Assessment of Self-Efficacy and its Relationship with Frailty in the Elderly.
Assessment of Self-Efficacy and its Relationship with Frailty in the Elderly.
复制标题
评估自我效能感及其与老年人中脆弱的关系。
DOI：
10.2169/internalmedicine.55.6924
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Hinohara S
中科院分区：
文献类型：
--
作者：
Doba N;Tokuda Y;Saiki K;Kushiro T;Hirano M;Matsubara Y;Hinohara S
目的 自我效能感可以提高患者的能力水平，这一点在临床各领域已得到越来越多的认识。研究了一种新的、简单的老年人自我效能评估模型的有效性、适用性和潜在用途，特别是针对虚弱情况，以提高老年患者的成就。 方法本研究对象为日本新老年公民运动成员257名老年人，平均年龄为82.3±3.8岁。包括自我效能问卷在内的访谈材料提前发送给所有参与者，所有其他体检均在生活规划中心诊所进行。 结果用Cronbach's alpha指数评价自我效能感的一组项目之间的内部一致性和密切相关性，该指数为0.79。尽管没有发现任何性别存在年龄依赖性差异，但注意到一些因素与性别相关的差异。关于几个参数，贝克的清单本身就揭示了两性与自我效能的显着关系。此外，耐力、力量和记忆力等非参数项目与两性的自我效能感密切相关。在多元线性回归模型分析中，虚弱与自我效能表现出显着的独立关系，并且使用贝克库存量，耐力、力量和记忆被确定为自我效能的独立因素。 结论 本研究中描述的自我效能的简单评估可能是老年人成功老龄化的有用工具。
Objective It has been increasingly recognized in various clinical areas that self-efficacy promotes the level of competence in patients. The validity, applicability and potential usefulness of a new, simple model for assessing self-efficacy in the elderly with special reference to frailty were investigated for improving elderly patients' accomplishments. Methods The subjects of the present study comprised 257 elderly people who were members of the New Elder Citizen Movement in Japan and their mean age was 82.3±3.8 years. Interview materials including self-efficacy questionnaires were sent to all participants in advance and all other physical examinations were performed at the Life Planning Center Clinic. Results The internal consistency and close relation among a set of items used as a measure of self-efficacy were evaluated by Cronbach's alpha index, which was 0.79. Although no age-dependent difference was identified in either sex, gender-related differences in some factors were noted. Regarding several parametric parameters, Beck's inventory alone revealed a significant relationship to self-efficacy in both sexes. Additionally, non-parametric items such as stamina, power and memory were strongly correlated with self-efficacy in both sexes. Frailty showed a significant independent relationship with self-efficacy in a multiple linear regression model analysis and using Beck's inventory, stamina, power and memory were identified to be independent factors for self-efficacy. Conclusion The simple assessment of self-efficacy described in this study may be a useful tool for successful aging of elderly people.
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发表时间：
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影响因子：
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作者：
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DOI：
10.1097/mrr.0000000000000106
发表时间：
2015-06-01
影响因子：
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作者：
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通讯作者：
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