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[机构养老老年人的应对策略、功能困难及相关因素]

[Coping strategies, functional difficulties, and associated factors in institutionalized elderly].

作者信息

Vivan Analise de Souza, Argimon Irani Iracema de Lima

机构信息

Pontifícia Universidade Católica de Porto Alegre, Porto Alegre, Brazil.

出版信息

Cad Saude Publica. 2009 Feb;25(2):436-44. doi: 10.1590/s0102-311x2009000200022.

Abstract

The aim of this study was to analyze the strategies used by elderly people to cope with functional difficulties, and to investigate a possible association between such strategies and variables like depressive symptoms, gender, schooling, marital status, and self-perceived health. 103 institutionalized elderly individuals participated in the study. They required assistance for at least one activity of daily living. The study was cross-sectional and used the following indicators: Personal Data Chart, Activities of Daily Living Scale, Modified Mini International Neuropsychiatric Interview, Mini-Mental Examination, Coping Strategies Inventory, and Geriatric Depression Scale. The most widely used coping strategies in the sample were self-control and problem solving. Significant associations were found between schooling and depression. The findings suggest that assessing coping strategies for stressful events can assist analysis of the situation and appropriate adaptation of the chosen strategies, so as to foster changes within the medical context.

摘要

本研究的目的是分析老年人应对功能困难所采用的策略,并调查这些策略与抑郁症状、性别、受教育程度、婚姻状况和自我感知健康等变量之间可能存在的关联。103名住在养老院的老年人参与了这项研究。他们至少在一项日常生活活动中需要帮助。该研究为横断面研究,并使用了以下指标:个人资料表、日常生活活动量表、改良版迷你国际神经精神访谈、简易精神状态检查、应对策略量表和老年抑郁量表。样本中使用最广泛的应对策略是自我控制和解决问题。研究发现受教育程度与抑郁之间存在显著关联。研究结果表明,评估应对压力事件的策略有助于分析情况并适当调整所选策略,从而促进医疗环境中的改变。

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