摘要
目的 探讨社区老年人久坐行为及自我效能与衰弱情况的关系.方法 2023 年4-12 月选取320 名社区老年人为调查对象,应用国际体力活动问卷(IPAQ)短卷、中文版Tilburg衰弱量表、一般自我效能感量表(GSES)对老年人进行评估调查.采用单因素分析及多因素线性回归模型分析社区老年人久坐行为及自我效能与衰弱情况的关系.结果 单因素析结果显示,年龄、性别、婚姻状况、受教育程度、经济情况、慢性病种数、久坐行为及自我效能等因素均对老年人衰弱得分有影响(P<0.05).多因素线性回归分析结果显示,在排除了其他因素的影响后,久坐行为和自我效能仍然与衰弱显著相关(P<0.05),其中久坐行为与衰弱呈正相关,而自我效能呈负相关关系,但久坐行为对衰弱的影响大于自我效能.结论 社区老年人久坐行为及自我效能均与衰弱有关系,有久坐习惯及自我效能低的社区老年人,衰弱的程度相对较高.社区工作人员应提升老年人对久坐行为危害健康的认知,并重视老年人自我效能的提升.
Abstract
Objective To explore the relationship between sedentary behavior,self-efficacy,and frailty among elderly people in the community.Methods From April to December 2023,320 elderly people in the community were selected as survey subjects.The international physical activity questionnaire(IPAQ)short questionnaire,Chinese version tilburg frailty scale,and general self efficacy scale(GSES)were used to evaluate and survey the elderly.Using single factor analysis and multiple factor linear regression models to analyze the relationship between sedentary behavior,self-efficacy,and frailty among elderly people in the community.Results The results of univariate analysis showed that factors such as age,gender,marital status,education level,economic situation,number of chronic diseases,sedentary behavior,and self-efficacy all had an impact on the frailty score of the elderly(P<0.05).The results of multiple linear regression analysis showed that after excluding the influence of other factors,sedentary behavior and self-efficacy were still significantly correlated with frailty(P<0.05),with sedentary behavior positively correlated with frailty and self-efficacy negatively correlated.However,sedentary behavior had a greater impact on frailty than self-efficacy.Conclusion The sedentary behavior and self-efficacy of elderly people in the community are both related to frailty.Community elderly people with sedentary habits and low self-efficacy have a relatively higher degree of frailty.Community workers should enhance the awareness of the health hazards of sedentary behavior among the elderly and attach importance to the improvement of their self-efficacy.
基金项目
河北省高等学校人文社会科学研究项目(SQ201138)
河北省社会科学发展研究课题(20230305046)