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首页> 外文学位 >The role of physical health, mental health, and help orientation in the health promotion behaviors of informal caregivers of impaired elders.
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The role of physical health, mental health, and help orientation in the health promotion behaviors of informal caregivers of impaired elders.

机译：身体健康，心理健康和帮助导向在残障长者非正式护理人员健康促进行为中的作用。

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摘要

Maintaining and maximizing health status and well-being is critical for informal caregivers. However, little investigation has been done to examine how health status may influence health promotion of caregivers. Understanding how the caregiver's physical and mental health influences participation in health promotion behaviors would allow for development and implementation of health specific nursing interventions. This secondary data analysis examined the effects of caregiver demographic variables, care recipient's functional status, length of caregiving, and disruptive life events on the health, help orientation, and health promotion behaviors of informal caregivers. The study sample was composed of 391 individuals providing at least five hours of care to an impaired elder living in a community setting. The sample was primarily female, 83.9%, and consisted of 136 Black caregivers, 34.8%, and 255 White caregivers, 65.2%.;The conceptual model for the study was derived from Pender's health promotion model and Brickman, Rabinowitz, Karuza, Coates, Cohn, and Kidder's concept of help orientation. Data for this study were obtained through the use of the following instruments: Wolinsky's Functional Status Scale, Kiyak's Recent Life Events, Karuza's Help Orientation, Wheaton/Langer Psychological Distress Scale, Center for Epidemiological Studies-Depression Scale, and Belloc and Breslow's Health Practices Index. Demographic data were obtained by interviewer observation and participant self-report.;Findings from this study indicated that disruptive life events, gender and race were significant in explaining physical and mental health. Help orientation was not explained by the study's independent variables. Males, and those with higher income were more likely to report engaging in health promotion behaviors. Help orientation failed to explain caregiver health promotion behaviors. Anxiety contributed significantly more explanation in health promotion behaviors than self-assessed health and depression. Results for the overall model indicated gender, race, income, and anxiety made significant independent contributions in explaining health promotion behaviors. Study results indicated a need for modification of the study's model, and further exploration of help orientation.
机译：维持和最大程度地改善健康状况和福祉对非正式护理人员至关重要。但是，很少进行调查以检查健康状况如何影响看护人的健康促进。了解护理人员的身心健康如何影响健康促进行为的参与，将有助于制定和实施针对健康的护理干预措施。这项二级数据分析检查了护理人员的人口统计学变量，护理对象的功能状态，护理时间长短和破坏性生活事件对非正式护理人员的健康，帮助方向和健康促进行为的影响。该研究样本由391名个体组成，这些个体为居住在社区环境中的残障老年人提供至少五个小时的照料。该样本主要是女性，占83.9％，由136位黑人看护者（34.8％）和255位白人看护者（65.2％）组成;该研究的概念模型来自Pender的健康促进模型以及Brickman，Rabinowitz，Karuza，Coates，科恩和基德的帮助导向概念。本研究的数据是通过使用以下工具获得的：沃林斯基的功能状态量表，基耶克的近期生活事件，卡鲁扎的帮助方向，惠顿/兰格心理困扰量表，流行病学研究中心抑郁量表以及贝洛克和布雷斯洛的健康实践指数。通过访调员的观察和参与者的自我报告获得了人口统计数据。该研究的结果表明，破坏性生活事件，性别和种族对解释身心健康具有重要意义。研究的独立变量并未解释帮助的方向。男性和收入较高的男性更有可能报告其从事健康促进行为。帮助说明无法解释照顾者的健康促进行为。与自我评估的健康和抑郁相比，焦虑在促进健康行为方面的贡献明显更多。总体模型的结果表明，性别，种族，收入和焦虑在解释健康促进行为方面做出了重要的独立贡献。研究结果表明需要修改研究模型，并进一步探索帮助方向。

著录项

  • 作者

    Allen-Holmes, Linda Marie.;

  • 作者单位

    Case Western Reserve University (Health Sciences).;

  • 授予单位 Case Western Reserve University (Health Sciences).;
  • 学科 Nursing.;Ethnic studies.;Gerontology.;Social psychology.
  • 学位 Ph.D.
  • 年度 1997
  • 页码 186 p.
  • 总页数 186
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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