Factors Influencing Behaviors That Healthy Community-Dwelling Elders Practice for Preventative Self-Care

• Fukahori Atsuko

  Asakusa Regional Comprehensive Support Center

• Suzuki Mizue

  School of Nursing, Hamamatsu University

• Greiner Chieko

  The Japanese Red Cross College of Nursing

• Isowa Tokiko

  Department of Nursing, Mie University

Bibliographic Information

Other Title

• 地域で生活する健常高齢者の介護予防行動に影響を及ぼす要因の検討
• チイキ デ セイカツ スル ケンジョウ コウレイシャ ノ カイゴ ヨボウ コウドウ ニ エイキョウ オ オヨボス ヨウイン ノ ケントウ

Abstract

Purpose: The purpose of this study was to explore factors influencing behaviors for preventative self-care (BPSC) among healthy community-dwelling elders.<br>Methods: The subjects were healthy community-dwelling elders aged 60–89 years. The study design was based on the Pender's Revised Health Promotion Model. BPSC was defined as the health behaviors practiced by elderly subjects in their daily lives towards the aim of living independently in their own homes and communities as long as possible. The self-administered questionnaire included demographic information such as age and sex and items regarding:instrumental activities of daily living (IADL), health locus of control (HLC), subjective well-being, knowledge of preventative self-care, the self-efficacy scale for health promotion (self-efficacy), BPSC and perceived barriers to BPSC. Data analysis was conducted using path analysis.<br>Results: A total of 148 subjects gave sufficient data for inclusion in data analysis. The mean age was 70.86±6.36 years old. The final model showed a goodness of fit (χ²=26.57, p=.28, GFI=.96, AGFI=.93, and RMSEA=.03). Path analysis indicated that self-efficacy (β=.60, p<.001) and perceived barriers to BPSC (β=−.14, p<.05) directly influenced BPSC. Furthermore, knowledge of preventative self-care (β=.32, p<.001), age (β=.28, p<.001), subjective well-being (β=.19, p<.01) and regular hospital visits (β=.17, p<.05) affected BPSC indirectly through self-efficacy. HLC (β=−.22, p<.01), subjective well-being (β=−.19, p<.01) and availability of family care-giving (β=−.15, p<.05) also affected BPSC indirectly through perceived barriers to BPSC.<br>Conclusion: These results suggest that it is necessary to provide support to enhance elders' self-efficacy and to reduce the perceived barriers to BPSC, in order to encourage BPSC.

Journal

• Journal of Japan Academy of Nursing Science

  Journal of Japan Academy of Nursing Science 29 (1), 15-24, 2009

  Japan Academy of Nursing Science

Keywords

• preventative self-care
• healthy elders
• health behaviors

Details

• CRID: 1390282679767677568
• NII Article ID: 10026257381
• NII Article ID: 130004565237
• NII Book ID: AN00010260
• DOI: 10.5630/jans.29.1_15
• ISSN: 21858888
• ISSN: 02875330
• NDL BIB ID: 10236176
• Web Site: http://id.ndl.go.jp/bib/10236176
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I10236176
• Web Site: https://search.jamas.or.jp/link/ui/2009172059
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed