探讨孤独,主观认知衰退和老年泰国成年人的生活质量之间的关联:一个融合的并行混合方法研究

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Panawat Sanprakhon¹, Wachira Suriyawong², Orranuch Chusri¹

¹Faculty of Nursing, Suan Dusit University, Bangkok, Thailand.

Journal of applied gerontology : the official journal of the Southern Gerontological Society

|May 14, 2024

概括

孤独对患有临床前痴呆症的老年人的生活质量产生重大影响,这种影响是由主观认知能力下降所介导的. 这种效应在患有慢性疾病的人群中被放大,突出了干预的关键领域.

科学领域:

老年学和认知健康
老龄化心理学的心理学
公共卫生和痴呆症护理

背景情况:

主观认知衰退 (SCD) 是老年人痴呆症的新兴早期指标.
了解影响临床前痴呆症生活质量 (QoL) 的因素对于及时干预至关重要.
孤独是老年人中普遍存在的问题,可能会影响认知健康和福祉.

研究的目的:

研究孤独,主观认知衰退 (SCD) 和临床前痴呆症患者的生活质量 (QoL) 之间的关系.
探索SCD在孤独与QOL之间的关联中扮演的调解角色.
检查慢性疾病对SCD-QoL关系的潜在缓解影响.

主要方法:

融合的并行混合方法方法,结合定量和定性数据.
量化分析涉及结构方程建模 (SEM) 在149名老年人的队列.
通过聚焦小组讨论和与23名老年人进行半结构面试,收集了定性数据.

主要成果:

孤独表明对SCD介导的QoL有显著的部分间接影响 (间接影响 = -0.145,p = .006).
在患有并存慢性疾病的个体中,SCD对 QoL 的负面影响显著增加 (△χ2 = 6.139,p = .013).
定性发现强调了孤独,SCD和QOL之间的复杂相互作用,强调孤独是关键因素.

结论:

孤独是影响临床前痴呆症QOL的关键因素,SCD作为一个重要的调解者.
慢性疾病的存在加剧了SCD对QoL的有害影响,表明一个脆弱的子组.
针对孤独和管理慢性疾病的干预措施可能会改善SCD的老年人中的QoL.

关键词:

一个人的孤独感.它具有调解效果的作用.混合方法混合方法.人们的生活质量.主观认知衰退主观认知衰退

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