数字健康背景下社区老年人家庭社会资本对健康 自助行为影响的路径分析
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女,硕士在读,护士

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吉林省教育厅科学技术项目(JJKH20210585KJ);吉林省教育厅“十三五”科学技术项目(JJKH20200530KJ)


Path analysis of the influence of family social capital on health self-help behaviors among community-dwelling older adults in the digital health context
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    目的 探讨数字健康素养和技术焦虑在社区老年人家庭社会资本与健康自助行为之间的中介作用,为制订针对性的干预措施提供参考。方法 2024年1-5月,便利选取延吉市2所社区卫生服务中心门诊的428名老年人作为研究对象,采用一般资料调查表、家庭社会资本量表、数字健康素养评估量表、技术焦虑量表、健康自助行为量表进行调查,并建立结构方程模型进行链式中介效应检验。结果 社区老年人家庭社会资本得分为(33.56±7.57)分、数字健康素养得分为(44.25±10.50)分、技术焦虑得分为(36.72±9.05)分、健康自助行为得分为(78.63±16.81)分。家庭社会资本可以直接影响社区老年人健康自助行为,还可通过数字健康素养、技术焦虑的单独中介作用及链式中介作用间接影响健康自助行为(均P<0.05)。结论 社区老年人健康自助行为处于中等水平,家庭社会资本可直接或间接通过数字健康素养和技术焦虑影响健康自助行为。应重视社区老年人的家庭社会资本作用,通过提高其数字健康素养,降低技术焦虑,以提升其健康自助行为。

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    Objective To explore the mediating roles of digital health literacy and technophobia between family social capital and health self-help behaviors among community-dwelling older adults,so as to provide a reference for developing targeted interventions. Methods From January to May 2024, a total of 428 older adults from outpatient clinics at two community health centers in Yanji city were conveniently selected, then they were investigated by using a general information questionnaire, the Family Social Capital Scale, the Digital Health Literacy Assessment Scale, the Technophobia Scale, and the Health Self-Help Behaviors Scale, and structural equation modeling was developed to test the chained mediation effect. Results The participants′ score of family social capital was (33.56±7.57) points, digital health literacy was (44.25±10.50) points, technophobia was (36.72±9.05) points, and health self-help behaviors was (78.63±16.81) points. Family social capital directly influenced health self-help behaviors among community-dwelling older adults, it also indirectly influenced health self-help behaviors through the separate mediating effects and the chain mediating effects of digital health literacy and technophobia (all P<0.05). Conclusion Health self-help behaviors in community-dwelling older adults is at a moderate level, and family social capital can directly or indirectly influence their health self-help behaviors through digital health literacy and technophobia. The role of family social capital of community-dwelling older adults should be emphasized to enhance their health self-help behaviors by improving their digital health literacy and reducing technophobia.

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万雨涵,王玉欣,王雪婷,赵展莹,全贞玉,吴善玉.数字健康背景下社区老年人家庭社会资本对健康 自助行为影响的路径分析[J].护理学杂志,2025,(2):95-99

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  • 收稿日期:2024-08-20
  • 最后修改日期:2024-10-16
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  • 在线发布日期: 2025-03-03