Department of Adult Health Nursing, Pokhara Nursing Campus, Pokhara, Nepal.
Department of Nursing, Gandaki Medical College, Pokhara, Nepal.
PLoS One. 2021 May 7;16(5):e0250639. doi: 10.1371/journal.pone.0250639. eCollection 2021.
The number of older individuals relocating from their homes to old age homes is increasing in Nepal. This study was conducted to assess the reasons why older people chose to move to old age homes, the status and forms of abuse they experienced, and the risk factors associated with their abuse before moving to old age homes.
This study was a cross sectional study conducted among older adults currently residing in all the old age homes of Pokhara Lekhnath Metropolitan City. Complete enumeration of the respondents was done and data was collected consecutively, using a semi-structured interview schedule, from all older adults aged 60 years and above who had been living in the homes for at least a month. The total sample size was 109. The collected data was analyzed using descriptive statistics and binary logistic regression was used as an inferential statistics to determine the predictors of abuse.
A majority of the respondents (56.0%) came to old age homes on their own volition, 24.7% reported that they came to the homes because they were physically weak and they had no one to care for them at their residence, while 11% reported that they were forcefully sent by their caregivers. Out of total respondents, 60.6% reported that they experienced some form of abuse before they came to the old age home: most frequent was caregiver neglect (34.9%) and verbal abuse (34.9%), while few experienced financial abuse (2.8%). Women were at a higher risk of abuse than men (p<0.05, OR = 4.430, CI = 1.695-11.577) prior to their transfer to old age homes.
A majority of the older adults who transferred to old age homes in Pokhara Lekhnath Metropolitan city had been earlier abused by their caregivers, mainly through neglect and verbal abuse, and women were at a higher risk for abuse than men.
在尼泊尔，从家中搬到养老院的老年人数量正在增加。本研究旨在评估老年人选择搬到养老院的原因、他们在搬入养老院之前所经历的虐待状况和形式，以及与虐待相关的风险因素。
这是一项横断面研究，在博克拉勒克纳特大都市的所有养老院中进行。对所有 60 岁及以上、在养老院居住至少一个月的老年人进行了全面普查，并使用半结构式访谈表连续收集数据。总样本量为 109 人。使用描述性统计方法对收集到的数据进行分析，并使用二元逻辑回归作为推断统计方法，以确定虐待的预测因素。
大多数受访者（56.0%）自愿来到养老院，24.7%的人表示他们身体虚弱，在住所无人照顾，11%的人表示他们是被照顾者强行送来的。在所有受访者中，60.6%的人报告在搬入养老院之前曾遭受过某种形式的虐待：最常见的是照顾者忽视（34.9%）和言语虐待（34.9%），而少数人经历过经济虐待（2.8%）。与男性相比，女性在搬入养老院之前遭受虐待的风险更高（p<0.05，OR=4.430，CI=1.695-11.577）。
博克拉勒克纳特大都市的大多数搬入养老院的老年人之前曾受到照顾者的虐待，主要是通过忽视和言语虐待，女性遭受虐待的风险高于男性。
