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通过社会群体工作干预增强伊朗老年人的能力:一项评估该干预对参与者生活质量影响的试验研究。

Empowering elderly Iranians through a social group work intervention: A trial study to assess the effect of the intervention on participants' quality of life.

作者信息

Salomoni Fatima, Addelyan Rasi Hamideh, Hosseinzadeh Samaneh

机构信息

Department of Social Work, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran.

Department of Social Work, Faculty of Social Sciences, Allameh Tabataba'i University, Tehran, Iran.

出版信息

Health Soc Care Community. 2018 Nov;26(6):917-924. doi: 10.1111/hsc.12617. Epub 2018 Jul 16.

DOI:10.1111/hsc.12617
PMID:30014535
Abstract

We designed and ran an empowerment-oriented social group work intervention to assess whether the intervention could improve the quality of life of older Iranians. The intervention consisted of nine group sessions that focused on capacity building and increasing individual competences, environmental resources and opportunities. Using a randomised controlled trial (RCT), 60 elderly people (30 men and 30 women in the intervention and control groups) from Social Services Centres in Tehran Municipality participated in this study. The WHOQOL-BREF instrument was used to measure quality of life, comparing before, after and follow-up measures between the groups and within each group. ANOVA and GEE tests were applied to analyse the data. The results showed significant progress in overall quality of life of the participants, particularly in the domains of physical health, psychological health, social relationships and environmental health. In pretest, there were no significant differences between the groups in terms of quality of life and its domains, but there were significant differences in the post- and follow-up tests. This study provides support for the empowerment-oriented social group work intervention with Iranian elderly people. This kind of intervention can be a useful model for empowering older people, especially in countries where social support and health services for seniors are not yet freely available.

摘要

我们设计并开展了一项以赋权为导向的社会小组工作干预措施,以评估该干预措施是否能改善伊朗老年人的生活质量。该干预措施包括九次小组会议,重点是能力建设以及提高个人能力、环境资源和机会。采用随机对照试验(RCT),来自德黑兰市社会服务中心的60名老年人(干预组和对照组各30名男性和30名女性)参与了本研究。使用世界卫生组织生活质量简表(WHOQOL-BREF)来测量生活质量,比较两组之间以及每组内部干预前、干预后和随访时的测量结果。应用方差分析(ANOVA)和广义估计方程(GEE)检验来分析数据。结果显示参与者的总体生活质量有显著进步,尤其是在身体健康、心理健康、社会关系和环境卫生等领域。在预测试中,两组在生活质量及其领域方面没有显著差异,但在干预后测试和随访测试中有显著差异。本研究为针对伊朗老年人的以赋权为导向的社会小组工作干预措施提供了支持。这种干预措施可以成为赋权老年人的有用模式,尤其是在尚未免费提供老年人社会支持和医疗服务的国家。

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