von dem Knesebeck O, David K, Bill P, Hikl R
Institut für Medizin-Soziologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg.
Z Gerontol Geriatr. 2006 Apr;39(2):82-9. doi: 10.1007/s00391-006-0368-4.
Based on the Active Ageing Programme of the World Health Organization (WHO), a demonstration project was conducted in a city in North-Rhine Westphalia between October 2002 and December 2004. The aim of the study was to promote an active ageing process, to maintain autonomy and independence among older people, and thereby to promote health and quality of life. The target group included people aged 55 to 80 years. The aim was to include older persons in a critical period of life due to loss of partner within the last five years and people undergoing a status change due to retirement within the last two years. 344 participants were visited at home to assess their health and psychosocial situation and to identify opportunities for activities. Participants were supported in their efforts to realise the agreed-upon activities. In this article results of the external evaluation are presented. It is analysed whether quality of life according to the WHOQOL Bref improves among participants in the course of the project. Results of non-parametric tests show small differences in quality of life between the three waves of interviews (at the beginning of the project, after one year, at the end of the project). This holds true when only those participants are analysed who retired within the last two years. However, quality of life significantly improves among older persons who lost their partner within the last five years. In terms of implementation of the WHO Active Ageing Programme results suggest application of a risk group strategy.
基于世界卫生组织(WHO)的积极老龄化计划,2002年10月至2004年12月期间在北莱茵-威斯特法伦州的一个城市开展了一个示范项目。该研究的目的是促进积极的老龄化进程,维持老年人的自主性和独立性,从而促进健康和生活质量。目标群体包括55至80岁的人群。目标是将在过去五年内失去伴侣且处于人生关键时期的老年人以及在过去两年内由于退休而经历身份转变的人纳入其中。研究人员到344名参与者家中走访,评估他们的健康和心理社会状况,并确定活动机会。支持参与者努力实现商定的活动。本文介绍了外部评估的结果。分析了在项目过程中,根据世界卫生组织生活质量简表(WHOQOL Bref),参与者的生活质量是否有所改善。非参数检验结果显示,在三轮访谈(项目开始时、一年后、项目结束时)之间,生活质量存在微小差异。仅分析那些在过去两年内退休的参与者时也是如此。然而,在过去五年内失去伴侣的老年人中,生活质量显著提高。就世界卫生组织积极老龄化计划的实施而言,结果表明应采用风险群体策略。