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The Relationship Between Expectation Regarding Aging and Functional Health Status Among Older Adults in China

Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, v.45 no.4, 2013년, pp.328 - 335  

Li, Xianwen (Lecturer, School of Nursing, Yanbian University, China) ,  Lv, Qiyuan (School of Nursing, Nanjing Medical University, China) ,  Li, Chunyu (Doctoral student, School of Nursing, Sun Yat‐) ,  Zhang, Hailian (Sen University, China) ,  Li, Caifu (Professor, School of Nursing, Yanbian University, China) ,  Jin, Jinzhen (Lecturer, School of Nursing, Yanbian University, China)

Abstract

AbstractPurposeTo examine the level of and factors influencing expectations regarding aging (ERA) among older Chinese adults, and to determine whether leisure‐time exercise mediates the association between ERA and functional health status.MethodsA population‐based, cross‐sectional design was utilized in this study. A total of 550 participants completed the face‐to‐face interview via a questionnaire addressing ERA, physical health conditions, personality and psychological factors, leisure‐time exercise, and functional health status.ResultsMore than four fifths of the older adults felt that having more aches and pains (88.0%), lower levels of energy (82.7%), and being forgetful (82.5%) were an accepted part of aging, and 74.7% of participants reported it to be true that “being depressed is normal for older adults.” The regression model showed that depression and self‐mastery were factors that influence ERA among older Chinese adults (β?= −0.26, p?= .000; β?= 0.15, p?= .000). The Instrument Activity of Daily Life and World Health Organization Disability Assessment scores were not associated with ERA. Leisure‐time exercise mediated the relationship between ERA and functional health status.ConclusionsOlder adults generally consider body function decline to be an expected part of aging. Personality and psychological factors, rather than physical health conditions, were the factors that were considered to be most influential on ERA among Chinese older adults. These findings suggest that community interventions taking into account leisure‐time exercise could be influential in improving the ERA and functional health status of older adults.Clinical RelevanceFor community nurses and other primary care providers, the findings of the present study may facilitate the subsequent design of community‐based participatory intervention to improve ERA, as well as potentially improve the functional health status of older adults.

주제어

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