ปัจจัยที่มีอิทธิพลต่อพฤติกรรมลดความเสี่ยงต่อการเกิดภาวะสมองเสื่อมในผู้สูงอายุในเขตกรุงเทพมหานคร

ศิรินภา ฉัตรเงิน; อุไรวรรณ ชัยชนะวิโรจน์; อุมาพร ห่านรุ่งชโรทร

Authors

ศิรินภา ฉัตรเงิน โรงพยาบาลภูมิพลอดุลยเดช จังหวัดกรุงเทพมหานคร
อุไรวรรณ ชัยชนะวิโรจน์ ภาควิชาพยาบาลศาสตร์ คณะพยาบาลศาสตร์ มหาวิทยาลัยนเรศวร
อุมาพร ห่านรุ่งชโรทร ภาควิชาพยาบาลศาสตร์ คณะพยาบาลศาสตร์ มหาวิทยาลัยนเรศวร

Keywords:

dementia risk-reducing behaviors, dementia, older Adult

Abstract

The purpose of this study was to examine factors affecting dementia risk-reducing behaviors among older adults in Bangkok. This study included 374 older adult by using multi-stage sampling method. The instruments included the dementia risk-reducing behaviors questionnaires and the health belief questionnaires consisting of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cue to action dementia risk-reducing behaviors. Content validity index of the questionnaires were 0.94, 0.88, 0.88, 0.86, 1.00 and 1.00, respectively. Reliability (Chronbach’s alpha coefficient) were 0.72, 0.71, 0.77, 0.89, 0.89 and 0.79, respectively. Data were analyzed using descriptive statistics and multiple regression with enter method.

The results revealed that the older adult sample had dementia risk-reducing behaviors at high level (Mean = 3.63, S.D. = 0.50). Factors affecting dementia risk reducing behaviors in older adult included cue to action (β =.27, t = 4.26, p<.001), female (β = .24, t = 4.58, p < .001, perceived susceptibility of dementia (β = .17, t = 2.42, p < .05), number of chronic diseases (β = .15, t = 2.91, p < .01), and age (β = .12, t = 2.39, p < .05). Independent factors significantly explain 18% of variance in dementia risk-reducing behaviors (R₂ = .18, p < .001).

Downloads

Download data is not yet available.

References

Aekplakorn, W. (2009). Thai National Health Examination Survey, NHES IV 2008-09. Nonthaburi: 2nd ed. Bangkok: Union Creation. The Graphico Systems.

Alzheimer’s Association. (2016). Alzheimer’s Disease Facts and Figures. Alzheimer’s & Dementia 2016. Retrieve from http://www.alz.org/documents_custom/2016-facts-and-figures.pdf

Alzheimer ’s Disease International, and Alzheimer’s Australia. (2014). Dementia in the Asia Pacific Region. Alzheimer’s Disease International, London.

Assantachai, P. (2011). Common Health Problems in Older Adulths. Callahan, C. M., Unverzagt, F. W., Hui, S. L.,
Perkins, A. J., & Hendrie, H. C. (2002). Six-item screener to identify cognitive impairment among potential subjects for clinical research. Medical Care, 40(9), 771-781.

Changmai, N. (2013). Factors Related to Health Promotion of the Elderly in Bangraknoy Subdistrict, Mueang District, Nonthaburi Province. Master of Science (Health Education). Kasetsart University.

Dhalwani, N. N., O’Donovan, G., Zaccardi, F., Hamer, M., Yates, T., & Davies, M. (2016). Long terms trends of multimorbidity and association with physical activity in older English population. International Journal of Behavioral Nutrition and Physical Activity, 13(8), 1-9.

Jisabai, J. (2010). Self-Care Behavior and Quality of Life of the Elderly People in the Elderly People Club,Bangkoknoi District Bangkok Matropolitan. Master of Science Degree in Health. Srinakharinwirot University.

Joychoo, N., Pinyopasakul, W., & Chareonkitkarn, V. (2014). Relationships among Age, Perceived Benefits of Health Behaviors, Perceived Barriers of Health Behaviors and Health Behaviors in Patients with Ischemic Stroke. Ramathibodi Nursing Journal, 20(2), 263-248.

Keawwandee, K., Siriswang, W., & Katunya, G. (2015). Factors Related to Self-care Behaviors in Hypertensive Risk Groups from Nongyoung. Proceedings of the 15 th Graduate Studies of Northern Rajabhat University Netwark Conference (pp.13-23) Naknonsawan: Naknonsawan Rajabhat University.

Kostka, J., Kostka, T., & Borowiak, E. (2017). Physical Activity in Older Adults in Relation to Place of Residence and Coexistent Chronic Diseases. Journal of Physical Activity and Health, 14(1), 20-28.

Limpawattana, P. (2011). Preventive Strategies of Dementia. North-Eastern Journal of Neuroscience, 6(3), 16-23.

Muangpaisan, W. (2013). Dementia: Prevention, Assessment and Care. 1st ed. Bangkok: Parbpim Printing.

Maunmee, W. (2014). Factors Influencing Preventive Behaviors for Cerebrovascular Disease among Hypertensive Patients in BangraKam District, Phitsanulok Province. Master of Nursing Science in Community Nurse Practitioner. Naresuan University.

National Statistical Office. (2014). Eldery in Thailand Survey 2014. Bangkok: Text and Journal Publication.

Rosenstock, I. M. (1974). Historical Origins of the Health Belief Model. In M. H. Becker, (Ed.), The Health Belief Model and Personal Health Behavior (pp. 1-8). Thorofare, NJ: C.B. Slack.

Srisathitnarakul, B. (2010). The Methodology in Nursing Research. 5th ed. Bangkok: You and I Intermedia.

Strategy end Evaluation Department. (2015). Bangkok Statistics 2015. Retrieved from http://www. bangkok.go.th/upload/user/statistic/stat%202558(thai).pdf.

Sujamnong, S., Therawiwat, M., & Imamee, N. (2013). Factor Related to Self- Management of Hypertensive Patients, Taladkwan District Health Promoting Hospital, Nonthaburi Province. Journal of Boromrajonani College of Nursing, Bangkok, 29(2), 20-30.