ADOPT干预对housebound老年人自我感知老化、健康相关行为的效果

发布时间：2018-05-09 00:01

本文选题：ADOPT + housebound老年人　；参考：《华北理工大学》2017年硕士论文

【摘要】：目的探讨ADOPT干预对housebound老年人自我感知老化和健康相关行为的效果,为社区医务人员开展housebound的有效干预提供依据。方法于2015年10月~2016年10月采用分层整群随机抽样方法,在河北省邯郸市的3个行政区内抽签抽取1个区复兴区,从复兴区的65个社区内抽签法抽取1个社区,即建安社区,以该社内211例housebound老年人为研究对象。采用随机数字表法将其随机分为干预组105例和对照组106例。干预组依据ADOPT干预模式的5个步骤,即态度(Attitude,A)、定义(Definition,D)、开放思维(Open mind,O)、计划(Planning,P)和实验(Try it out,T)进行为期6个月的干预,对照组为空白对照。分别在干预前和干预3个月、6个月时对两组老年人的自我感知老化和健康相关行为(行为、心理、家庭功能及社会支持)进行效果评价。并用SPSS17.0对数据进行统计分析。结果干预前,两组housebound老年人的一般情况进行比较,差异无统计学意义(P0.05),两组均衡可比。干预后,1两组housebound老年人自我感知老化比较:干预3个月、6个月时,干预组自我感知老化状态积极老化维度得分高于对照组,消极老化维度得分低于对照组,差异有统计学意义(P0.05)。2两组housebound老年人行为状况比较:干预3个月、6个月时,干预组housebound老年人健康行为得分及肺功能指标(FEV1、FEV1/FVC)得分优于对照组,差异有统计学意义(P0.05)。3两组housebound老年人心理状况比较:干预后干预组老年人抑郁得分低于对照组,健康自我评价得分高于对照组,差异有统计学意义(P0.05)。4两组housebound老年人家庭功能和社会支持比较:干预后,干预组老年人社会支持及其各维度得分优于对照组,差异有统计学意义(P0.05);干预组老年人家庭功能得分与对照组比较无明显改善,差异无统计学意义(P0.05)。结论1 ADOPT干预能够有效改善housebound老年人的自我感知老化状态,提高积极的自我感知老化,降低消极的自我感知老化;2 ADOPT干预对housebound老年人健康相关行为(行为、心理及社会支持)有不同程度的改善作用。
[Abstract]:Objective to investigate the effect of ADOPT intervention on self-perceived aging and health-related behaviors in elderly patients with housebound, and to provide evidence for community medical staff to carry out effective intervention on housebound. Methods from October 2015 to October 2016, the stratified cluster random sampling method was used to draw lots for one district and one community from 65 communities in Handan City, Hebei Province, and one community, Jian'an Community, from October 2015 to October 2016. 211 cases of elderly housebound in the society were studied. It was randomly divided into intervention group (105 cases) and control group (106 cases). According to the five steps of the ADOPT intervention model, the intervention group was treated for 6 months according to the attitude, the definition of definition, the open mind, the planning plan and the experiment ry it out. The control group was the blank control group, and the control group was the blank control group. The effects of self-perceived aging and health-related behaviors (behavior, psychology, family function and social support) were evaluated before intervention, 3 months and 6 months, respectively. The data were statistically analyzed by SPSS17.0. Results before intervention, there was no significant difference between the two groups in the general situation of the elderly with housebound, but there was no significant difference between the two groups (P 0.05), and the balance between the two groups was comparable. Comparison of self-perceived aging between the two groups after intervention: after 3 months and 6 months of intervention, the score of positive aging dimension of self-perceived aging state in intervention group was higher than that of control group, and the score of negative aging dimension was lower than that of control group. There was significant difference between the two groups in the behavior status of the elderly with housebound: after 3 months and 6 months of intervention, the scores of health behavior and pulmonary function of the elderly in the intervention group were better than those in the control group, and the scores of FEV1 / FEV1 / FVCrespectively were higher in the intervention group than in the control group. There was significant difference between the two groups in the psychological status of the elderly with housebound: the depression score of the elderly in the intervention group was lower than that of the control group, and the score of health self-evaluation was higher than that of the control group. There were significant differences in family function and social support between the two groups of housebound: after intervention, the scores of social support and its dimensions in the intervention group were better than those in the control group. There was no significant difference in family function between the intervention group and the control group, but there was no significant difference between the intervention group and the control group (P 0.05). Conclusion (1) ADOPT intervention can effectively improve the self-perceived aging state of the elderly with housebound, increase the positive self-perceived aging, and reduce the negative self-perceived aging. (2) the intervention of ADOPT can improve the health related behaviors (behaviors) of the elderly with housebound. Psychological and social support) have different degrees of improvement.
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.2

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