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轻度智力障碍者的社交网络:特征、满意度、愿望及生活质量。

Social networks of people with mild intellectual disabilities: characteristics, satisfaction, wishes and quality of life.

作者信息

van Asselt-Goverts A E, Embregts P J C M, Hendriks A H C

机构信息

Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands; Tranzo, Tilburg University, Tilburg, The Netherlands.

出版信息

J Intellect Disabil Res. 2015 May;59(5):450-61. doi: 10.1111/jir.12143. Epub 2014 Jul 9.

Abstract

BACKGROUND

A supportive social network is crucial for facilitating social inclusion, which can, in turn, contribute to the quality of life (QOL) for people with intellectual disabilities (ID). In this study, we investigate how people with mild ID perceive their social networks and which network characteristics relate to satisfaction with the network and perceived QOL.

METHOD

Data were gathered from 33 young adults with a mild to borderline ID using structured questionnaires: the MSNA to map the social network, the IDQOL-16 to assess QOL, and a questionnaire to determine satisfaction and wishes with regard to the social network.

RESULTS

The majority of the participants (73.1%) were satisfied with their social networks. Improvement in the area of strengthening existing ties (e.g. more frequent contact, better contact) was desired as opposed to expansion of the network. Affection--especially towards family and professionals--was most strongly related to perceived QOL. It appears to be essential that relatives live in the same town, can frequently meet up and provide both emotional and practical support.

CONCLUSIONS

The significance of family and the importance of high-quality interpersonal relationships between professional and client in the lives of young adults with ID cannot be overestimated. Although measures of satisfaction and wishes can have limitations, in actual practice it is considered useful to assess the opinions of clients with respect to their social networks. Interventions can then be tailored to the needs and wishes of the persons themselves.

摘要

背景

一个支持性的社会网络对于促进社会包容至关重要,而社会包容反过来又有助于提高智障人士的生活质量(QOL)。在本研究中,我们调查了轻度智障人士如何看待他们的社会网络,以及哪些网络特征与对网络的满意度和感知生活质量相关。

方法

使用结构化问卷从33名轻度至临界智障的年轻人中收集数据:用MSNA绘制社会网络,用IDQOL - 16评估生活质量,并用一份问卷确定对社会网络的满意度和愿望。

结果

大多数参与者(73.1%)对他们的社会网络感到满意。与扩大网络相比,他们希望在加强现有关系方面有所改善(例如更频繁的联系、更好的接触)。情感——尤其是对家人和专业人员的情感——与感知生活质量的关联最为紧密。亲属住在同一个城镇、能够经常见面并提供情感和实际支持似乎至关重要。

结论

在智障青年的生活中,家庭的重要性以及专业人员与客户之间高质量人际关系的重要性再怎么强调也不为过。尽管满意度和愿望的衡量可能存在局限性,但在实际操作中,评估客户对其社会网络的看法被认为是有用的。然后可以根据个人自身的需求和愿望量身定制干预措施。

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