基于健康信念模型的老年人主动健康管理服务系统设计

宋明亮; 于思琪; 欧阳羽琪; 张路; 路鹏

doi:10.19554/j.cnki.1001-3563.2026.12.009

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包装工程（设计栏目） ›› 2026, Vol. 47 ›› Issue (12) : 114-125. DOI: 10.19554/j.cnki.1001-3563.2026.12.009

工业设计

基于健康信念模型的老年人主动健康管理服务系统设计

宋明亮¹, 于思琪², 欧阳羽琪³, 张路^4,*, 路鹏⁵

作者信息 +

Design of a Proactive Health Management Service System for Older Adults Based on the Health Belief Model

SONG Mingliang¹, YU Siqi², OUYANG Yuqi³, ZHANG Lu^4,*, LU Peng⁵

Author information +

文章历史 +

摘要

目的在健康老龄化战略推进下,针对当前老年人健康管理服务处于“被动管理”模式的局限性,构建以老年人健康行为引导和健康能力提升为核心的主动式健康管理服务系统,推动健康管理模式从疾病干预向能力赋能的转型。方法首先,引入结构方程模型,通过对健康信念模型的构成要素和老年人健康管理行为的分析,明确模型的潜变量及观测变量,构建老年人健康管理行为影响因素模型;其次,通过问卷调查获得数据,运用Amos验证模型并计算路径系数;最后,以路径系数结果为依据给出系统功能的优先级,构建老年人健康管理服务系统功能架构并进行“乐龄悦”APP的设计实践与验证。结果通过实证分析得出,感知益处、自我效能和提示因素对老年人健康管理行为具有显著的正向影响;感知易感性和感知严重性的影响相对较弱;感知障碍对健康管理行为具有显著负向影响。结论基于健康信念模型的实证研究为老年人健康管理服务系统设计提供了理论依据与实践路径,对提升老年人的主动健康管理能力具有重要意义。

Abstract

In the context of advancing healthy aging strategies and addressing the limitations of "passive management" model in older adults health management, the work aims to develop a proactive health management service system centered on guiding health behaviors and enhancing health capabilities among older adults, thereby shifting the health management paradigm from disease intervention to capacity empowerment. Initially, a structural equation model was introduced to identify latent variables and observed variables and construct a model of factors influencing health management behaviors in older adults by analyzing the components of the Health Belief Model and the health management behaviors of older adults. Next, data were collected through questionnaires and AMOS was employed to validate the model and quantify path coefficients. Finally, based on the path coefficient results, system function priorities were established, leading to the development of a functional framework for an older adults health management service system, which was applied in the design and validation of the "JoyAge" APP. Empirical analysis revealed that perceived benefits, self-efficacy, and cues to action had significant positive impacts on health management behaviors among older adults, while perceived susceptibility and perceived severity had relatively weaker effects, and perceived barriers exhibited a significant negative impact on health management behaviors. In conclusion, this empirical study based on the Health Belief Model provides theoretical foundations and practical pathways for designing health management service systems for older adults, offering significant insights into enhancing proactive health management capabilities among older adults.

导出引用1

宋明亮, 于思琪, 欧阳羽琪, 张路, 路鹏. 基于健康信念模型的老年人主动健康管理服务系统设计[J]. 包装工程. 2026, 47(12): 114-125 https://doi.org/10.19554/j.cnki.1001-3563.2026.12.009

SONG Mingliang, YU Siqi, OUYANG Yuqi, ZHANG Lu, LU Peng. Design of a Proactive Health Management Service System for Older Adults Based on the Health Belief Model[J]. Packaging Engineering. 2026, 47(12): 114-125 https://doi.org/10.19554/j.cnki.1001-3563.2026.12.009

中图分类号： TB482

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