Self-Care and Well-Being Model for Elderly Women: A Comparison of Rural and Urban Areas

老年婦女自我照顧與安適之模式：城／鄉地區之比較

王秀紅(Hsiu-Hung Wang) ； 謝汶惠(Carol Shieh) ； 王瑞霞(Ruey-Hsia Wang)

《The Kaohsiung Journal of Medical Sciences》 20卷2期 (2004/02) Pp. 63-69

摘要

本研究目的在於：（1）檢視驗證城／鄉老年婦女年齡、社會階層、自覺健康、自我照顧以及安適之間的關係，以及（2）驗證並比較城／鄉老年婦女之自我照顧與安適模式的適切性。根據Orem自我照顧理論與實證研究提出自我照顧與安適之因果模式。利用一對一調查訪談法以收集資料，共收集159位城市地區與192位鄉村地區的老年婦女作為資料的分析。採用LISREL 8之因徑分析，檢視兩個模式是否符合假設因果模式，結果於城市組之模式產生(X上標2)＝1.98（df＝2，p＝0.37），在鄉村組之模式產生(X上標2)＝4.20（df＝3，p＝0.24），顯示此兩模式適切符合所收集的資料。研究結果提供社區護理人員未來設計適當的老年婦女自我照顧教育計劃之指引與參考。

關鍵字

老年婦女 ； 安適 ； 自我照顧 ； 因徑分析 ； 因果模式

並列摘要

The purposes of this study were to examine the relationships among age, social class, perceived health, self-care, and well-being in urban and rural elderly women and to validate and compare two models using these two groups. A causal model of self-care and well-being was proposed for this study based on Orem's self-care model and empirical data. Data were collected using a survey-interview method. Of the 351 elderly women recruited, 159 were in the urban group and 192 in the rural group. Two models of self-care and well-being were tested using path analysis with the LISREL 8 program. The resultant models yielded a Chi-squared of 1.98 with two degrees of freedom (p=0.24) in the rural group, indicating good fit between the data and the two models. These two models provide guidelines for community nurses to design appropriate self-care programs for elderly women.

並列關鍵字

elderly women ； well-being ； self-care ； path analysis ； causal model