首页|养老机构失能老年人自我忽视现状及影响因素分析

养老机构失能老年人自我忽视现状及影响因素分析

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目的 调查养老机构失能老年人自我忽视现状,探索其影响因素,为医护人员采取措施实现积极老龄化提供参考.方法 便利选取江西省4所养老机构的334名失能老人,采用一般资料调查表、老年人自我忽视评估量表、老年抑郁量表、领悟社会支持量表进行调查,分析其自我忽视的影响因素.结果 养老机构失能老年人自我忽视总分为(29.75±4.77)分.多元线性回归分析显示,年龄、月收入、口服药数量、探望频率、自感健康状况、抑郁症状、失能程度、社会领悟支持为养老机构失能老人自我忽视的影响因素(均P<0.05),可解释自我忽视总变异的43.3%.结论 养老机构失能老年人易发生自我忽视,医护人员应关注高龄、低收入、重度失能、健康状况差、社会支持低的老年人,给予政策支持和心理健康干预,促进积极老龄化.
Current situation and influencing factors of self-neglect in disabled older adults in nursing homes
Objective To comprehend the current situation of self-neglect in disabled older adults in nursing homes,to explore the in-fluencing factors,and to provide a reference for healthcare professionals to take measures to achieve positive aging.Methods A to-tal of 334 disabled older adults were conveniently sampled from 4 nursing homes in Jiangxi Province,and were surveyed with the general information questionnaire,the Scale of Elderly Self-neglect,the Geriatric Depression Scale,and the Perceived Social Sup-port Scale.The factors contributive to self-neglect in disabled older adults were analyzed.Results The total score for self-neglect in the disabled older adults in nursing homes was(29.75±4.77)points.Multiple linear regression analysis showed that age,month-ly income,number of orally administered drugs,frequency of visits,self-perceived health status,depressive symptoms,degree of disability,and social support were influencing factors of self-neglect(all P<0.05),explaining 43.3%of the total variation in self-neglect.Conclusion Disabled older adults in nursing homes are prone to develop self-neglect.Healthcare professionals should pay attention to older adults with an old age,low income,high-degree disability,poor health,and low social support,and give them policy support and mental health interventions,in an effort to promote active aging.

nursing homesolder adultsdisabilityself-neglectperceived social supportmental healthactive aginglong term care

蒋楠、刘炜彬、邹德凤、程淑华

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南昌大学第四附属医院护理部(江西南昌,330003)

南昌大学护理学院

养老机构 老年人 失能 自我忽视 领悟社会支持 心理健康 积极老龄化 长期照护

江西省卫生健康委科技计划项目

202130548

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(20)