摘要
目的探讨养老机构老年人心理调适与关怀期望落差的关系,分析老年人心理调适的影响因素。方法使用一般资料调查表、养老机构老年人心理调适量表、养老机构老年人关怀行为评价量表以及关怀实际感受量表,采用便利抽样的方法,对广州市4所养老机构中符合标准的195名老年人进行调查。结果养老机构老年人心理调适得分为94.00(80.00,104.00),关怀期望落差得分11.00(3.00,22.00)。养老机构老年人的心理调适与关怀行为实际感受呈正相关,与关怀期望落差呈负相关(均P<0.01)。关怀期望落差、服务满意度、受教育程度、性格类型和自评经济状况是养老机构老年人心理调适的影响因素(P<0.05,P<0.01)。结论养老机构老年人心理调适处于中等偏上水平,老年人主要面临人际关系和情感调适的困扰,存在明显的关怀期望落差。机构护理人员要注意评估和识别心理调适不良者,完善关怀照护中的不足,帮助老年人更好地适应和融入养老机构。
Objective To explore the association of adjustment of nursing home life among elderly residents with discrepancy between expected and de facto care,and to analyze the influencing factors of nursing adjustment.Methods The demographic data questionnaire,the Nursing Home Adjustment Scale(NHAS),the Elderly Residents-Perceived Caring Behaviors Inventory and the Actual Feeling of Caring Behavior Inventory were used to survey 195 elderly residents by convenient sampling method.Results The median total score of NHAS was 94.00(80.00,104.00)points;the median discrepancy score between expected and de facto care stood at 11.00(3.00,22.00).The adjustment to nursing home life among elderly residents was positively correlated with the de facto care they received,while negatively correlated with discrepancy between expected and de facto care(P<0.01 for all).Multiple stepwise regression analysis showed that discrepancy between expected and de facto care,satisfaction with service,education level,character trait and subjective economic status were the influencing factors of adjustment to nursing home life among elderly residents(P<0.05,P<0.01).Conclusion The elderly show a medium to high level of nursing home adjustment.They are facing emotional distress,and relationship development problems,and experiencing apparent disappointment regarding discrepancy between expected and de facto care.Nursing home staff are supposed to assess and identify those with poor adjustment,remediate the inadequacy in humanistic care,and assist the elderly to better adapt themselves to nursing home life.
作者
梁思静
翟惠敏
杨慧杰
刘娟
马海琪
Liang Sijing;Zhai Huimin;Yang Huijie;Liu Juan;Ma Haiqi(School of Nursing,Southern Medical University,Guangzhou 510515,China)
出处
《护理学杂志》
CSCD
北大核心
2022年第8期80-84,共5页
Journal of Nursing Science
基金
广东省大学生创新创业训练计划项目(S202112121121X)。
关键词
老年人
养老机构
关怀期望
关怀行为
关怀感受
期望落差
心理调适
the aged
nursing home
expected care
caring behaviors
feeling of being care
expectation gap
adjustment
