从被动到积极 - - 通过社区卫生协会改善老年人的健康自助行为:混合方法研究
Xinxin Wang1,2, Chengrui Zhang1, Yue Qi3
1Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, 528 Zhangheng Road, Pudong New Area, Shanghai, China, 86 021-20256016.
Journal of medical Internet research
|November 25, 2025
概括
一个新的社区健康教育模式显著改善了老年人的健康行为和意识. 这种结合专业指导与同行支持的方法,为积极老龄化提供了可持续的解决方案,并降低了医疗保健负担.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 促进健康 促进健康
背景情况:
- 中国面临着人口老龄化和医疗保健资源紧张的挑战.
- 针对老年人的传统健康教育受到了低参与度和有限的长期影响.
研究的目的:
- 为老年人开发和评估一个创新的社区健康自助教育模式.
- 评估模型对健康行为和积极健康意识的影响.
主要方法:
- 一项为期12个月的混合方法研究,涉及上海80名老年人的前后自我控制试验.
- 通过标准化尺度 (健康行为,自主性,电子健康素养) 收集的定量数据,通过重复测量ANOVA进行分析.
- 从半结构面试中获得的定性数据探索了健康管理的意愿,行为转型和社会角色的变化,并以主题分析.
主要成果:
- 在健康的自助行为,健康促进生活方式,健康实践能力,参与/自主性和电子健康素养方面观察到显著的改善.
- 在12个月内,健康的自助行为平均得分从85.90增加到107.46.
- 定性研究结果表明,人们对健康管理,主动行为和社会参与的意愿增加,同行主导的活动更具互动性.
结论:
- 社区健康自助教育模式有效地提高了老年人的自我管理,健康意识和电子健康素养.
- 整合专业支持和同行赋权克服了传统模式的局限性,促进了可持续的行为变化.
- 这种社区嵌入式方法为促进健康提供了一个可扩展的解决方案,对积极老龄化和医疗保健系统效率有影响.
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