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针对中国太原空巢老年人生活质量提升的自我互助小组模式的效果:一项干预研究。

Efficacy of the self-mutual-group model targeting quality of life improvement among empty-nest older adults in Taiyuan, China: an intervention study.

机构信息

School of Health Services Management, Southern Medical University, No. 1023, Shatai South Road, Guangzhou, 510515, Guangdong, China.

Department of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, China.

出版信息

BMC Geriatr. 2021 Mar 25;21(1):209. doi: 10.1186/s12877-021-02155-4.

Abstract

BACKGROUND

In China, more and more older people have encountered a situation called "empty nest." Meanwhile, the health status of empty-nest older adults is an increasing public health concern. This research aims to examine the effectiveness of Self-Mutual-Group (SMG) model in improving quality of life of the empty-nest older adults to provide a scientific evidence for improving their health.

METHODS

A prospective intervention study was conducted among empty-nest older adults in Taiyuan, Shanxi. Multi-stage stratified random cluster sampling was employed to selected participants. A total of 396 empty nesters were enrolled as participants, of which 204 and 192 were in the intervention and control group, respectively. The intervention group received a seven-month SMG-based intervention. A participant's quality of life was measured at the baseline and seven months after using the Short Form 36-Item Health Survey (SF-36).

RESULTS

No significant difference was found between the intervention and control groups in terms of participant characteristics at baseline (P > 0.05). After the intervention, participants' scores on Mental Component Summary (MCS), Physical Component Summary (PCS), role emotional (RE), vitality (VT), social function (SF), mental health (MH) and general health (GH) increased significantly in the intervention group. Additionally, these scores differed significantly from those in the control group (P < 0.05).

CONCLUSION

This study showed that the SMG-based health management is effective in improving quality of life among empty-nest older adults after seven months.

TRIAL REGISTRATION

Study on the 'SMG' Health Management Model Based on Community Organization Theory among empty-nest older adults ( ChiCTR1800015884 ). Registration date: 26-04-2018. Retrospectively registered.

摘要

背景

在中国,越来越多的老年人遇到了“空巢”的情况。与此同时,空巢老年人的健康状况是一个日益受到关注的公共卫生问题。本研究旨在检验自我互助小组(SMG)模式对改善空巢老年人生活质量的有效性,为改善他们的健康状况提供科学依据。

方法

本研究采用前瞻性干预研究方法,在山西省太原市的空巢老年人中进行。采用多阶段分层随机整群抽样方法选取研究对象。共纳入 396 名空巢老人作为研究对象,其中 204 名和 192 名分别纳入干预组和对照组。干预组接受为期 7 个月的基于 SMG 的干预。采用健康调查简表(SF-36)在基线和干预 7 个月后测量参与者的生活质量。

结果

干预组和对照组在基线时的参与者特征方面无显著差异(P>0.05)。干预后,干预组的心理成分综合评分(MCS)、生理成分综合评分(PCS)、角色情绪(RE)、活力(VT)、社会功能(SF)、心理健康(MH)和总体健康(GH)评分显著升高,且与对照组相比差异有统计学意义(P<0.05)。

结论

本研究表明,基于社区组织理论的 SMG 健康管理在 7 个月后能有效改善空巢老年人的生活质量。

试验注册

基于社区组织理论的“SMG”健康管理模式对空巢老年人的研究( ChiCTR1800015884 )。注册日期:2018 年 4 月 26 日。回顾性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b8/7992987/e2434591efea/12877_2021_2155_Fig1_HTML.jpg

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