Alma M A, Van der Mei S F, Feitsma W N, Groothoff J W, Van Tilburg T G, Suurmeijer T P B M
Universitair Medisch Centrum Groningen, Rijksuniversiteit Groningen, Disciplinegroep Gezondheidswetenschappen, Sector F, Gezondheidswetenschappen, The Netherlands.
Tijdschr Gerontol Geriatr. 2013 Jun;44(3):132-42. doi: 10.1007/s12439-013-0027-3.
To describe the degree of loneliness among the visually impaired elderly and to make a comparison with a matched reference group of the normally sighted elderly. In addition, we examined self-management abilities (SMAs) as determinants of loneliness among the visually impaired elderly.
In a cross-sectional study, 173 visually impaired elderly persons completed telephone interviews. Loneliness and SMAs were assessed with the Loneliness Scale of De Jong Gierveld and the SMAS-30, respectively.
The prevalence of loneliness among the visually impaired elderly was higher compared to the reference group (50% vs 29%; p < .001). Multivariate hierarchical regression analysis showed that the SMA self-efficacy, partner status, and self-esteem were determinants of loneliness. Severity and duration of visual impairment had no effect on loneliness.
The relationship between SMAs (i.e., self-efficacy) and loneliness is promising, since SMAs can be learned through training. Consequently, self-management training may reduce feelings of loneliness. An adapted version of this paper was published in Journal of Aging and Health, doi: 10.1177/0898264311399758.
描述视力受损老年人的孤独程度，并与视力正常老年人的匹配对照组进行比较。此外，我们研究了自我管理能力（SMAs）作为视力受损老年人孤独感的决定因素。
在一项横断面研究中，173名视力受损老年人完成了电话访谈。分别用德容·吉尔维尔德孤独量表和SMAS - 30评估孤独感和自我管理能力。
与对照组相比，视力受损老年人的孤独患病率更高（50%对29%；p < 0.001）。多变量分层回归分析表明，自我管理能力自我效能感、伴侣状况和自尊是孤独感的决定因素。视力损害的严重程度和持续时间对孤独感没有影响。
自我管理能力（即自我效能感）与孤独感之间的关系很有前景，因为自我管理能力可以通过训练习得。因此，自我管理训练可能会减少孤独感。本文的一个改编版本发表在《衰老与健康杂志》上，doi: 10.1177/0898264311399758。
