慢性腰痛老年患者与健康相关的生活质量:一个结构方程建模研究
1Assistant Professor, Department of Nursing, Yeungjin University, Daegu, Korea.
Journal of Korean gerontological nursing
|January 26, 2026
概括
这项研究开发了一个模型,以了解慢性腰部疼痛的老年人与健康相关的生活质量. 关键因素包括社会支持,症状和信仰,针对恐惧回避和残疾的干预措施显示出希望.
科学领域:
- 老年学是指老年学的学科.
- 康复医学 康复医学 康复医学
- 健康心理学 心理健康心理学
背景情况:
- 慢性腰部疼痛 (CLBP) 在老年人中显著影响与健康相关的生活质量 (HRQoL).
- 了解影响该群体HRQoL的因素的复杂相互作用,对于有效管理至关重要.
- 现有的模型可能无法完全捕捉老年CLBP患者HRQoL的多维方面.
研究的目的:
- 开发和验证一个结构方程模型 (SEM),解释CLBP老年患者的HRQoL.
- 根据已建立的理论框架,在这个人口群体中确定HRQoL的关键决定因素.
- 为指导旨在改善HRQoL的干预提供基于证据的模型.
主要方法:
- 一项涉及211名65岁及以上患有CLBP的参与者的横截面研究.
- 数据收集采用了评估社会支持,症状,恐惧回避信念,功能障碍,健康感知和HRQoL的调查.
- 使用SPSS/WIN 24.0和R包"plspm"进行结构方程建模.
主要成果:
- 该SEM显示了可接受的模型合适度 (.53),表明其充分性.
- 社会支持,症状,避免恐惧的信念,功能障碍和健康感知是HRQoL的重要预测因素,共同解释了75.1%的差异.
- 在模型中的15个假设关系中,有13个被统计学支持.
结论:
- 经过验证的SEM提供了一个全面的框架,以了解患有CLBP的老年人群的HRQoL.
- 干预措施应侧重于减轻恐惧回避信念和功能障碍.
- 加强社会支持和健康感知对于改善这一患者群体的整体HRQoL至关重要.
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