.6%of the variance.The mediating effect of SB between falls effi-cacy and LSM was 3.081,accounting for 37.39%of the total effect.Conclusion The LSM of elderly diabetic patients in community needs to be improved,and falls efficacy plays a partial mediating effect between their SB and LSM.Community caregivers should actively implement in-tervention strategies based on the pathways affecting fall efficacy in elderly diabetics,to increase the level of spatial mobility,and thus to pro-mote physical activity and improve quality of life.
关键词
老年/糖尿病/社区护理/跌倒效能/久坐行为/生活空间移动性/中介效应Key words
elderly/diabetes mellitus/community care/falls efficacy/sedentary behavior/life-space mobility/mediating effect引用本文复制引用
基金项目
国家重点研发计划项目(2020YFC2008802)
安徽医科大学研究生科研与实践创新项目(YJS20230066)
安徽医科大学护理学院研究生青苗培育项目(hlqm12023040)
出版年
2024
NETL
NSTL
万方数据