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养老护理员健康促进生活方式及影响因素研究

发布时间:2018-09-17 07:24
【摘要】:目的了解养老护理员健康促进生活方式现状,分析养老护理员健康促进生活方式的影响因素,提出改善养老护理员生活方式状况的建议。方法本研究采用便利抽样的方法,对杭州市养老机构的285名养老护理员进行问卷调查,研究工具包括:《一般情况调查问卷》、《健康促进生活方式量表II》、《健康行为能力自评量表》、《自觉健康状态量表》、《健康概念量表》、《工作满意度问卷》,采用统计软件SPSS20.0进行数据分析。结果1.养老护理员健康促进生活方式总得分为114.75±9.46。各维度得分分别为:人际关系23.80±3.16分,营养19.49±2.10分,健康责任19.84±2.40分,自我实现19.17±3.66分,压力管理17.58±2.98分,运动14.86±2.26分。经标准化处理后,排序由高到低依次为人际关系、健康责任、压力管理、营养、自我实现、运动。2.养老护理员健康促进生活方式52个条目的均分为2.21±0.18。经标准化处理,得分为55.17%。52个条目中,得分最低的10个条目均分为1.43±0.21,其中,与营养有关的3个条目均分为1.44±0.58,与运动有关的3个条目均分为1.43±0.44。3.养老护理员自觉健康状态、健康行为自我效能、健康概念和工作满意度总得分分别为:6.21±1.13分、47.67±12.50分、130.12±7.33分、64.51±7.15分。4.单因素分析结果显示:不同性别、文化程度、照顾人数以及宗教信仰的养老护理员在健康促进生活方式得分之间的差异具有统计学意义(P0.05)。自觉健康状态、健康行为自我效能、健康概念、工作满意度与健康促进生活方式总得分均呈正相关(P0.05)。5.多重线性回归分析结果显示:性别、文化程度、照顾人数、宗教信仰、自觉健康状态、健康行为自我效能等6个自变量进入回归方程,可解释养老护理员健康促进生活方式总变异量的61.5%。结论1.养老护理员健康促进生活方式得分总体处于一般水平。在健康促进生活方式的6个维度中,人际关系表现最好,其余依次为健康责任、压力管理、营养、自我实现,运动表现最差。2.养老护理员健康促进生活方式存在的主要问题包括:睡眠严重不足,缺乏压力自我调节的知识和技能;不知道如何选择低脂、低胆固醇食品,不注意阅读食品标签,不能保证每天喝牛奶、酸奶或者豆浆;很少关注自身内在的需求,忽略对实现自我价值和社会价值的追求;运动锻炼严重不足,不能有计划地进行锻炼,无法达到预期强度,运动时不数脉搏。3.养老护理员健康促进生活方式主要影响因素包括:性别、文化程度、照顾人数、宗教信仰、健康行为自我效能和自觉健康状态。女性养老护理员健康促进生活方式水平高于男性;有宗教信仰的养老护理员健康促进生活方式水平高于无宗教信仰养老护理员;文化程度越高的养老护理员健康促进生活方式水平越高;照顾人数越多的养老护理员健康促进生活方式水平越低;养老护理员健康行为自我效能越高、自觉健康状态越好,越能采取健康促进生活方式。
[Abstract]:Objective to understand the current situation of health promotion of old-age care workers, analyze the influencing factors of health promotion of old-age nurses, and put forward some suggestions to improve the living style of old-age nurses. Methods A questionnaire survey was conducted among 285 carers of pension institutions in Hangzhou by means of convenience sampling. The research tools included: general situation questionnaire, Health Promotion lifestyle scale (II), self rating scale of Health behavior ability, conscious Health State scale, Health Conceptual scale, Job satisfaction questionnaire, data analysis by SPSS20.0. Result 1. The total score of health promotion life style was 114.75 卤9.46. The scores of each dimension were: interpersonal relationship 23.80 卤3.16, nutrition 19.49 卤2.10, health responsibility 19.84 卤2.40, self-actualization 19.17 卤3.66, stress management 17.58 卤2.98, exercise 14.86 卤2.26. After standardized treatment, the order from high to low is interpersonal relationship, health responsibility, stress management, nutrition, self-actualization, exercise. 2. The 52 items for health promotion of carers were 2. 21 卤0. 18. After standardized treatment, the 10 items with the lowest score were 1.43 卤0.21 out of 55.17 and 52 items, among which, the three items related to nutrition were all divided into 1.44 卤0.58, and the three items related to exercise were all divided into 1.43 卤0.44.3. The total scores of self-efficacy, health concept, health concept and job satisfaction of the carers were 47.67 卤12.50, 130.12 卤7.33 and 64.51 卤7.15, respectively. The total scores of health care workers were 6.21 卤1.13 and 64.51 卤7.15 respectively. The results of univariate analysis showed that there were significant differences in the scores of health promotion lifestyle between care workers of different gender, education level, number of carers and religious beliefs (P0.05). Conscious health state, healthy behavior self-efficacy, health concept, job satisfaction and total score of health promotion lifestyle were positively correlated (P0.05). The results of multiple linear regression analysis showed that gender, education, number of care, religious belief, conscious health status, self-efficacy of healthy behavior entered the regression equation. It can explain 61.5% of the total variation of health promotion lifestyle. Conclusion 1. The health promotion life style score of old-age care workers is generally in the general level. Among the 6 dimensions of health promoting lifestyle, interpersonal relationships performed best, while the others were health responsibility, stress management, nutrition, self-actualization, and exercise performance. 2. The main health problems of carers in promoting lifestyle include: severe lack of sleep, lack of knowledge and skills of stress self-regulation, lack of knowledge on how to choose low-fat, low-cholesterol foods, and lack of attention to reading food labels. There is no guarantee of drinking milk, yogurt or soy milk every day; little attention is paid to their inherent needs and the pursuit of self-worth and social value is neglected; the exercise is so inadequate that it is not able to exercise in a planned way and to achieve the desired intensity. Do not count the pulse. 3. The main factors influencing the health promotion of carers include gender, education, number of care, religious belief, self-efficacy of healthy behavior and conscious state of health. The health promotion life style level of female old-age care workers is higher than that of men, the health promotion life style level of religious care workers is higher than that of non-religious care workers. The higher the education level, the higher the health promotion life style level of the carers; the lower the health promotion lifestyle level of the care workers; the higher the self-efficacy of the health behavior, the better the conscious health status. The more you can adopt a healthy lifestyle.
【学位授予单位】:杭州师范大学
【学位级别】:硕士
【学位授予年份】:2017
【分类号】:R47


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