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医生和护士中的年龄歧视、衰老焦虑和死亡与濒死焦虑。

Ageism, Aging Anxiety, and Death and Dying Anxiety Among Doctors and Nurses.

机构信息

Department of Family Medicine, Faculty of Health Sciences, Siaal Research Center for Family Medicine and Primary Care, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Department of Health Systems Management, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

出版信息

Rejuvenation Res. 2021 Oct;24(5):366-374. doi: 10.1089/rej.2020.2385. Epub 2021 May 28.

Abstract

Ageism is an important phenomenon that affects individuals and how society relates to older adults. It is important to evaluate ageism in the medical staff because of its potential effect on treatment for older adults. A cross-sectional study to assess the negative attitudes of doctors and nurses toward older adults was conducted using the Fraboni Scale of Ageism (FSA), a method for evaluating attitudes toward ageism in medical teams. Additional variables associated with ageism such as aging anxiety, and death and dying anxiety were also assessed. The study population included doctors and nurses working in a large university hospital or in community clinics in southern Israel. In all, 431 questionnaires were collected, 203 from the hospital (47.5%) and 224 from the community (52.5%). Of these, 216 (50.1%) were from doctors and 215 (49.9%) from nurses. The mean ageism score in the FSA was 2.8. In a linear regression model, doctors were less ageist than nurses; ageism was directly associated with aging anxiety, and dying anxiety, and was inversely associated with death anxiety. Among doctors, prominent ageist attitudes were directly associated with aging and dying anxiety, inversely associated with graduation from medical school in Israel, and death anxiety. Among nurses, prominent ageism attitudes were directly associated with dying anxiety and inversely associated with work in the hospital. Ageist attitudes were found among doctors and nurses in both the hospital and community clinics. The results emphasize the need to raise awareness of ageism in medical teams and to include this subject in professional training programs designed to reduce its prevalence.

摘要

年龄歧视是一个重要的现象,它影响着个体以及整个社会对待老年人的方式。评估医务人员中的年龄歧视现象很重要,因为它可能会对老年人的治疗产生影响。本研究采用 Fraboni 年龄歧视量表(FSA)进行了一项横断面研究,以评估医生和护士对老年人的负面态度,这是一种评估医疗团队中年龄歧视态度的方法。还评估了与年龄歧视相关的其他变量,如衰老焦虑、死亡和濒死焦虑。研究人群包括在以色列南部一所大型大学医院或社区诊所工作的医生和护士。共收集了 431 份问卷,其中 203 份来自医院(47.5%),224 份来自社区(52.5%)。其中,216 份(50.1%)来自医生,215 份(49.9%)来自护士。FSA 中的平均年龄歧视得分为 2.8。在线性回归模型中,医生的年龄歧视程度低于护士;年龄歧视与衰老焦虑和濒死焦虑直接相关,与死亡焦虑呈负相关。在医生中,明显的年龄歧视态度与衰老和濒死焦虑直接相关,与在以色列医学院毕业呈负相关,与死亡焦虑呈负相关。在护士中,明显的年龄歧视态度与濒死焦虑直接相关,与在医院工作呈负相关。在医院和社区诊所的医生和护士中都发现了年龄歧视态度。这些结果强调了在医疗团队中提高对年龄歧视的认识的必要性,并将这一主题纳入旨在减少其流行程度的专业培训计划中。

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