住院老年人和他们的家人之间的冲突的风险和保护因素:结构方程建模 (SEM)
Ksenya Shulyaev1,2, Anna Zisberg2,3, Nurit Gur-Yaish2,4
1The Minerva Center of Intersectionality in Aging, University of Haifa, Haifa 3103301, Israel.
Behavioral sciences (Basel, Switzerland)
|April 26, 2025
概括
老年人住院期间的家庭冲突受到支持,照顾和文化背景的影响. 情感上的支持减少了冲突,而工具性护理和更多的访客增加了冲突,尤其对移民来说.
科学领域:
- 老年学是一门学科.
- 社会学 社会学 社会学
- 心理学 心理学 心理学
背景情况:
- 家庭关系对于老年人的福祉至关重要.
- 住院治疗是一个高度压力的场景,可以加剧家庭关系冲突.
- 了解影响冲突的因素对于改善护理至关重要.
研究的目的:
- 确定住院老年人和他们的家人之间的冲突预测因素.
- 检查影响这场冲突的个人,社会和文化因素.
主要方法:
- 使用了结构方程建模 (SEM).
- 这项研究包括在以色列医院接受治疗的573名认知完整的老年人 (65岁以上).
- 分析的因素包括情绪支持,仪器护理,访客人数,照顾者的角色,移民身份和抑郁症状.
主要成果:
- 情感支持减少了冲突;仪器护理,访客数量和配偶作为主要护理人员增加了冲突.
- 前苏联 (FSU) 移民面临更高的冲突风险;以色列阿拉伯人经历了通过工具性护理和访客人数的间接冲突风险.
- 抑郁症状增加了冲突,而日常生活的独立性减少了冲突,通过支持和照顾来调解.
结论:
- 住院期间的冲突是复杂的,受到风险和保护因素的混合影响.
- 社会和文化背景在很大程度上影响了医院环境中的家庭动态.
- 建议针对配偶,辅助照顾者和FSU移民进行有针对性的干预,以减轻冲突.
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