Gené-Badia Joan, Ruiz-Sánchez Marina, Obiols-Masó Núria, Oliveras Puig Laura, Lagarda Jiménez Elena
Institut Català de la Salut, Barcelona, España; CAPSBE, Consorci d'Atenció Primària de l'Eixample, Barcelona, España; Universitat de Barcelona, Barcelona, España; Servei de Medicina Preventiva i Epidemiologia, Hospital Clínic de Barcelona, Barcelona, España.
CAPSBE, Consorci d'Atenció Primària de l'Eixample, Barcelona, España; Servei de Medicina Preventiva i Epidemiologia, Hospital Clínic de Barcelona, Barcelona, España.
Aten Primaria. 2016 Nov;48(9):604-609. doi: 10.1016/j.aprim.2016.03.008. Epub 2016 Sep 22.
Loneliness and social isolation are emerging health conditions in the elderly population, in particular widows, high frequency users of health services and those with chronic problems and depression. Loneliness is the subjective feeling of having less affection and closeness than that desired in the intimate or relational field. Social isolation is an objective situation of having minimal contact with other people. Its contribution to increased morbidity and mortality is comparable to other well known risk factors that we deal with daily as Primary Care teams. Strategies to identify these problems in our patients and to perform scientific evidence based studies at individual and community level in cooperation with other community resources and interventions are discussed. The Primary Care team must promote the autonomy of these patients, facilitating their sociability, and act on their social maladaptive thoughts that hinder their social integration.
孤独和社会隔离正成为老年人群体中出现的健康问题,尤其是寡妇、医疗服务高频使用者以及患有慢性疾病和抑郁症的人群。孤独是在亲密或人际关系领域中,感受到的情感和亲密程度低于期望的主观感受。社会隔离是与他人接触极少的客观状况。其对发病率和死亡率增加的影响,与我们基层医疗团队日常应对的其他知名风险因素相当。本文讨论了在患者中识别这些问题,并与其他社区资源和干预措施合作,在个体和社区层面开展基于科学证据研究的策略。基层医疗团队必须促进这些患者的自主性,提升他们的社交能力,并应对阻碍他们社会融入的社会适应不良思想。