台湾长期护理机构中老年人的尊严及相关因素:一项跨部门研究
Yu-Chi Li1, Yi-Shin Lin2, Shu-Ching Ma3,4
1School of Nursing, College of Nursing, Medical University, Kaohsiung, Taiwan.
The journal of nursing research : JNR
|March 10, 2026
概括
长期护理的老年人有较少的孩子,高等教育,较低的日常生活能力或抑郁症,体验到更低的尊严. 护理人员必须优先考虑为这些弱势群体提供体面的护理.
科学领域:
- 老年学是一门学科.
- 医疗保健的质量 医疗保健的质量
- 患者的福祉 患者的福祉
背景情况:
- 全球人口正在老龄化,长期护理 (LTC) 的老年人数也在增加.
- 老龄化,依赖和心理问题会对LTC居民的尊严产生负面影响.
- 了解影响尊严的因素对于改善护理质量至关重要.
研究的目的:
- 调查影响LTC居民尊严的因素.
- 确定LTC中老年人中低自我认知的尊严的发生率.
- 确定特定的人口和健康相关的尊严预测因素.
主要方法:
- 在台湾南部的七个LTC机构中对188名老年人的横截面描述性研究 (2022年4月至12月).
- 数据通过结构化问卷收集,包括人口统计,巴特尔指数,患者尊严清单和患者健康问卷-9.
- 统计分析包括t测试,ANOVA,皮尔森相关性和二进制物流回归.
主要成果:
- 尊严与婚姻状况,孩子数量,教育,慢性疾病,日常生活活动 (ADL),依赖,流动性,导管使用和抑郁症有显著的相关性.
- 较少或没有孩子,高等教育,较低的ADL,抑郁症和无法走路与低自我认知的尊严有关.
- 抑郁症 (OR=6.025) 和较少的孩子 (OR=0.652) 是低尊严的重要预测因素.
结论:
- 在LTC中的老年人,社会支持有限 (孩子少),高等教育,功能下降 (较低的ADL,不移动) 和抑郁症有较高的低尊严风险.
- 在LTC环境中,医疗保健专业人员必须加强努力,提供体面的护理.
- 干预措施应解决抑郁症和社会支持等心理社会因素,以促进LTC居民的尊严.
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