Effectiveness of a community-based self-care promoting program for community-dwelling older adults: a randomized controlled trial
Effectiveness of a community-based self-care promoting program for community-dwelling older adults: a randomized controlled trial
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DOI：
10.1093/ageing/afz095
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发表时间：
2019-11-01
期刊：
影响因子：
6.7
通讯作者：
Chang, Katherine
中科院分区：
文献类型：
--
作者：
Wong, Arkers Kwan Ching;Wong, Frances Kam Yuet;Chang, Katherine
背景：现有的卫生保健系统往往侧重于急性疾病或需求水平较高的患者，对于应对人口老龄化的挑战并不理想。本研究介绍了一项以社区为基础的老年人自我保健促进计划，并测试了其维持健康的效果。目的：确定该计划是否能提高社区老年人的自我效能、生活质量、日常生活的基本和工具性活动以及服药依从性，同时降低社区老年人的健康服务利用率。方法：研究人员随机分配457名老年人接受干预(n=230)或作为对照(n=227)。干预措施包括自我护理和促进健康行为的评估和教育，共同制定的护理规划和由健康-社会伙伴关系支持的自我效能增强部分。对照组接到了安慰剂社交电话。结果：干预组在自我效能感(P=0.049)、日常生活能力(P=0.012)、工具性日常生活能力(P=0.021)、生活质量的躯体成分(P
Background: The existing health care system tends to be focused on acute diseases or patients with high levels of need and is not ideal for meeting the challenges of an ageing population. This study introduced a community-based self-care promoting program for community-dwelling older adults, and tested its effects on maintaining health.Objectives: To determine whether the program can increase self-efficacy, quality of life (QoL), basic and instrumental activities of daily living, and medication adherence, while reducing health service utilization for community-dwelling older adults.Methods: Researchers randomly assigned 457 older adults to receive the intervention (n=230) or be controls (n=227). The intervention included assessment and education of self-care and health-promoting behaviors, co-produced care planning and self-efficacy enhancing components supported by a health-social partnership. The control group received placebo social calls. The outcomes were measured at pre-intervention (T1) and three months post-intervention (T2).Results: Analysis showed that the intervention group had a significantly higher score in self-efficacy (P=0.049), activities of daily living (ADL) (P=0.012), instrumental activities of daily living (IADL) (P=0.021) and the physical components of QoL (P