社区老年人社会隔离及抑郁孤独与生活质量的关系
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女,硕士在读,学生

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2018年山东省研究生教育优质课程项目(SDYKC18052)


Relationships among social isolation, depression, loneliness and quality of life in the community-dwelling elderly
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    目的 探讨社区老年人社会隔离、抑郁孤独负性情绪与生活质量的关系,并分析抑郁孤独负性情绪在社会隔离与生活质量间的中介作用。 方法 采用Lubben社会网络量表-6、老年抑郁量表、孤独感量表及简明健康状况量表对592名社区老年人进行调查。 结果 社区老年人社会隔离、抑郁、孤独及生活质量得分依次为(14.95±4.58)、(5.19±3.13)、(42.06±8.53)和(113.02±10.56)分。社会隔离得分与抑郁和孤独呈负相关,与生活质量呈正相关;抑郁和孤独与生活质量呈负相关(均P<0.01)。社会隔离可直接影响生活质量(β=0.558),还可通过抑郁、孤独的部分中介作用间接影响生活质量(β=0.367);抑郁和孤独的中介效应分别占总效应的24.86%和14.81%。 结论 社区老年人社会隔离风险较高。社会隔离可直接影响或通过抑郁、孤独负性情绪间接影响老年人生活质量,应促进老年人积极融入社会,从而改善其负性情绪,提高生活质量。

    Abstract:

    Objective To explore the relationships among social isolation, depression, loneliness negative feelings and quality of life in the community-dwelling elderly, and to further analyze the mediating effects of depression and loneliness on the relationship between social isolation and quality of life. Methods A total of 592 community-dwelling older adults were investigated using the Lubben Social Network Scale-6, Geriatric Depression Scale, UCLA Loneliness Scale and the 36-item Short Form Health Survey Scale. Results The score of social isolation, depression, loneliness and quality of life of the community-dwelling elderly was 14.95±4.58, 5.19±3.13, 42.06±8.53 and 113.02±10.56 respectively.The score of social isolation was negatively correlated with the score of depression and loneliness, and was positively associated with quality of life score, while the score of depression and loneliness were negatively correlated with quality of life score (P<0.01 for all). Social isolation could affect quality of life directly (β=0.558), it could also influence quality of life indirectly through the partial mediating roles of depression and loneliness (β=0.367). The mediating effects of depression and loneliness accounted for 24.86% and 14.81% of the total effects respectively. Conclusion The risk of social isolation in the community-dwelling elderly is high.Social isolation could influence quality of life of the elderly directly or indirectly through the negative feelings of depression and loneliness.It is necessary to promote the active integration of the elderly into society, so as to improve their negative feelings and quality of life.

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赵迪,赵梦璐,王娜,付明晶,王爱敏.社区老年人社会隔离及抑郁孤独与生活质量的关系[J].护理学杂志,2020,35(15):92-95

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  • 收稿日期:2020-03-20
  • 最后修改日期:2020-05-16
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  • 在线发布日期: 2022-09-06