Halvorsrud Liv, Kalfoss Mary
Associate Professor, Oslo and Akershus University College of Applied Sciences, Norway.
Professor, Diakonova University College, Oslo, Norway.
Br J Community Nurs. 2016 Apr;21(4):170, 172-7. doi: 10.12968/bjcn.2016.21.4.170.
This study aims to explore how intimacy, physical and psychological health, loneliness, and attitudes to ageing at a time of loss affect the overall quality of life (QoL) of nondepressed and depressed older adults.
This was a randomised, stratified, cross-sectional study with two subsamples: depressed (n=74; mean: 77.9 years; 65% female) and nondepressed (n=356; mean: 75.0 years; 55% female), and based on the Geriatric Depression Scale-15.
Physical health accounted for the greatest variance in overall QoL in the nondepressed group; psychological health, losses, and feelings of intimacy also made significant contributions. In the depressed group, intimacy made the strongest contribution, while psychological health came a close second.
Physical health, psychological health, and loss were important to the QoL of nondepressed older adults, while intimacy was important for QoL in both depressed and nondepressed older adults. For those who are depressed, feelings of intimacy, in the form of having opportunities to express and receive love, are especially relevant and should be assessed by health professionals when planning interventions.
本研究旨在探讨在失去亲人时的亲密感、身心健康、孤独感以及对衰老的态度如何影响非抑郁和抑郁老年人的总体生活质量（QoL）。
这是一项随机、分层的横断面研究，有两个子样本：抑郁组（n = 74；平均年龄：77.9岁；65%为女性）和非抑郁组（n = 356；平均年龄：75.0岁；55%为女性），研究基于老年抑郁量表 - 15进行。
在非抑郁组中，身体健康在总体生活质量的差异中占比最大；心理健康、失去亲人的经历以及亲密感也有显著影响。在抑郁组中，亲密感的影响最为显著，心理健康紧随其后。
身体健康、心理健康和失去亲人的经历对非抑郁老年人的生活质量很重要，而亲密感对抑郁和非抑郁老年人的生活质量都很重要。对于那些抑郁的人来说，以有机会表达和接受爱为形式的亲密感尤为重要，健康专业人员在规划干预措施时应予以评估。
