在19个国家的老年人中,社会联系和生命终结结果:基于人口的纵向研究
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Updated: Jun 30, 2025
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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Lara Pivodic1, Lieve Van den Block1, Fedja Pivodic2
1Vrije Universiteit Brussel (VUB) & Ghent University, End-of-Life Care Research Group, Brussels, Belgium; Vrije Universiteit Brussel (VUB), Department of Family Medicine & Chronic Care, Brussels, Belgium.
The lancet. Healthy longevity
|March 15, 2024
概括
在老年人中,社会联系发生显著的变化.
科学领域:
- 老年学是一门学科.
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 社会联系对健康至关重要,但其对生命末期的影响尚不清楚.
- 检查了老年人最后几年的社会联系结构,功能和质量的变化.
- 研究了社会联系对生命末期症状,医疗保健使用和死亡地点的预测作用.
研究的目的:
- 分析接近生命终点的老年人之间的社会联系的演变.
- 为了确定社会联系是否预测了特定的生命终结结果.
- 挑战关于晚年社会关系普遍下降的假设.
主要方法:
- 在18个欧洲国家和以色列,对来自欧洲健康,衰老和退休调查 (SHARE) 的代表性样本进行了纵向分析.
- 包括已故的参与者与代理生命终结访谈,分析来自第4,第6和第7波的数据.
- 采用对对的样本t测试,威尔科克森的签名等级测试,麦克纳马的测试和混合效应的后勤回归.
主要成果:
- 从第4波到第6波,观察到婚姻状况,接受个人照顾,孤独感和情感亲密度的显著变化.
- 晚年孤独感增加预测了患有疼痛,呼吸困难和焦虑等症状的可能性更高.
- 结婚或接受实际帮助与在医院死亡的可能性更高有关.
结论:
- 社会联系在晚年经历了多方面的变化,与简单下降的假设相反.
- 最后几个月的孤独可能是生命末期症状的危险因素.
- 需要进一步的研究来确认因果关系,并开发用于社会联系支持的干预措施.
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