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与老年人参与度和生活质量相关的应对策略。

Coping strategies associated with participation and quality of life in older adults.

作者信息

Levasseur Mélanie, Couture Mélanie

出版信息

Can J Occup Ther. 2015 Feb;82(1):44-53. doi: 10.1177/0008417414552188.

Abstract

BACKGROUND

It is important to understand the coping strategies that optimize or restrict participation or quality of life, especially for older adults.

PURPOSE

The purpose of this study was to examine the associations between, on the one hand, problem- and emotion-focused coping strategies used to deal with aging limitations or health problems and, on the other hand, participation and quality of life.

METHOD

A cross-sectional design was used with 82 community-dwelling participants aged 65 and older.

FINDINGS

Participants used both problem-focused (distancing, self-control) and emotion-focused (seeking social support, planful problem solving, positive appraisal) coping strategies to deal with aging limitations or health problems. Only a few moderately significant associations were found except for escape-avoidance coping strategies, which were significantly associated with lower participation and quality of life.

IMPLICATIONS

Before developing interventions to improve or maintain older adults' participation and quality of life, more studies are needed to better understand coping strategies used by older adults to deal with aging limitations or health problems and especially escape-avoidance strategies.

摘要

背景

了解优化或限制参与度或生活质量的应对策略非常重要,尤其是对于老年人而言。

目的

本研究的目的是考察一方面用于应对衰老限制或健康问题的以问题为中心和以情绪为中心的应对策略,与另一方面参与度和生活质量之间的关联。

方法

采用横断面设计,研究对象为82名年龄在65岁及以上的社区居住参与者。

研究结果

参与者使用以问题为中心(疏远、自我控制)和以情绪为中心(寻求社会支持、有计划地解决问题、积极评价)的应对策略来应对衰老限制或健康问题。除了逃避应对策略与较低的参与度和生活质量显著相关外,仅发现了一些中等程度的显著关联。

启示

在制定改善或维持老年人参与度和生活质量的干预措施之前,需要进行更多研究,以更好地了解老年人用于应对衰老限制或健康问题的应对策略,尤其是逃避策略。

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