社区居住老年人的自主决定权：解释因素

Self-determination among community-dwelling older persons: explanatory factors.

作者信息

Ottenvall Hammar Isabelle, Dahlin-Ivanoff Synneve, Wilhelmson Katarina, Eklund Kajsa

机构信息

a Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden ;

b Department of Occupational Therapy and Physiotherapy , the Sahlgrenska University Hospital , Gothenburg , Sweden ;

出版信息

Scand J Occup Ther. 2016;23(3):198-206. doi: 10.3109/11038128.2015.1126348. Epub 2016 Jan 12.

DOI:10.3109/11038128.2015.1126348

PMID:26757779

Abstract

BACKGROUND

Although it is acknowledged that exercising self-determination in daily activities affects older people's health and well-being, few studies have focused on the explanatory factors for self-determination in daily life.

OBJECTIVE

To investigate explanatory factors for self-determination in the context of community-dwelling older persons.

METHOD

This cross-sectional study combined two sets of data that included community-dwelling persons 80 years and older (n = 456). A bivariate logistic regression was performed to analyse the association of self-determination and a set of explanatory factors.

RESULTS

The final bivariate logistic regression model revealed five explanatory factors that were significantly associated with perceiving reduced self-determination: high education (OR = 2.83), frailty (OR = 2.70), poor self-rated health (OR = 2.54), dissatisfaction with physical health (OR = 6.50), and receiving help from public homecare service (OR = 2.46).

CONCLUSION

Several explanatory factors related to the ageing body and environmental aspects were associated with reduced self-determination. To help older people maintain self-determination, healthcare professionals should consider using a person-centred and capability approach to care.

摘要