基于社会生态系统理论的慢性病空巢老人健康促进生活方式干预研究

doi:10.3761/j.issn.1672-9234.2023.11.013

中华护理教育 ›› 2023, Vol. 20 ›› Issue (11): 1360-1365.doi: 10.3761/j.issn.1672-9234.2023.11.013

基于社会生态系统理论的慢性病空巢老人健康促进生活方式干预研究

王佩娜(),魏星(),金瑞华,张培莉,丁永霞,牛宝贝

030001 太原市山西工商学院（王佩娜，魏星，金瑞华，牛宝贝）;山西医科大学（张培莉，丁永霞）

收稿日期:2022-10-10 出版日期:2023-11-15 发布日期:2023-11-17
通讯作者: 魏星，硕士，副教授，E-mail：565022220@qq.com
作者简介:王佩娜，女，硕士，护士，助教，E-mail：2101146661@qq.com
基金资助:
山西省研究生教育创新项目(2021Y426);山西省高校哲学社会科学研究一般项目(201803065)

A study of intervention strategies based on ecological systems theory on health-promoting lifestyle of empty nesters with chronic diseases

WANG Peina(),WEI Xing(),JIN Ruihua,ZHANG Peili,DING Yongxia,NIU Baobei

Received:2022-10-10 Online:2023-11-15 Published:2023-11-17

摘要/Abstract

摘要：

目的探讨基于社会生态系统理论的健康干预方式对社区慢性病空巢老人健康促进生活方式的效果。方法 2021年3月—5月，选择某市2个相距较远社区的116名患有慢性病的空巢老人作为研究对象，试验组和对照组各58名。试验组采用基于社会生态系统理论的健康干预策略，主要包括发展个人兴趣爱好、实施“小丑医生”家庭访视进行微观系统层面的干预；通过家庭支持及邻里互助进行中观系统层面的干预；组建空巢老人健康俱乐部、开展健康讲座和测评、医保政策宣讲等进行宏观系统层面的干预。对照组实施社区常规护理。干预3个月后比较两组空巢老人的健康促进生活方式改善情况。结果干预后，试验组健康促进生活方式各维度得分及总分均高于对照组（P<0.05）。结论基于社会生态系统理论的干预策略能够提高社区慢性病空巢老人健康促进行为水平，助力其形成健康生活方式。

关键词: 社会生态系统理论, 健康促进生活方式, 空巢老人, 健康管理

Abstract:

Objective To explore the effect of health intervention based on ecological systems theory on the health-promoting lifestyle of the community empty nesters with chronic diseases. Methods A total of 116 empty nesters with chronic diseases from two communities which separated from each other were selected as subjects from March 2021 to May 2021，with 58 cases in the control group and 58 cases in the experimental group. Health intervention strategy based on ecological systems theory was adopted in the experimental group，such as developing personal interests and implementing home visits of “medical clown” for micro-system level intervention. Meso-systemic intervention through family support and neighborhood assistance；Interventions were carried out at the macro system level，such as setting up health clubs for empty nesters，carrying out health lectures and evaluation，and publicizing medical insurance policies. Routine management was carried out in the control group. After 3 months of intervention，the health promotion lifestyle of the empty nest elderly in the two groups was compared. Results The scores of all dimensions and total scores of health-promoting lifestyle in the experimental group were higher than those in the control group（P<0.05）. Conclusion The intervention strategies based on ecological systems theory can improve the health-promoting behavior level of empty nesters with chronic diseases and help them form a healthy lifestyle.

Key words: Ecological systems theory, Health-promoting lifestyle, Empty nesters, Health management

王佩娜, 魏星, 金瑞华, 张培莉, 丁永霞, 牛宝贝. 基于社会生态系统理论的慢性病空巢老人健康促进生活方式干预研究[J]. 中华护理教育, 2023, 20(11): 1360-1365.

WANG Peina, WEI Xing, JIN Ruihua, ZHANG Peili, DING Yongxia, NIU Baobei. A study of intervention strategies based on ecological systems theory on health-promoting lifestyle of empty nesters with chronic diseases[J]. Chinese Journal of Nursing Education, 2023, 20(11): 1360-1365.

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基于社会生态系统理论的慢性病空巢老人健康促进生活方式干预研究

A study of intervention strategies based on ecological systems theory on health-promoting lifestyle of empty nesters with chronic diseases

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