居家失能老人主动健康行为能力现状及影响因素分析.pdfVIP

·24·JournalofNursingScienceMar.2025Vol.40No.6

·论著·

居家失能老人主动健康行为能力现状及影响因素分析

陈黎玉，熊雪，张虹²，廖晓艳，欧洋利，罗兰月，王益鑫，李淼，沈军，赵庆华1

摘要：目的了解居家失能老人主动健康行为能力现状及其影响因素。方法采用多阶段随机抽样方法，以重庆市3个区6个社区

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回归分析结果显示，婚姻状况、失能程度、主动健康了解程度、定期体检、受照护者尊重程度、社交活动参与、健康意识、自立意识、

生活满意度、死亡态度是居家失能老人主动健康行为能力的影响因素（均P0.05）。结论居家失能老人主动健康行为能力处于

中等偏下水平，其影响因素较多；需要发挥政府、家庭、社区与专业照护机构的多主体作用，提高居家失能老人主动健康行为能力。

关键词：失能老人；主动健康行为能力；生活满意度；社区护理；老年护理；社交活动；照护者；居家养老

中图分类号：R473.2D0I:10.3870/j.issn.1001-4152.2025.06.024

Thelevelandfactorsassociatedwithactivehealthbehaviorcapabilityamonghouse-

bounddisabledolderadultsChenLiyu,XiongXue,ZhangHong,LiaoXiaoyan,OuYangli,Luo

Lanyue,WangYixin,LiMiao,ShenJun,ZhaoQinghua.NursingDepartment,TheFirstAffiliatedHospitalof

ChongqingMedicalUniversity,Chongqing400016,China

Abstract:ObjectiveToexaminethecurrentstatusofactivehealthbehaviorcapabilityanditsinfluencingfactorsamonghousebound

disabledolderpeople.MethodsAtotalof282olderpeoplewithADLdisabilitywereselectedfromsixcommunitiesinthreedistricts

ofChongqingusingamulti-stagerandomsamplingmethod.Participantswereaskedtofilloutaself-designedactivehealthbehavior

capabilityassessmentforthehousebounddisabledelderly.ResultsAmongthe282participants,226(80.1%)hadmilddisability,

29(10.3%)hadmoderatedisability,and27(9.6%)hadseveredisability.Theoverallscoreforactivehealthbehaviorcapability

was(3.22±0.49).Multipleregressionanalysisidentifiedmaritalstatus,degreeofdisability,understandingofactivehealth,reg-

ularhealthcheck-ups,respectfromcaregivers,participationinsocialactivities,healthawareness,independenceawareness,life

satisfaction,andattitudestowarddeathwerefactorsinfluencingtheactivehealthbehaviorcapabilityofhouseboundolderpeople

(allPo.05).ConclusionTheactivehealthbehaviorcapab