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社区居住老年人的长期接触对老年歧视和居家护理学生帮助态度的影响:一项单盲随机对照试验。

The effect of extended contact with community-dwelling older adults on the ageist and helping attitudes of home care students: A single-blind randomised controlled trial.

机构信息

Department of Occupational Therapy, Faculty of Gülhane Health Sciences, University of Health Sciences Turkey, Ankara, Turkey.

Department of Social Work Ankara, Faculty of Gülhane Health Sciences, University of Health Sciences Turkey, Ankara, Turkey.

出版信息

Int J Older People Nurs. 2021 Sep;16(5):e12382. doi: 10.1111/opn.12382. Epub 2021 May 25.

Abstract

BACKGROUND

Ageist and helping attitudes among undergraduate homecare students are a concern for educators, healthcare professionals and home care workers due to their potential to increase the marginalisation of older people and negatively impact quality of care.

OBJECTIVES

The current study evaluated the effect of extended contact with community-dwelling older adults on the ageist and helping attitudes of home care students.

METHODS

Fifty-five students attending a public university in Turkey were randomly assigned to the intervention group (n = 27) or control group (n = 28). The intervention group received positive theoretical education and had extended contact with community-dwelling older adults, while the control group only received positive theoretical education. Before and after the intervention, the students' ageist attitudes were evaluated with Kogan's Attitudes towards Old People scale (KAOP) and helping attitudes were evaluated with the Helping Attitude Scale (HAS).

RESULTS

There were statistically significant differences between pre- and post-test mean KAOP total, positive ageism and negative ageism subscale scores in the intervention group (p < 0.05) and in KAOP negative ageism score in the control group (p < 0.05). HAS scores showed no significant post-intervention change in helping attitudes in either group.

CONCLUSION

Extended contact with community-dwelling older adults had a favourable influence on undergraduate health students' ageism attitudes. These results suggest that contact with older adults may be an effective strategy to reduce ageism but may not increase helping behaviours.

IMPLICATIONS FOR PRACTICE

Positive contact experiences with community-dwelling older adults can be used to reduce ageism in home care students.

摘要

背景

由于年龄歧视和帮助态度可能会增加老年人的边缘化,并对护理质量产生负面影响,因此,本科护生的年龄歧视和帮助态度引起了教育工作者、医疗保健专业人员和家庭护理工作者的关注。

目的

本研究评估了与社区居住的老年人进行扩展接触对家庭护理学生的年龄歧视和帮助态度的影响。

方法

55 名在土耳其一所公立大学就读的学生被随机分配到干预组(n=27)或对照组(n=28)。干预组接受了积极的理论教育,并与社区居住的老年人进行了扩展接触,而对照组仅接受了积极的理论教育。在干预前后,使用 Kogan 老年人态度量表(KAOP)评估学生的年龄歧视态度,使用帮助态度量表(HAS)评估帮助态度。

结果

干预组的 KAOP 总分、积极年龄歧视和消极年龄歧视子量表评分以及对照组的 KAOP 消极年龄歧视评分在干预前后存在统计学差异(p<0.05)。两组的 HAS 评分在帮助态度方面均无显著的干预后变化。

结论

与社区居住的老年人进行扩展接触对本科健康学生的年龄歧视态度产生了有利影响。这些结果表明,与老年人接触可能是减少年龄歧视的有效策略,但不一定会增加帮助行为。

实践意义

与社区居住的老年人进行积极的接触可以减少家庭护理学生的年龄歧视。

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