三级医院退休护士健康老龄化现状及影响因素研究

Successful aging among retired nurses in tertiary hospitals and the associated factors

目的了解退休老年护士健康老龄化现状,分析其影响因素,为健康老龄化卫生资源管理提供参考。方法选取郑州市区3所三级医院96名退休老年护士,采用健康老龄化量表、一般自我效能量表进行调查。结果老年护士健康老龄化总均分3.76±0.54,9个维度中自我照护维度得分最高,接受年老维度得分最低;一般效能感总均分为3.40±0.23,与健康老龄化总分呈正相关(r=0.629,P<0.01)。多元回归分析显示,患慢性疾病数、自觉健康状况、一般自我效能感是老年护士健康老龄化水平的主要影响因素(调整R 2=0.732,均P<0.01)。结论三级医院退休老年护士健康老龄化处于中等偏上水平,医院管理者需重视个体健康状况,视其特点实现护理人力资源再利用,以促进社会健康积极老龄化。

Objective To investigate the level and factors associated with successful aging among retired nurses,and to provide refe-rence for health resource management.Methods A total of 96 retired nurses were selected from three tertiary hospitals in Zhengzhou and were investigated with the Healthy Aging Instrument and the General Self-Efficacy Scale.Results Healthy aging averaged 3.76±0.54,and the dimension of self-care scored the highest,whereas acceptance of aging scored the lowest in the nine dimensions.The total self-efficacy score was 3.40±0.23,and was positively correlated with healthy aging(r=0.629,P<0.01).Mul-tivariate linear regression demonstrated that the number of chronic diseases,perceived health status and general self-efficacy were factors influencing healthy aging of the retired nurses(adjusted R square=0.732,P<0.01 for all).Conclusion Healthy aging among retired nurses in tertiary hospitals was at moderate to above average level.Hospital managers should pay attention to in-dividual health status of the retired nurses,and utilize these nursing human resources according to their characteristics,thus to achieve the goal of promoting a healthy aging society.