探索社区生活的老年人与内在能力下降的自我管理行为集群和预测因素:使用TPB-HAPA整合的横截面研究
Yinan Zhao1, Xiaoyang Li1, Li Chen2
1Central South University, Changsha, Hunan, China.
BMJ open
|November 20, 2025
概括
具有内在能力下降的老年人表现出三种自我管理模式:犹不决行动,依赖规范和自信决策. 干预措施应针对这些不同的群体进行调整,以获得更好的健康结果.
科学领域:
- 老年学与公共卫生
- 行为科学和健康心理学行为科学和健康心理学
背景情况:
- 老年人内在能力 (IC) 的下降对健康的衰老构成了挑战.
- 自主管理对于增强IC至关重要,但该群体的模式和预测因素未得到充分研究.
研究的目的:
- 在IC衰退的老年人中识别自我管理行为集群.
- 探索这些行为的预测因子,使用综合的计划行为理论 (TPB) 和健康行动过程方法 (HAPA) 框架.
主要方法:
- 在中国对308名IC衰退的老年人进行横截面研究.
- 使用k-means集群用于子组识别,通过主要组件分析验证.
- 通过验证的问卷来评估自我管理行为,TPB和HAPA构造.
主要成果:
- 三个不同的自我管理子组出现了:犹不决 (n=196),依赖规则 (n=42) 和自信决策 (n=70).
- 在人口统计学 (性别,教育) 和关键HAPA/TPB构造 (感知行为控制,规划) 中,在子组之间发现了显著的差异.
结论:
- 在IC衰退的老年人中确定了三个不同的自我管理行为模式.
- 调查结果强调了针对每个子组的独特需求进行量身定制干预的必要性.
- 建议在更大的样本中进行进一步的研究以验证并探索因果关系.
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