Wells Margaret
College of Nursing, SUNY Upstate Medical University, Syracuse, NY, USA.
J Rural Health. 2009 Fall;25(4):415-9. doi: 10.1111/j.1748-0361.2009.00253.x.
Identifying ways to meet the health care needs of older adults is important because their numbers are increasing and they often have more health care issues. High resilience level may be one factor that helps older adults adjust to the hardships associated with aging. Rural community-dwelling older adults often face unique challenges such as limited access to health care resources.
To determine the resilience level of rural community-dwelling older adults and to determine if socio-demographic factors, social networks, and health status are associated with resilience.
Data were collected from 106 registered voters, aged 65 years or over from a rural area in New York State using a cross- sectional design. The instruments used in the study include the Resiliency Scale, the SF-12v2, and the Lubben Social Network Scale-Revised.
The mean resilience level of the sample was high. Resilience was not correlated with any of the socio-demographic factors which included gender, age, income, education, marital, and employment status. There was a weak positive correlation between social networks and resilience levels of rural older adults. Both physical and mental health status were positively correlated with resilience. In a regression model, mental health status was the strongest predictor of resilience levels.
If low resilience levels are identified in rural community-dwelling older adults, interventions to build resilience may be helpful in promoting independence; however, further research is needed to determine this.
确定满足老年人医疗保健需求的方法很重要，因为老年人数量在增加，而且他们往往有更多的医疗保健问题。高复原力水平可能是帮助老年人适应与衰老相关困难的一个因素。农村社区居住的老年人经常面临独特的挑战，如获得医疗保健资源的机会有限。
确定农村社区居住老年人的复原力水平，并确定社会人口因素、社会网络和健康状况是否与复原力相关。
采用横断面设计，从纽约州一个农村地区的106名65岁及以上的登记选民中收集数据。该研究使用的工具包括复原力量表、SF-12v2和修订后的鲁本社会网络量表。
样本的平均复原力水平较高。复原力与任何社会人口因素均无相关性，这些因素包括性别、年龄、收入、教育、婚姻和就业状况。农村老年人的社会网络与复原力水平之间存在微弱的正相关。身心健康状况均与复原力呈正相关。在一个回归模型中，心理健康状况是复原力水平的最强预测因素。
如果在农村社区居住的老年人中发现复原力水平较低，建立复原力的干预措施可能有助于促进独立性；然而，需要进一步研究来确定这一点。
