摘要
[目的]了解居家不出高龄老人的孤独情绪及其衰弱、失能、支持系统和人生观对其的影响,为采取应对措施提供依据。[方法]于2016年7月—2017年1月,采取分层随机整群抽样方法选取河北省唐山市2所医院的10个社区卫生服务中心辖区≥75岁老年人,采用UCLA孤独量表、The CFAI衰弱综合评估工具、日常活动能力量表进行评测。[结果]居家不出高龄老人孤独感得分为(42.23±10.38)分,中等及以上孤独者占73.5%,失能率100.0%,衰弱率86.2%;多因素分析显示自觉生活总体幸福度、衰弱程度、失能程度、与子女关系、与子女交流、与邻里交往频率、与亲朋好友来往频率是居家不出高龄老人孤独情绪的影响因素。[结论]居家不出高龄老人孤独情绪较高,影响因素复杂,应加强支持体系的构建,改善失能与衰弱,以积极乐观的心态应对衰老。
Objective:To understand the influence of loneliness,frailty,disability,support system and outlook on life of the housebound older senior,and to provide the basis for taking countermeasures.Methods:From July 2016 to January 2017,the elderly people aged 75 and over were selected by stratified random cluster sampling method from 10 community health service centers in Tangshan city.They were investigated by the University of California at Los Angeles(UCLA)Loneliness Scale,The Comprehensive Frailty Assessment Instrument(CFAI)and the Daily Living Ability Scale.Results:The loneliness score of the housebound older senior was(42.23±10.38),73.5%of them felt lonely at middle level or above.Disability rate was 100.0%,frailty rate was 86.2%.Multivariate analysis showed that the overall happiness,frailty,disability,relationship with children,communication with children,communication frequency with neighbors,communication frequency with friends and families were the influencing factors of loneliness,the difference was statistically significant(P<0.05).Conclusions:The housebound older senior had high loneliness,complicated influencing factors.They should strengthen the construction of the support system,improve disability and frailty,and deal with aging with a positive and optimistic attitude.
作者
刘学明
陈长香
杨秀兰
Liu Xueming;Chen Changxiang;Yang Xiulan(Tangshan Gongren Hospital,Hebei 063000 China)
出处
《护理研究》
北大核心
2018年第20期3203-3206,共4页
Chinese Nursing Research
基金
国家社科基金项目
编号:16BRK028
关键词
居家不出
高龄老人
孤独
衰弱
失能
支持体系
影响因素
housebound
older senior
loneliness
frailty
disability
support system
influencing factor
