社区慢性病老年人社会支持、慢性病自我效能和幸福感的相关性研究

发布时间：2018-03-20 14:27

本文选题：老年人　切入点：社会支持　出处：《锦州医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的本文通过了解社区慢性病老年人的社会支持和幸福感现状,分析其影响因素,探索两变量间的相关关系。同时引入慢性病自我效能变量,分析慢性病自我效能在老年人社会支持和幸福感关系中的中介作用。为提升老年人社会支持水平、慢性病自我效能和幸福感水平提供一定的参考依据。方法运用便利抽样的方法进行取样,于2015年4-6月抽取山东省济宁市(市中区、任城区和邹城市)442名社区慢性病老年人为研究对象进行问卷调查。采用自制的一般资料问卷、社会支持评定量表、慢性病自我效能量表和中文修正版社会生产函数幸福感水平评定量表分别测量社区慢性病老年人的一般资料、社会支持水平、慢性病自我效能和幸福感情况。调查回收问卷后,运用SPSS17.0双录入数据建立数据库,运用SPSS17.0和AMOS17.0进行信效度检验、描述性分析、相关性分析和分层多元线性回归分析。结果1.中文修正版社会生产函数幸福感水平评定量表为国外引进经汉化后的量表,经信效度检验,各条目得分与相应维度得分及总分均呈直线正相关(P0.05)。条目水平的内容效度指数(I-CVI)为0.80~1.00,量表水平的内容效度指数(S-CVI/UA)为0.80,平均量表水平的内容效度指数(S-CVI/AVe)为0.96。经探索性因子分析(EFA),采用主轴因子提取法得5因子模型,各条目共同度为0.482~0.878。经验证性因子分析(CFA)得卡方自由度比值(CMIN/DF)=2.142,渐进残差均平方和平方根(RMSEA)=0.072,适配度指数(GFI)=0.907,非规整适配度指数(TLI)=0.941,增值适配度指数(IFI)=0.956,比较适配度指数(CFI)=0.955,简约适配度指数(PGFI)=0.604。量表内部一致性Cronbach'sα系数为0.914,情感、行为确认、地位、舒适感、激励维度5个维度的内部一致性Cronbach'sα系数分别为0.779、0.814、0.853、0.938、0.690,重测信度为0.902,分半信度为0.861。量表信效度良好。2.一般资料对研究变量的影响:不同年龄、性别、配偶、文化程度、月收入情况、居住情况和患病个数对社会支持水平的影响有统计学意义(P0.05);不同文化程度、月收入情况和患病个数对慢性病自我效能的影响有统计学意义(P0.05);不同性别、配偶、文化程度、月收入情况、居住情况和患病个数情况对幸福感的影响有统计学意义(P0.05)。3.社会支持与慢性病自我效能、社会支持与幸福感、慢性病自我效能与幸福感之间均呈正相关性(P0.01)。社会支持的三个维度(主观支持、客观支持、社会支持利用度)和幸福感的五个维度(情感维度、行为确认维度、地位维度、舒适维度、激励维度)均呈正相关性(P0.01);社会支持的三个维度与慢性病自我效能的两个维度(疾病症状管理、疾病共性管理)均呈正相关性(P0.01);慢性病自我效能两个维度和幸福感五个维度均呈正相关性(P0.01)。4.慢性病自我效能在社会支持和幸福感的关系中起部分中介作用。结论1.中文修正版社会生产函数幸福感水平评定量表经检验后信效度良好。2.不同一般资料对研究变量的影响:在社会支持得分方面,男性、配偶健在、低龄、高文化程度、高收入、与家人同住、患病个数≤3个的老年人得分较高;在慢性病自我效得分方面,高文化程度、高收入、患病个数≤3个的老年人得分较高;在幸福感得分方面,男性、配偶健在、高文化程度、高收入、与家人同住、患病个数≤3个的老年人得分较高。3.社区慢性病老年人社会支持水平越高,慢性病自我效能水平越高;社区慢性病老年人社会支持水平越高,幸福感水平越高;社区慢性病老年人慢性病自我效能水平越高,幸福感水平越高。4.慢性病自我效能在社会支持和幸福感的关系中起部分中介作用,慢性病自我效能因素的介入,使社会支持对幸福感的影响降低。
[Abstract]:The purpose of this paper through the understanding of chronic diseases in community elderly social support and well-being of the status quo, analyze its influencing factors, explore the correlation between the two variables. At the same time the introduction of chronic disease self-efficacy variables, analysis of chronic disease self-efficacy in the intermediary role between social support and well-being of the elderly. The elderly in order to improve the level of social support chronic disease, self-efficacy and well-being level to provide some reference. Methods by convenience sampling were sampled in 2015 4-6 months from Jining city of Shandong province (central city, Rencheng district and Zoucheng city) in 442 cases of elderly patients with chronic diseases in community as the research object. Questionnaire survey was conducted using self-made general information questionnaire, social support scale, chronic disease self efficacy scale and Chinese modified version of the social sense of happiness scale of the production function of chronic diseases in community elderly were measured in general The data, the level of social support, chronic disease self-efficacy and well-being. The survey questionnaires, the use of SPSS17.0 double input data to establish a database, using SPSS17.0 and AMOS17.0 test of the validity analysis, descriptive analysis, correlation analysis and hierarchical multiple linear regression. Results of the 1. revised version of the social production function Chinese happiness sense rating scale for the imported finished scale, the validity test, there was a positive linear correlation between each item score and the corresponding scores and total scores (P0.05). The content validity index entry level (I-CVI) for 0.80~1.00, the level of content validity index scale (S-CVI/UA) was 0.80, the average scale level content validity index (S-CVI/AVe) for the 0.96. by exploratory factor analysis (EFA), the main factor extraction method of the 5 factor model of each item together analysis for 0.482~0.878. syndrome experience factor (CFA) card Square degrees of freedom ratio (CMIN/DF) =2.142, asymptotic residual mean square and square root (RMSEA) =0.072, fitness index (GFI =0.907), non regular fitness index (TLI) of =0.941, added fitness index (IFI =0.956), comparative fit index (CFI) =0.955, simple adaptation index (PGFI) =0.604. scale internal consistency coefficient of Cronbach's was 0.914, emotion, behavior recognition, status, comfort, coefficient of internal consistency of the 5 dimensions of Cronbach's incentive dimensions were 0.779,0.814,0.853,0.938,0.690, the test-retest reliability was 0.902, the split half reliability for 0.861. scale with good reliability and validity of.2. effect of general information study on variables: age, gender, spouse, education level, monthly income, living conditions had significant effects and prevalence of the number of the level of social support (P0.05); different education level, monthly income and the number of the prevalence of chronic disease self-efficacy. Ring had statistical significance (P0.05); different gender, spouse, education level, monthly income, living conditions and had significant effects on the number of sick well-being (P0.05).3. social support and chronic disease self efficacy, social support and happiness between chronic disease self-efficacy and subjective well-being were positively correlated (P0.01). The three dimensions of social support (subjective support, objective support, utilization of social support) and the five dimensions of well-being (emotional dimension, behavior confirmation dimension, position dimension, comfort dimension, incentive dimension) were positively correlated (P0.01); the two dimensions of the three dimensions of social support and chronic disease self efficacy (disease symptom management, common disease management) were positive correlation (P0.01); chronic disease self-efficacy in two dimensions and five dimensions of well-being were positively correlated (P0.01).4. chronic disease self-efficacy in social support and happiness The mediating effect of sense of relationship. The conclusion of the 1. Chinese modified version of the social sense of happiness production function scale effect with good reliability and validity of different.2. general information on the study variables inspection: in terms of scores, social support male spouse alive, age, culture degree, high income, live with their families. In a number of less than 3 of the elderly had higher scores in chronic disease; self-efficacy scores, high education, high income, the prevalence of number is less than 3 of the elderly had higher scores in terms of happiness; scores of male spouses living, higher education level, higher income, living with the family, the number of sick less than 3 of the elderly had higher scores of.3. community chronic disease of the elderly social support level is higher, the higher the level of chronic disease self-efficacy; chronic disease community elderly social support level is higher, the higher the level of well-being; chronic diseases in community elderly chronic disease self The higher the level of effectiveness is, the higher the level of happiness is..4., chronic disease self-efficacy plays a partial mediating role in the relationship between social support and well-being. The intervention of chronic disease self-efficacy factors reduces the impact of social support on well-being.

【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.2

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