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Factors Influencing Formal Care Service Usage: A Comparison of Middle-aged and Older Adults residing in South Korea 影响正规护理服务使用的因素:居住在韩国的中老年人的比较
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.547
Ji-min Kim, In-joo Song
This study explored factors of formal care service usage, dividing service users between middle-aged (50-64) and older adults (65+). Despite of upsurging care needs of middle-aged adults, previous studies have not studied on their care needs. Therefore, we focused on examining the factors of service uses for understanding their needs for public care services. We used the second data from Care SOS Center in Seoul, South Korea and selected 31,265 people who used the services in 2021. Independent variables were organized into four categories - predisposing, enabling, need, and health care system factors - based on Andersen's theory of service uses, for which many previous studies have adopted. After conducting multiple regression analysis using SPSS 25.0, the results were as follows: First, regarding the predisposing factors, middle-aged adults who have many family members were more likely to use care services, while older adults’ family members were not statistically significant. Second, need factors such as the discharged patients were pivotal in care service uses of both middle-aged and older adults. Third, older adults who had used other social care services before were less likely to use this short-term care SOS services, but the result was not statistically significant for middle-aged adults. Based on the results, we suggested social welfare interventions such as developing intensive care services for the discharged based on community care, interlocking and connecting social care services, making interventions for the excluded who needs imminent services as well as pointed out the importance of universal care services for both older and middle-aged adults.
本研究探讨了正规护理服务使用的因素,将服务使用者分为中年(50-64岁)和老年人(65岁以上)。尽管中年人的护理需求激增,但以往的研究并未对他们的护理需求进行研究。因此,我们重点研究服务使用的因素,以了解他们对公共护理服务的需求。我们使用了韩国首尔Care SOS中心的第二个数据,并选择了2021年使用该服务的31265人。根据Andersen的服务使用理论(许多先前的研究都采用了这一理论),将自变量分为四类——易感因素、使能因素、需要因素和卫生保健系统因素。运用SPSS 25.0进行多元回归分析,结果如下:第一,在易感因素方面,家庭成员较多的中年人更倾向于使用护理服务,而家庭成员较多的老年人使用护理服务的易感因素无统计学意义。其次,出院患者等需求因素是中老年人护理服务使用的关键因素。第三,使用过其他社会护理服务的老年人使用短期护理SOS服务的可能性较低,但对中年人来说,这一结果没有统计学意义。在此基础上,提出了以社区护理为基础发展出院人员重症监护服务、环环相接的社会护理服务、对迫切需要服务的被排斥者进行干预等社会福利干预措施,并指出了老年人和中年人普遍护理服务的重要性。
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引用次数: 0
The Influences of the Participation Motivation and the Level of Satisfaction with the Education of the Learner of the Senior Model Education Program on the Intention to Continue the Participation 高级示范教育项目学习者参与动机与教育满意度对继续参与意愿的影响
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.481
Kyung Bin Yoo, Sang Yong Kim
The purpose of this study was to examine how senior model educational program learners' satisfaction with education affects their motivation to continue participation. In this study, 500 learners of the senior model education program at the senior model education centers located in Seoul and Gyeonggi-do were selected as research subjects. The participants of this study were senior male and female models who had either participated in or graduated from senior model training programs in Seoul and Gyeonggi Province. The researcher collected data by distributing 500 questionnaires to these participants. The subjects of the study were sampled using a convenience sampling method. The results of this study are as follows. First, the relationship between participation motivation and program satisfaction was found to have a statistically significant static effect on learning-oriented and goal-oriented types. In particular, among the motivations for participation, it was confirmed that learning orientation had a relatively higher effect on program satisfaction. Second, among the motives for participation, it was found statistically significant that only the learning-oriented motive had a significant positive impact on the intention to continue participation. Third, there were significant relationships between education satisfaction, instructor satisfaction, employee satisfaction, physical environment satisfaction, and the intention to continue participation. These factors all had a significant impact on the intention to continue participating in the program. Fourth, it was confirmed that instructor satisfaction played a partial mediating role between education satisfaction and intention to continue participation. This means that program satisfaction has a direct or indirect effect on the relationship between independent variables and parameters.
摘要本研究旨在探讨高中模式教育课程学习者对教育的满意度如何影响其继续参与的动机。本研究以首尔和京畿道的老年模范教育中心的500名老年模范教育学员为研究对象。本研究的参与者是在首尔和京畿道参加或毕业于高级模特培训课程的高级男女模特。研究人员通过向这些参与者分发500份问卷来收集数据。研究对象采用方便抽样法进行抽样。本研究的结果如下:首先,参与动机与课程满意度的关系在学习导向型和目标导向型学生中具有统计学上显著的静态影响。特别是,在参与动机中,学习取向对课程满意度的影响相对较高。第二,在参与动机中,只有学习型动机对继续参与意愿有显著的正向影响。第三,教育满意度、教师满意度、员工满意度、物理环境满意度与继续参与意愿之间存在显著的相关关系。这些因素都对继续参加该计划的意愿产生了重大影响。第四,证实教师满意度在教育满意度与继续参与意愿之间起部分中介作用。这意味着程序满意度对自变量和参数之间的关系有直接或间接的影响。
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引用次数: 0
Supporting Self-determination of elderly people living in nursing homes amid pandemic: 12-week Participatory Action Research record with care workers 在大流行期间支持养老院老年人的自我决定:与护理人员一起进行的为期12周的参与性行动研究记录
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.591
Hyein Oh, Hyun-Jung Lee
This study focuses on efforts for human rights and self-assertive lives of elderly people struggling with long quarantine under the COVID-19 pandemic. This paper aims to explore and analyze what support strategies care workers are carrying out and what barriers exist to help the elderly living in nursing homes make 'self-determination' well. Data were collected from 16 workers at two institutions through an Participatory Action Research(PAR) process consisting of 17 FGI sessions, and the data were analyzed through directed content analysis. This study proposed 7 frameworks of practice. In the last COVID-19 situation, three factors such as ①Internalization of Extrinsic Motivation, ② Understanding Preference & Value, ③Close communication based on trust were smoothly implemented, while strategies such as ④Areas, ⑤Causal Agent, ⑥Providing information and options, ⑦Providing Enough time were not well utilized. Based on the results of the study, we presented the following policy suggestions. First, it is necessary to establish a system that can support the self-determination of the elderly living. Second, a friendly culture and environment should be created so that nursing facilities can work more actively. Also it is emphasized that there is a need for a place to actively discuss the base-line when there is a value that conflicts with self-determination.
这项研究的重点是在新冠肺炎大流行下,为长期隔离的老年人的人权和自主生活所做的努力。本文旨在探索和分析护理人员正在实施哪些支持策略,以及存在哪些障碍来帮助居住在养老院的老年人做好“自决”。通过由17次FGI会议组成的参与性行动研究(标准杆数)过程,从两个机构的16名工作人员收集数据,并通过直接内容分析对数据进行分析。本研究提出了7个实践框架。在上一次新冠肺炎疫情中,①外部动机的内在化、②理解偏好和价值、③基于信任的密切沟通三个因素顺利实施,而④领域、⑤因果代理、⑥提供信息和选择、⑦提供足够的时间等策略没有得到很好的利用。根据研究结果,我们提出了以下政策建议。首先,有必要建立一个能够支持老年人自决的制度。其次,应该创造一个友好的文化和环境,以便护理机构能够更积极地工作。还有人强调,当存在与自决相冲突的价值观时,需要有一个积极讨论基线的地方。
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引用次数: 0
The Relationship between Social Activity and Emotional Well-Being by Age Group: The Moderating Effect of Technology Literacy 社会活动与情绪幸福感的关系:科技素养的调节作用
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.687
S. Um, S. Ban, Na-young You, H. Shin, Young-sun Kim, Ki-myung Han, A. Wajahat
This study verified the moderating effect of technology literacy on the relationship between social activities and the emotional well-being of the middle-aged, young-old, and old-old groups. To this end, we conducted the 「2019 Technology Adoption Study of Middle-aged and Older Koreans(TASK)」. We collected data from 500 community-dwelling Koreans aged 55 years and older. After that, performed analysis of variance(ANOVA) and controlled regression analysis by dividing the age group into 247 middle-aged(55-64 years old), 140 young-old groups(65-74 years old), and 113 old-old groups(75 years or older). As a result, in the case of middle-aged and young-old groups, social activity and technology literacy had a significant effect on emotional well-being. The middle-aged found technology literacy to have a moderating effect. However, the case of the old-old group found that social activities did not have a statistical relationship with emotional well-being. Therefore, this study expanded the academic discussion by examining the effects of social activities on the emotional well-being of middle-aged, young-old, and old-old. In particular, the practical and policy implications of promoting a high level of emotional well-being by enhancing technology literacy for middle-aged people and maximizing the positive impact of social activities on emotional well-being were proposed.
本研究验证了技术素养对中青年、老年和老年群体社会活动与情感幸福感关系的调节作用。为此,我们进行了“2019年韩国中老年人技术采用研究”(TASK)。我们收集了500名55岁及以上居住在社区的韩国人的数据。之后,进行方差分析(ANOVA)和对照回归分析,将年龄组分为247个中年组(55-64岁)、140个年轻-老年组(65-74岁)和113个老年组(75岁或以上)。因此,在中青年老年群体中,社会活动和技术素养对情绪健康有显著影响。中年人发现技术素养具有调节作用。然而,老年群体的案例发现,社交活动与情绪幸福感没有统计学关系。因此,本研究通过考察社会活动对中青年、老年人和老年人情感幸福感的影响,扩大了学术讨论的范围。特别是,提出了通过提高中年人的技术素养和最大限度地发挥社会活动对情感幸福的积极影响来促进高水平情感幸福的实际和政策意义。
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引用次数: 0
Aging and Life Satisfaction: Focusing on Gender Difference 老龄化与生活满意度:关注性别差异
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.463
Young Bum Kim
This study aimed to empirically analyze whether people engaged more in social activities that provided positive emotion as they aged, and whether age mediated by social activity participation showed indirect effect on life satisfaction. In this study, we focused on whether social activities mediating effect of age were different by gender, paying particular attention to social role theory of gender difference. The data used for the analysis were from the 2016 Chuncheon Area Senior Citizen Survey, which was collected from 65-year or over elderly living in the Chuncheon area. Out of a sample of 1,000, 911 cases were included in the analysis after excluding cases elderly aged 85 or over or having no children. This study utilized a path analysis model to analyze the indirect effect of age mediated with various social activities participation on life satisfaction. The main findings were as follows. In the women sample, the direct effect of age on life satisfaction was not significant, but participation in leisure activities and contact with children and friends and neighbors were significantly associated with life satisfaction. In addition, the indirect effects of age mediated by various social activities were not significant. Second, in men sample, the direct effect of age on life satisfaction was not significant, but participation in leisure activities and contact with friends and neighbors were significantly related to life satisfaction. In addition, the indirect effect of age mediated by participation in leisure activities was significant.
本研究旨在实证分析随着年龄的增长,人们是否会更多地参与提供积极情绪的社会活动,以及年龄对社会活动参与的间接影响是否对生活满意度有影响。在本研究中,我们关注社会活动的年龄中介效应是否因性别而异,特别关注性别差异的社会角色理论。分析所用的数据是以春川地区65岁以上老人为对象进行的“2016春川地区老人调查”。在1000个样本中,剔除85岁以上或无子女的病例后,纳入了911例分析。本研究采用通径分析模型,分析年龄对各种社会活动参与对生活满意度的间接影响。主要研究结果如下:在女性样本中,年龄对生活满意度的直接影响并不显著,但参与休闲活动、与孩子、朋友和邻居的接触与生活满意度显著相关。此外,各种社会活动介导的年龄间接效应不显著。第二,在男性样本中,年龄对生活满意度的直接影响不显著,但参与休闲活动和与朋友和邻居的联系与生活满意度显著相关。此外,年龄参与休闲活动的间接中介效应显著。
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引用次数: 0
Mediating Effect of Job Satisfaction and Job Burnout between Organizational Justice and Turnover Intention of Social Workers in Senior Employment Agencies 组织公平与高级职业介绍所社工离职意愿之间工作满意度和工作倦怠的中介作用
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.421
Byoungho Lee
The study purpose is analyzing the relationship between organizational justice and turnover intention and the mediating effect of job satisfaction and job burnout of social workers in senior employment agencies. A survey was conducted on 248 social workers of 26 agencies in Daejeon and Chungcheong provinces. The main analysis methods are confirmatory factor analysis/structural equation modeling. The analysis results are as follows: Firstly, all the paths between the main variables of this study are significant. Secondly, it is analyzed that the mediating effect of job satisfaction and job burnout is significant in the relationship between organizational justice and turnover intention of social workers in the agency. Based on the analysis results, practical measures to reduce social workers’ turnover intention and to effectively promote the senior employment and social activity support programme are as follows: Firstly, to increase organizational justice, it is necessary to reduce the ratio of non-regular workers, involve social workers in organizational decision-making, and form organizational culture of smooth communication. Secondly, for improving job satisfaction, it is desirable to strengthen ethical awareness, support for self-development, and support for emotional labor. Thirdly, it is important to provide appropriate supervision and operate a family-friendly institution to alleviate job burnout. I hope that researches on field measures to decrease the turnover intention of the workforce of the senior employment agency will continue.
本研究旨在分析组织公平与离职意愿之间的关系,以及高级职业介绍所社会工作者工作满意度与工作倦怠的中介作用。对大田和忠清两省26个机构的248名社会工作者进行了调查。主要的分析方法是验证性因素分析/结构方程建模。分析结果如下:首先,本研究的主要变量之间的所有路径都是显著的。其次,分析了工作满意度和工作倦怠在组织公平与社会工作者离职意愿之间的中介作用。基于分析结果,降低社会工作者离职意愿并有效推进高级就业和社会活动支持计划的实际措施如下:首先,为了提高组织公正性,有必要降低非正规工作者的比例,让社会工作者参与组织决策,形成沟通顺畅的组织文化。其次,为了提高工作满意度,需要加强道德意识、对自我发展的支持和对情感劳动的支持。第三,重要的是提供适当的监督和运营一个有利于家庭的机构,以缓解工作倦怠。我希望有关降低高级职业介绍所员工离职意愿的实地措施的研究能够继续下去。
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引用次数: 0
Comparison of Dementia Care Needs of Caregivers : Focused on Incheon Metropolitan City 照顾者老年痴呆护理需求比较:以仁川市为例
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.441
Kyung A Won, M. Jeon, Da Hae Kwon, Ju Young Sim, Ji Eun Sim, Se Hee Yun, Hyun Sook Lee, Seung-Hee Na, Hoon Jae Lee, Sung-Woo Chung
The purpose of this study was to find out the care needs of caregivers of people with dementia according to the characteristics of Incheon Metropolitan City. A survey was conducted on 500 caregivers of people with dementia living in Incheon, and the results were analyzed using the SPSS program. As a result of the analysis, among the 24 types of dementia patients and caregivers support services, the need for 'a hospital that can be used in case of an emergency' was the highest, and when the 24 support services were reclassified into 7 areas and analyzed, the need for the ‘Information support’ area was the highest. In addition, the needs for dementia care varies by characteristics of Incheon(by dementia severity, by urban⋅island region, by Local Dementia Center registration⋅non-registration), indicating that it is necessary to establish an Incheon dementia management system in accordance with the characteristics of Incheon and the dementia care needs. So, the results of this study can be used as evidence when establishing policies related to dementia support services to be provided to dementia patients and their caregivers living in Incheon.
本研究的目的是根据仁川广域市的特点,了解痴呆症患者护理人员的护理需求。对居住在仁川的500名痴呆症患者的护理人员进行了调查,并使用SPSS程序对结果进行了分析。分析结果显示,在24种类型的痴呆症患者和护理人员支持服务中,对“紧急情况下可以使用的医院”的需求最高,当将24种支持服务重新分类为7个领域并进行分析时,对“信息支持”领域的需求最高。此外,对痴呆症护理的需求因仁川的特点而不同(按痴呆症严重程度、按城市·岛屿地区、按当地痴呆症中心注册·非注册),这表明有必要根据仁川的特征和痴呆症护理需求建立仁川痴呆症管理系统。因此,在制定向居住在仁川的痴呆症患者及其护理人员提供痴呆症支持服务的相关政策时,这项研究的结果可以作为证据。
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引用次数: 0
Influence of Empathy on the Elderly, Resilience and Person-centered Nursing on Nursing Service Quality of Nurses Working inIntegrated Nursing Care Service (INCS) Unit 老年人共情、弹性和以人为本的护理对综合护理服务(INCS)单位护士护理服务质量的影响
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.629
J. Yu, Ju Young Park
The purpose of study is a descriptive investigation study to identify the impact of empathy, resilience, and person-centered nursing on integrated nurse care service (INCS) unit nurses’ self-recognized nursing service quality. The subjects was analyzed using frequency, percentage, mean, standard deviation, Mann-Whitney U test, Kruskal-Wallis H test, Pearson correlation, and Hierarchical regression regression analysis with the SPSS/WIN 28.0 program. There were significant relationships between nursing service quality and empathy (r=.54, p<.001), resilience (r=.59, p<.001), person-centered nursing (r=.61, p<.001). Hierarchical regression analysis showed that the factors influencing nursing service quality were person-centered nursing (β=.53, p<.001) and resilience (β=.27 p<.001) in this study. In order to increase the nursing service quality of nurses working in integrated nurse care service (INCS) units, person-centered nursing and resilience have been identified as significant factors. Therefore, it is necessary to educate nurses on competency development so that nurses working in integrated nurse care service (INCS) units can perform person-centered nursing. In addition, a program to improve the ability to cope with stress and crisis situations should be prepared for nurses working in integrated nurse care service (INCS) units.
本研究的目的是进行描述性调查研究,以确定移情、弹性和以人为中心的护理对综合护理服务(INCS)单位护士自我认可的护理服务质量的影响。受试者采用频率、百分比、平均值、标准差、Mann-Whitney U检验、Kruskal-Wallis H检验、Pearson相关和SPSS/WIN 28.0程序进行分层回归分析。护理服务质量与同理心(r=.54,p<0.01)、弹性(r=.59,p<0.01)和以人为中心的护理(r=.61,p<0.01)之间存在显著关系。分层回归分析表明,本研究中影响护理服务质量的因素是以人为中心护理(β=.53,p<0.01)及弹性(β=.27,p<0.01)。为了提高综合护理服务(INCS)单位护士的护理服务质量,以人为中心的护理和应变能力已被确定为重要因素。因此,有必要对护士进行能力发展教育,使综合护理服务单位的护士能够进行以人为本的护理。此外,应为在综合护士护理服务单位工作的护士制定一项提高应对压力和危机情况能力的计划。
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引用次数: 0
Grandparenting and Family Relationship Satisfaction in Middle-Aged and Older Couples: Focusing on the Interdependence of the Marital System 赡养与中老年夫妻家庭关系满意度:以婚姻制度相互依赖为中心
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.643
Kyuyoung Cho
Grandparenting is a multifaceted activity that not only links multigenerational family relationships but also directly affects the system of middle-aged and older couples. However, there is a lack of studies on the interdependence of marital relationships among grandparents who serve as caregivers of grandchildren. Therefore, this study aims to investigate the interdependence of the effects of grandparenting on family relationship satisfaction among middle-aged and older couples. Using 1-2 Korean Retirement and Income study, this study analyzed actor-partner interdependence model within a sample of 1,309 grandparents (563 middle-aged couples, 746 older adult couples). In the case of middle-aged grandparents, the grandfather’s actor effect was found in the relationship between grandparenting and family relationship satisfaction. On the other hand, in the case of older grandparents, the grandmother’s partner effect was found in the relationship between grandparenting and family relationship satisfaction. This study highlights the complex dynamics of grandparenting in marital systems, considering both gender and life stage differences. These findings contribute to a better understanding of the impact of grandparenting on marital relationships.
祖父母抚养是一项多方面的活动,它不仅联系着几代人的家庭关系,而且直接影响到中老年夫妇的制度。然而,对于作为孙辈照顾者的祖父母之间的婚姻关系的相互依赖,缺乏研究。因此,本研究旨在探讨祖父母教养对中老年夫妻家庭关系满意度的相互依存关系。本研究采用1-2项韩国退休与收入研究,对1309名祖父母(563对中年夫妇,746对老年夫妇)的行为者-伴侣相互依赖模型进行了分析。在中年祖父母的情况下,祖父母养育与家庭关系满意度的关系存在祖父的演员效应。另一方面,在祖父母年龄较大的情况下,祖父母养育与家庭关系满意度的关系中发现了祖母的伴侣效应。考虑到性别和生活阶段的差异,这项研究强调了婚姻系统中祖父母养育的复杂动态。这些发现有助于更好地理解祖父母对婚姻关系的影响。
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引用次数: 0
Development and Validation of the Life Skills Scale for Older adults 老年人生活技能量表的编制与验证
Pub Date : 2023-08-31 DOI: 10.31888/jkgs.2023.43.4.657
Hyojung Kwon, Sungho Kwon, Doheung Lee
The purpose of this research is the construct of life skills for older adults was established after the overall perception of life skills required in the daily life of older adults were explored, and then life skills necessary in late life was presented as an integrated model through a complex dimension of physical, psychological, and social aspects. After establishing the construct, a tool for measuring life skills for older adults was ultimately developed. In-depth interviews were conducted with 17 older adults aged between 65~84 to understand their experiences and perceptions regarding life skills for older adults. Also, an open-ended survey was conducted on 91 older adults participants to gather various opinions. Through inductive analysis, the construct of life skills for older adults was established with five factors: physical activity performance skills, daily self-efficacy skills, adaptation and acceptance skills, participation skills in social activities, and engagement skills in digital society. Preliminary questions were developed based on the details and construct of life skills for older adults established, of which 35 questions of 5 factors were selected through evaluating content validity. The goodness-of-it of the items and the possibility of using factor analysis were confirmed through data collected in the survey. 23 questions of 5 factors were finally determined to measure the life skills for older adults through confirmatory factor analysis. Convergent validity and discriminant validity were checked to verify that the final 23 questions accurately measured the variable’s construct. Concurrent validity, cross validity, the equivalence between groups based on gender were additionally checked to confirm validity. The life skills scale for older adults developed through this study is a tool which evaluates the level of life skills for older adults in the physical, psychological, and social aspects. It not only provides useful information in predicting increase in quality of life in late life, but also can be used in future studies which focus on researching relations between variables regarding psychosocial factors of older adults.
本研究的目的是在探索老年人日常生活所需生活技能的整体感知后,建立老年人生活技能的结构,并通过生理、心理和社会的复杂维度将老年人晚年生活所需生活技能作为一个综合模型呈现出来。在建立了这个结构之后,一个衡量老年人生活技能的工具最终被开发出来。对17位年龄在65~84岁的老年人进行了深度访谈,了解他们对老年人生活技能的经验和看法。此外,还对91名老年人进行了开放式调查,收集了各种意见。通过归纳分析,构建了老年人生活技能的五个因素:身体活动表现技能、日常自我效能技能、适应与接纳技能、社会活动参与技能、数字社会参与技能。在建立老年人生活技能的细节和结构的基础上编制初步问题,通过评估内容效度筛选出5个因素的35个问题。通过调查收集的数据,确认了项目的优点和使用因子分析的可能性。通过验证性因素分析,最终确定5个因素共23个问题来衡量老年人的生活技能。检验了收敛效度和区别效度,以验证最终的23个问题准确地测量了变量的结构。另外通过并发效度、交叉效度、基于性别的组间等效性来确认效度。通过本研究开发的老年人生活技能量表是一种评估老年人在身体、心理和社会方面生活技能水平的工具。它不仅为预测晚年生活质量的提高提供了有用的信息,而且可以用于未来研究老年人社会心理因素变量之间关系的研究。
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引用次数: 0
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Han'guk nonyonhak = Journal of Korea Gerontological Society
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