社区老年夫妻锻炼健康信念、运动量与衰弱的 主客体互倚模型分析
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男,硕士在读,护士

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国家自然科学基金资助项目(72064038);河南省高校科技创新团队支持计划项目(22IRTSTHN027)


Actor-partner interdependence model of exercise health beliefs, amount of exercise, and frailty in community-dwelling elderly couples
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    目的 探讨社区老年夫妻锻炼健康信念、运动量对自身及对方衰弱的影响,为社区康复护理干预提供依据。方法 便利选取312对社区老年夫妻,使用一般资料调查表、Tilburg衰弱量表、锻炼健康信念量表和体育锻炼等级量表进行调查,建立老年夫妻锻炼健康信念、运动量与衰弱的主客体互倚模型。结果 社区老年人衰弱总发生率12.50%。妻子衰弱发生率显著低于丈夫。主客体互倚模型显示,夫妻运动量对自身衰弱状态存在主体效应,对配偶的衰弱状况存在客体效应;夫妻锻炼健康信念对自身运动量存在主体效应,对配偶运动量存在客体效应(均P<0.05)。结论 社区老年夫妻间的体育锻炼可明显影响彼此的衰弱情况,双方的锻炼健康信念又可同时调节彼此的体育锻炼行为。应将二者视为整体,结合锻炼健康信念构建针对性的干预方案,以减轻或逆转衰弱症状。

    Abstract:

    Objective To explore the impact of exercise health beliefs and the amount of exercise of the elderly couples in community on their own and their spouses′ frailty, and to provide a basis for community rehabilitation care interventions. Methods A total of 312 community-dwelling elderly couples were conveniently selected, and surveyed using the general information questionnaire, the Tilburg Frailty Indicator (TFI), the Exercise Health Beliefs Scale, and the Physical Activity Rating Scale-3 (PARS-3). An actor-partner interdependence model of exercise health beliefs, amount of exercise, and frailty in the community-dwelling elderly couples was established. Results The overall prevalence of frailty among the community-dwelling elderly was 12.50%. The incidence of frailty in wives was significantly lower than that in husbands. The actor-partner interdependence model showed that the exercise behavior of the couples had a subject effect on their own frailty status and an object effect on their spouses′ frailty status, and the exercise health beliefs of the couples had a subject effect on their own amount of exercise and an object effect on their spouses′ amount of exercise (both P<0.05). Conclusion The physical exercise behavior of community-dwelling elderly couples can significantly affect each other′s frailty status, and both parties′ exercise and health beliefs can simultaneously regulate each other′s physical exercise behavior. Both aspects should be regarded as a whole, and a targeted intervention program should be constructed in combination with exercise health beliefs to alleviate or reverse the frailty symptoms.

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陈星运,白雅静,雷健克,刘艳飞,张伟宏.社区老年夫妻锻炼健康信念、运动量与衰弱的 主客体互倚模型分析[J].护理学杂志,2024,39(22):5-9

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  • 收稿日期:2024-06-15
  • 最后修改日期:2024-08-27
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  • 在线发布日期: 2024-12-28