患有2型糖尿病的老年人的社会隔离 - - 一种途径分析
Jing Wang1, Xiaoyan Bai1, Keke Lin1
1School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Frontiers in public health
|August 11, 2025
概括
社会孤立影响了近一半的2型糖尿病 (T2DM) 的老年人. 诸如日常活动,孤独和社会支持等因素显著影响这种孤立,突出了针对性干预的必要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 糖尿病管理 糖尿病管理
背景情况:
- 患有2型糖尿病 (T2DM) 的老年人由于衰老,药物和饮食变化而面临有限的社会互动.
- 与一般老年人群相比,这个人口群体的社会孤立率更高.
- 了解导致这一群体社会孤立的因素,对于制定有效的支持策略至关重要.
研究的目的:
- 分析2型糖尿病的老年人中社会孤立的发生率.
- 确定影响这一群体社会孤立的关键因素.
- 通过结构方程模型探索各种因素和社会隔离之间的关系.
主要方法:
- 一项涉及496名患有T2DM的老年人的横截面研究在北京进行.
- 数据采集使用了卢本社会网络尺度-6和其他相关尺度.
- 使用路径分析来确定不同因素对社会隔离的影响.
主要成果:
- 在被研究的患有T2DM的老年人中,社会孤立的患病率为45.77%.
- 直接相关的因素包括日常生活活动,认知功能,孤独,运动管理,吸烟,社会支持和社会参与.
- 社会参与调解了日常生活活动,孤独,抑郁,糖尿病管理 (饮食,血糖) 和社会支持与社会隔离之间的关系.
结论:
- 在患有T2DM的老年人中,社会孤立非常普遍.
- 日常生活活动,孤独和社会支持是导致社会孤立的直接和间接重要因素.
- 糖尿病自我管理行为和社会参与起着关键的作用,社会参与作为一个关键的中间人,需要集中注意力干预.
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