Inner strength as a mediator of the relationship between disease and self-rated health among old people.
Inner strength as a mediator of the relationship between disease and self-rated health among old people.
复制标题
内在力量作为老年人疾病与自评健康关系的中介变量。
DOI：
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发表时间：
2014
影响因子：
3.8
通讯作者：
Björn Nygren
中科院分区：
文献类型：
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作者：
Kerstin Viglund;E. Jonsén;G. Strandberg;B. Lundman;Björn Nygren
目的
探索内在力量作为老年人疾病与自评健康之间关系的中介因素。
背景
定性研究表明，内在力量是受疾病影响的个体的重要资源。提出了内在力量作为疾病与自评健康之间关系的中介的假设。内功的理论框架是基于内功模型。
设计
使用了横截面设计。
方法
该样本包括来自芬兰和瑞典的 6119 名参与者，年龄分别为 65 岁、70 岁、75 岁和 80 岁。 GERDA-Botnia 问卷于 2010 年 10 月至 12 月期间发出，其中包括内在力量量表以及与疾病和自评健康相关的项目。结构方程模型用于测试假设模型。
结果
结果表明，患有疾病与较差的自评健康状况和较低的内在力量程度相关，而较高的内在力量程度与较好的自评健康状况相关。结果表明，内在力量部分调节了疾病与自评健康之间的关系，从而支持了这一假设。
结论
这项针对来自芬兰和瑞典 65 至 80 岁参与者的大型横断面研究表明，内在力量可以成为受疾病影响的老年人的资源。增强受疾病影响的老年人的内在力量可能是支持疾病期间健康体验的一种干预措施。
AIM
To explore inner strength as a mediator of the relationship between disease and self-rated health among older people.
BACKGROUND
Qualitative research has indicated that inner strength is an essential resource for an individual affected by disease. A hypothesis of inner strength as a mediator of the relationship between disease and self-rated health was proposed. The theoretical framework of inner strength was based on the Model of Inner Strength.
DESIGN
A cross-sectional design was used.
METHOD
The sample included 6119 participants from Finland and Sweden, in the ages of 65, 70, 75 and 80 years. The GERDA-Botnia questionnaire, which included the Inner Strength Scale and items related to diseases and self-rated health, was sent out between October and December 2010. Structural equation modelling was used to test a hypothesized model.
RESULTS
The result indicated that having a disease was associated with poorer self-rated health and a lower degree of inner strength and a higher degree of inner strength was associated with better self-rated health. The result supported the hypothesis by indicating that inner strength partially mediated the relationship between disease and self-rated health.
CONCLUSION
This large cross-sectional study with participants from 65 to 80 years of age from Finland and Sweden showed that inner strength can be a resource for older people affected by disease. Increasing inner strength in older people affected by disease may be one intervention to support experiences of health despite disease.