介護施設で暮らす高齢者の筋肉骨の痛みの予防行動に関する効果的な要因の調査:健康信念モデルに基づく構造方程式モデリングアプローチ
Sogand Habibi1, Sedigheh Sadat Tavafian2, Reza Maghbouli3
1Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
BMC geriatrics
|September 3, 2025
まとめ
ヘルス・ビリーフ・モデルによると 頻繁に警告や教育を受けることは 筋肉骨の痛みに対する予防行動をとるよう 年配者を励ますことができます ビタミンDの摂取や適切な姿勢などです
科学分野:
- ゲロントロジー
- 公衆衛生
- 健康心理学
背景:
- 全世界の高齢者の人口は増加しており 運動器系疾患の流行が増加しています
- 高齢者の運動器系疾患は多因性であり,標的を絞った予防戦略が必要である.
- この研究は,介護施設の住人の筋骨格の痛みを予防する効果的な要因を特定することに焦点を当てています.
研究 の 目的:
- 介護施設に居住する高齢者の骨筋痛の予防の実践に影響を与える要因を調査する.
- 健康信念モデル (HBM) を適用し,ビタミンDの摂取,ストレス管理,正しい体調などの予防行動の決定要因を理解する.
- 予防措置の遵守を予測する重要なHBM構造を特定する.
主な方法:
- カヒリザク老人ホームの 311人の老人を対象とした横断的な研究です
- 健康信念モデル (HBM) のアンケート,痛みの視覚アナログスケール (VAS),うつ病,不安,ストレススケール (DASS) を用いたデータ収集.
- 統計分析には,PLS-SEMとコヴァリアンスベースのSEM (AMOS) が含まれて,HBMの関係と予測性能をテストしました.
主要な成果:
- 知識は認知された利益と自己効能に大きく影響します
- 感知された感受性と重症性は予防行動に適度な影響を及ぼし,感知された障壁は負の相関を示します.
- 知識,自己効能,ストレス管理の影響を受けた"行動へのヒント"構造は,予防活動における差異の42.6% (R2) を説明しました.
結論:
- "行動のヒント"は,高齢者の運動器系障害 (MSD) の予防行動の有意な予測指標です.
- 予防策を推進するために,頻繁にリマインダーや教育プログラムを実施することが推奨されています.
- ビタミンDの摂取と 適切な姿勢を奨励することは 高齢者のための重要な予防策です
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