Abstract:

Objective To explore the impact of social support network,self-efficacy and health promotion behavior on healthy aging of elderly in community,and to analyze the influence path.Methods From July to December,2017,a cross-sectional survey was conducted among 485 older adults in four districts of Beijing. Data were collected by using the Lubben Social Network Scale,Medical Outcomes Study Social Support Survey,Self-rated Abilities for Health Practices Scale,the Health-Promoting Lifestyle Profile II and Healthy Aging Instrument.Results The total score of healthy aging of older adults was（120.62±23.15）. Neighborhood relationship had both direct and indirect effects on healthy aging,and the total effect was 0.225. Family support had the strongest effect on promoting healthy aging（β=0.194）. Self-efficacy could directly and indirectly affect healthy aging,and the total effect was 0.701.Conclusion The overall level of healthy aging of older adults was at the upper middle level,but the scores of cognitive function and social participation dimension were low. Neighborhood relationship,family support and self-efficacy were the key factors affecting healthy aging of individuals.

Key words: Aged, Social Support, Self-efficacy, Health Behavior, Geriatric Nursing

摘要：

目的 探讨社会支持网络、自我效能及健康促进行为对社区老年人健康老龄化的影响,并分析其路径。方法 2017年7月—12月,采用横断面调查法,应用社会网络量表、医疗社会支持量表、健康实践自我效能量表、健康促进生活型态量表Ⅱ及健康老龄化量表对北京市4个城区的485名社区老年人进行调查。结果 社区老年人的健康老龄化量表总得分为（120.62±23.15）分。邻居关系对健康老龄化既有直接影响也有间接影响,总效应为0.225;家属支持可促进健康老龄化,总效应为0.194;自我效能能够通过直接和间接作用影响健康老龄化,总效应为0.701。结论 社区老年人的健康老龄化总体水平处于中等偏上,但在保持良好认知功能和社交参与维度的得分较低。邻居关系、家属支持以及自我效能是影响个体健康老龄化的关键因素。

关键词: 老年人, 社会支持, 自我效能, 健康行为, 老年护理学