Factors Predicting Health-Promoting Behaviors in Delaying Health Deterioration among the Community-Dwelling Older People in Samut Prakan Province
DOI:
https://doi.org/10.60099/jtnmc.v39i04.270015Keywords:
health-promoting behaviors, delaying health deterioration , older peopleAbstract
Introduction Older people experience normal changes in the aging process that lead to health deterioration. Although this health deterioration is unavoidable, it can be prevented and delayed through health-promoting behaviors. Examining factors predicting health-promoting behaviors in delaying health deterioration is therefore important to plan for the proper care of older adults.
Objective To investigate factors predicting health-promoting behaviors that delay the health deterioration in older people
Design This study employed correlational predictive design.
Methodology The participants comprised 148 older people aged 60 to 74 years residing in Samut Prakan province. Systematic random sampling was used. The sample size was determined according to power analysis. The research instruments included questionnaires on factors affecting health-promoting behaviors, and health-promoting behavior in delaying health deterioration. The reliability was tested, obtaining Cronbach alpha coefficients of .86 and .84, respectively. The data were collected from October-December 2023 using self-administration and structured interviews. Data were then analyzed using descriptive statistics and stepwise multiple regression analysis.
Results The majority of participants were female (63.51%), with an average age of 66.63 years (SD = 4.74, Min-Max = 60-74). Most of them had a health problem (75.00%) and a caregiver (73.65%). Factors predicting health-promoting behaviors in delaying health deterioration included perceived self-efficacy (β = .392, p < .01) and situation influences (β = .332, p < .01) that could together predict a 39.00% variance of health-promoting behaviors in delaying health deterioration. Perceived self-efficacy could explain the participants’ highest variance of health promotion behaviors.
Recommendation Nurses and the healthcare team should promote perceived self-efficacy and situational influences, increasing health-promoting behaviors and delaying health deterioration among older adults.
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