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頁籤選單縮合
題 名 | A Path Analysis of Self-Care of Elderly Women in a Rural Area of Southern Taiwan=臺灣南部鄉村老年婦女自我照顧之因徑分析 |
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作 者 | 王秀紅; 李逸; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 15:2 1999.02[民88.02] |
頁 次 | 頁94-103 |
分類號 | 419.76 |
關鍵詞 | 鄉村老年婦女; 自我照顧; 因徑分析; Rural elderly women; Self-care; Path analysis; |
語 文 | 英文(English) |
中文摘要 | 對於臺灣鄉村老年婦女而言,除了貧困的經濟狀況與有限的健康照顧資源之外,婦女傳統角色與責任的轉變以及家庭結構的改變等,可能加重影響鄉村老年婦女的健康狀況。自我照顧被視為是老年婦女在其老化的過程中,為促進健康及生活品質的一種技巧或型式。因此,了解老年婦女之自我照顧模式,有助於健康照顧專業人員擬定適當的健康促進計畫。本研究的目的在於應用因徑分析,以測試一假設性之自我照顧模式;經由此模式,以預測對鄉村老年婦女自我照顧的直接及間接影響因素。本研究的設計為一非實驗性之橫斷面研究法。200 位受邀的老年婦女中,192 位完成所有的問卷訪談。本研究根據理論與文獻查證提出一假設性的因果模式。此模式利用 LISREL 電腦軟體之因徑分析加以測試。經過修整後之模式其 X2為 3.65 (自由度 =4),p 值為 0.46,顯示此模式沒有被推翻而予以保留。此外,其它有關檢定模式適合度之指標亦均顯示此模式適切地契合了所收集的資料。在自我照顧方程式中,56% 的變異量是由年齡、社經地位、自覺健康狀況、以及社會支持所解釋 (p<.001);在社會支持的方程式中,16.4% 的變異量是由年齡、社經地位、以及婚姻狀況所解釋 (p<.001) ;在自覺健康狀況的方程式中,7.3% 的變異量是由社會支持所解釋 (p<.001)。根據本研究之發現,本文進一步加以討論,並提出了在護理實務以及研究上的建議。 |
英文摘要 | For rural elderly women in Taiwan, in addition to poor economic situations and limited health resources, changing traditional roles and responsibilities and changing family structures further aggravate their conditions of health. Self-care was considered as a strategy or a form of coping to enhance the health and quality of life of these women during their aging process. To design an effective health promotion program for elderly women, therefore, understanding their self-care model is important for health care professionals. The purpose was to use a path analysis to test a model of self-care in predicting the direct and indirect effects of selected key variables on self-care among rural elderly women. A non-experimental, cross-sectional study was designed to test the proposed hypotheses and the paths in a causal model of self-care. Of the 200 elderly women invited to participate, 192 completed all interview questions. The proposed causal model was tested with a path analysis, using the LISREL 3 program. The resultant model showed that the chi-square was 3.65 with four degrees of freedom. The p-value for the resultant model was 0.46, revealing that the model fit the data and it was, therefore, retained. In addition to the X 2 test, other fit indices also indicate the model fit the data well. In the resultant model, 56.0% of the total variance in self-care was accounted for by age, socioeconomic status, perceived health status, and social support (p<0.001); 16.4% of the total variance in social support was accounted for by age, socioeconomic status, and marital status (p<.001); and 7.3% of the total variance in perceived health status was accounted for by social support (p<0.001). The implications of nursing practice and research were discussed based on the findings. |
本系統中英文摘要資訊取自各篇刊載內容。