本文選題：ADOPT + housebound老年人　； 參考：《華北理工大學(xué)》2017年碩士論文

【摘要】：目的探討ADOPT干預(yù)對(duì)housebound老年人自我感知老化和健康相關(guān)行為的效果,為社區(qū)醫(yī)務(wù)人員開(kāi)展housebound的有效干預(yù)提供依據(jù)。方法于2015年10月~2016年10月采用分層整群隨機(jī)抽樣方法,在河北省邯鄲市的3個(gè)行政區(qū)內(nèi)抽簽抽取1個(gè)區(qū)復(fù)興區(qū),從復(fù)興區(qū)的65個(gè)社區(qū)內(nèi)抽簽法抽取1個(gè)社區(qū),即建安社區(qū),以該社內(nèi)211例housebound老年人為研究對(duì)象。采用隨機(jī)數(shù)字表法將其隨機(jī)分為干預(yù)組105例和對(duì)照組106例。干預(yù)組依據(jù)ADOPT干預(yù)模式的5個(gè)步驟,即態(tài)度(Attitude,A)、定義(Definition,D)、開(kāi)放思維(Open mind,O)、計(jì)劃(Planning,P)和實(shí)驗(yàn)(Try it out,T)進(jìn)行為期6個(gè)月的干預(yù),對(duì)照組為空白對(duì)照。分別在干預(yù)前和干預(yù)3個(gè)月、6個(gè)月時(shí)對(duì)兩組老年人的自我感知老化和健康相關(guān)行為(行為、心理、家庭功能及社會(huì)支持)進(jìn)行效果評(píng)價(jià)。并用SPSS17.0對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果干預(yù)前,兩組housebound老年人的一般情況進(jìn)行比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),兩組均衡可比。干預(yù)后,1兩組housebound老年人自我感知老化比較:干預(yù)3個(gè)月、6個(gè)月時(shí),干預(yù)組自我感知老化狀態(tài)積極老化維度得分高于對(duì)照組,消極老化維度得分低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。2兩組housebound老年人行為狀況比較:干預(yù)3個(gè)月、6個(gè)月時(shí),干預(yù)組housebound老年人健康行為得分及肺功能指標(biāo)(FEV1、FEV1/FVC)得分優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。3兩組housebound老年人心理狀況比較:干預(yù)后干預(yù)組老年人抑郁得分低于對(duì)照組,健康自我評(píng)價(jià)得分高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。4兩組housebound老年人家庭功能和社會(huì)支持比較:干預(yù)后,干預(yù)組老年人社會(huì)支持及其各維度得分優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);干預(yù)組老年人家庭功能得分與對(duì)照組比較無(wú)明顯改善,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論1 ADOPT干預(yù)能夠有效改善housebound老年人的自我感知老化狀態(tài),提高積極的自我感知老化,降低消極的自我感知老化;2 ADOPT干預(yù)對(duì)housebound老年人健康相關(guān)行為(行為、心理及社會(huì)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.
【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.2

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 黃天婧;;老化研究中自我感知老化研究綜述[J];成都師范學(xué)院學(xué)報(bào);2016年06期

2 梁函;程靜;沙蕊;趙婷;王德斌;李開(kāi)春;;皖西村民糖尿病知識(shí)、自我效能及健康行為的通徑分析[J];中國(guó)衛(wèi)生事業(yè)管理;2016年06期

3 高淑娜;王燁菁;王飛;何麗華;殷麗紅;趙俊峰;張艷;紀(jì)云芳;俞捷;倪一宏;付朝偉;;2007-2013年黃浦區(qū)居民慢性病相關(guān)健康行為變化趨勢(shì)[J];中華疾病控制雜志;2016年02期

4 汪鳳蘭;張小麗;邢鳳梅;么婷;吳慶文;景麗偉;張盼;劉瑞華;;社區(qū)Homebound老人發(fā)生現(xiàn)狀及特征分析[J];現(xiàn)代預(yù)防醫(yī)學(xué);2015年17期

5 孫蕾;王欣;梁曉敏;李媛媛;許凱旋;景麗偉;邢鳳梅;張超;;自我效能對(duì)居家不出老年人日常生活活動(dòng)能力及生活質(zhì)量的影響[J];中國(guó)老年學(xué)雜志;2015年16期

6 景麗偉;張?zhí)?邢鳳梅;汪鳳蘭;張小麗;^捬啪，

本文編號(hào)：1863654