Department of Health Sciences, Buskerud University College, Drammen, Norway.
J Adv Nurs. 2011 Jun;67(6):1305-16. doi: 10.1111/j.1365-2648.2010.05562.x. Epub 2011 Jan 13.
This paper is a report of a study exploring possible external and inner sources of the sense of security felt by older people aged 65 and 75. Background. The concept of 'security' has been parsimoniously defined and explored, especially as pertains to older people, and previous research has primarily focused on risks in relation to individuals' declining health and functional ability.
In 2005, population-based cross-sectional surveys were carried out in 15 municipalities in Västerbotten, Sweden and 18 municipalities in Ostrobothnia, Finland. A 15-page questionnaire (84 questions) was distributed, with the final total response rate reaching 68· % (n = 3370): 1825 Swedish-speaking Swedes, 926 Swedish-speaking Finns and 621 Finnish-speaking Finns. The statistical analysis was three-stage, including nominal stepwise regressions.
Older people who indicate that they are 'very secure' are more likely to consider life meaningful and are able to master various life crises. Moreover, they possess confidence in economic institutions and are more likely to feel economically secure. Weak trust in family and friends or neighbours and decreased functional ability seem to indicate a subjective feeling of 'insecurity'.
Caregivers in health care should focus more on supporting older persons' meaningfulness in life and how their feelings of security can be strengthened by trusting relationships and activities. In nursing, there should be more focus on developing knowledge of inner health resources, including positive life orientation and meaningfulness in life.
本研究旨在探讨 65 岁和 75 岁老年人安全感的可能外在和内在来源。背景:“安全”的概念已经被精简地定义和探索过,尤其是与老年人有关的,先前的研究主要集中在与个体健康和功能能力下降相关的风险上。
2005 年,在瑞典的韦斯特博腾地区的 15 个城市和芬兰的东博滕地区的 18 个城市进行了基于人群的横断面调查。发放了一份 15 页的问卷(84 个问题),最终总回复率达到 68%(n=3370):1825 名讲瑞典语的瑞典人,926 名讲瑞典语的芬兰人,621 名讲芬兰语的芬兰人。统计分析分为三个阶段,包括名义逐步回归。
表示“非常安全”的老年人更有可能认为生活有意义,能够应对各种生活危机。此外,他们对经济制度有信心,更有可能感到经济安全。对家庭、朋友或邻居的信任度降低,以及功能能力下降,似乎表明存在主观的“不安全”感。
医疗保健中的护理人员应更加关注支持老年人生活的意义,以及如何通过信任关系和活动来增强他们的安全感。在护理中,应更加注重发展内在健康资源的知识,包括积极的生活取向和生活意义。