摘要
目的探讨太原市养老机构老年人的述情障碍状况并分析其影响因素。方法采用便利抽样法,选取216名居住于太原市6所养老机构的老年人为研究对象,应用一般资料调查表、多伦多述情障碍量表和Barthel指数评定量表进行调查。结果调查对象述情障碍的发生率为31.01%,总分为(57.03±5.51)分,主要表现为外向型思维和识别情感障碍。多元线性回归结果显示,养老机构老年人的年龄、文化程度、患病种类、日常活动能力、参加集体活动频率和亲友探望频率是影响其发生述情障碍的主要因素(P<0.05)。结论养老机构老年人述情障碍的发生率较高且程度较为严重,护理人员应基于对患者的综合评估,从患者、疾病和社会支持角度,以提高患者的情感认知能力、疾病管理能力和社会适应能力为目的,实施述情障碍的干预措施。
Objective To investigate the level and influencing factors of alexithymia among institutionalized older people in Taiyuan. Methods Using convenience sampling method,totally 216 elderly residents from 6 nursing homes in Taiyuan were investigated with general information questionnaire,Toronto Alexithymia Scale （TAS-20） and Barthel Index Scale（BI）. Results The score of TAS-20 was 57.03~5.51 ,and 31.01% of institutionalized older people reported alexithymia. Multiple logistic regression showed that age,educational level,multi-morbidity,ADL,frequeney of participation in group activities and number of friends and relatives visits were major influencing factors （P〈0.05）. Conclusion The prevalence of alexithymia is high among institutionalized older people and the situation is severe. Nurses should conduct interventions for alexithymia according to results of comprehensive assessment,fo- cusing on patients,disease and social support,with the goals of improving patients＇ emotional cognitive ability,disease management ability and social adaptability.
作者
徐凤麟
孙建萍
吴红霞
牛桂芳
贾敏敏
胡梦娇
XU Fenglin;SUN Jianping;WU Hongxia;NIU Guifang;JIA Minmin;HU Mengjiao
出处
《中华护理杂志》
CSCD
北大核心
2018年第8期990-995,共6页
Chinese Journal of Nursing
基金
山西省中医药管理局科研课题(2016ZYYC09)
山西省软科学研究计划一般项目(20170413039-3)
关键词
养老机构
老年人
述情障碍
影响因素分析
Long-term Care Facilities
Aged
Alexithymia
Root Cause Analysis
