护理研究2025，Vol.39Issue(7)：1084-1093,10.DOI:10.12102/j.issn.1009-6493.2025.07.005
基于健康生态学模型的农村慢性病共病老年人社会隔离影响因素
Influencing factors analysis of social isolation in rural elderly with chronic disease comorbidity based on health ecology model
摘要
Abstract
Objective:Based on the health ecology model,to explore the factors influencing social isolation in rural elderly with chronic disease comorbidity,and to provide reference for the prevention of social isolation among the elderly.Methods:From February to August in 2023,1 010 rural elderly with chronic disease comorbidity of 12 towns in Henan province were selected by the convenience sampling method.With the occurrence of social isolation as the dependent variable and the inclusion of independent variables,a multivariate Logistic regression model was used to analyze the influencing factors of social isolation in rural elderly with chronic disease comorbidity.Results:44.85%of rural elderly with chronic disease comorbidity had social isolation.The results of the multivariate Logistic analysis showed that gender,age,the amount of chronic disease,self-rated health,movement function,sleep quality,depression,marital status,grandparenting,social support,family function,social participation,rural resources,medical insurance and commercial insurance were the main influencing factors of social isolation in rural elderly with chronic disease comorbidity.Conclusions:The proportion of social isolation was relatively higher,and its influencing factors involved the five dimensions of health ecology theory.Therefore,corresponding intervention measures should be implemented at different levels to reduce occurence of social isolation in rural elderly with chronic disease comorbidity.关键词
社会隔离/健康生态学模型/农村/慢性病共病/老年人/影响因素Key words
social isolation/health ecology model/rural/chronic disease comorbidity/the elderly/influencing factors引用本文复制引用
张瑞芹,孙俊俊,聂丽,张会敏,朱丽丽,孙翠勇..基于健康生态学模型的农村慢性病共病老年人社会隔离影响因素[J].护理研究,2025,39(7):1084-1093,10.基金项目
2022年度国家社会科学基金项目,编号:22BGL213 （）
2023年度河南省高校人文社会科学研究一般项目,编号:2023-ZDJH-159 （）
2024年度河南省高等学校重点科研项目,编号:24A320015 （）
河南省软科学研究项目,编号:232400410214 （）
