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老年人在入住老年住宅第一年的社会环境及其与身体机能的关联

Social Environment of Older People during the First Year in Senior Housing and Its Association with Physical Performance.

作者信息

Lotvonen Sinikka, Kyngäs Helvi, Koistinen Pentti, Bloigu Risto, Elo Satu

机构信息

Research Unit of Nursing Science and Health Management, Medical Research Center of Oulu, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland.

Research Unit of Nursing Science and Health Management, Medical Research Center of Oulu, University of Oulu and Oulu University Hospital, P.O. Box 5000, 90014 Oulu, Finland.

出版信息

Int J Environ Res Public Health. 2017 Aug 25;14(9):960. doi: 10.3390/ijerph14090960.

Abstract

Increasing numbers of older people relocate into senior housing when their physical performance declines. The change in social environment is known to affect their wellbeing, providing both challenges and opportunities, but more information on the relations between social and physical parameters is required. Thus, we elicited perceptions of the social environment of 81 older people (aged 59-93 years, living in northern Finland) and changes in it 3 and 12 months after relocation to senior housing. We also measured their physical performance, then analysed associations between the social and physical variables. Participants reported that they had freedom to do whatever they liked and generally had enough contact with close people (which have recognized importance for older people's wellbeing), but changes in their physical condition limited their social activity. Moreover, their usual walking speed, dominant hand's grip strength and instrumental activities of daily living (IADL) significantly decreased. The pleasantness of the residential community, peer support, constraints on social activity imposed by changes in physical condition, meaningful activity at home and meeting close people all affected these physical performance parameters. Clearly, in addition to assessing physical performance and encouraging regular exercise, the complex interactions among social factors, physical performance and wellbeing should be considered when addressing individuals' needs.

摘要

随着身体机能下降,越来越多的老年人搬进了老年公寓。众所周知,社会环境的变化会影响他们的幸福感,既带来挑战也带来机遇,但我们还需要更多关于社会和身体参数之间关系的信息。因此,我们收集了81位老年人(年龄在59 - 93岁之间,生活在芬兰北部)对社会环境的看法,以及他们搬到老年公寓3个月和12个月后社会环境的变化。我们还测量了他们的身体机能,然后分析了社会和身体变量之间的关联。参与者报告说他们有自由做自己喜欢的任何事情,并且通常与亲近的人有足够的联系(这对老年人的幸福感具有公认的重要性),但身体状况的变化限制了他们的社交活动。此外,他们的日常步行速度、优势手的握力和日常生活工具性活动(IADL)显著下降。居住社区的宜人程度、同伴支持、身体状况变化对社交活动的限制、在家中有意义的活动以及与亲近的人见面都影响了这些身体机能参数。显然,在满足个人需求时,除了评估身体机能和鼓励定期锻炼外,还应考虑社会因素、身体机能和幸福感之间的复杂相互作用。

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