Kisvetrová Helena, Mandysová Petra, Tomanová Jitka, Steven Alison
The Centre for Research and Science, Faculty of Health Sciences, 156927Palacký University Olomouc, Czech Republic.
Department of Nursing, Faculty of Health Sciences, 156927Palacký University Olomouc, Czech Republic.
Nurs Ethics. 2022 Mar;29(2):413-424. doi: 10.1177/09697330211057223. Epub 2021 Dec 7.
Dignity is a multidimensional construct that includes perception, knowledge, and emotions related to competence or respect. Attitudes to aging are a comprehensive personal view of the experience of aging over the course of life, which can be influenced by various factors, such as the levels of health and self-sufficiency and social, psychological, or demographic factors.
The purpose of this study was to explore the attitudes to aging of home-dwelling and inpatient older adults, and whether dignity and other selected factors belong among the predictors influencing attitudes to aging in these two different groups of older adults.
Cross-sectional study using a set of questionnaires: Patient Dignity Inventory, Attitudes to Aging Questionnaire, and Barthel Index. Pearson and Spearman correlation analyses and multivariable linear regression were used for statistical processing.
233 inpatients and 237 home-dwelling older adults participated in the research in two regions of the Czech Republic.
Institutional Review Board approval was received from the authors' university.
The inpatients had more negative attitudes to aging (M = 74.9±10.9; <0.0001). The predictors of their attitudes to aging were gender and dignity. Women ( = -2.969, = 0.045) and inpatients with poor dignity ratings ( = -0.332, <0.0001) had more negative attitudes to aging. The predictors for home-dwelling older adults were education, living arrangement, and dignity. More negative attitudes to aging were found in older adults with lower levels of education ( = 2.716, = 0.007) who lived alone ( = 2.163, = 0.046) and rated their dignity as low ( = -0.325, <0.0001).
The results of this study add to the understanding that a sense of dignity is an important predictor of attitudes to aging for both home-dwelling older adults and inpatients.
尊严是一个多维度的概念，包括与能力或尊重相关的认知、知识和情感。对衰老的态度是对一生中衰老经历的全面个人看法，它可能受到各种因素的影响，如健康水平、自给自足程度以及社会、心理或人口因素。
本研究的目的是探讨居家和住院老年人对衰老的态度，以及尊严和其他选定因素是否属于影响这两组不同老年人群体对衰老态度的预测因素。
采用一组问卷进行横断面研究：患者尊严量表、衰老态度问卷和巴氏指数。使用Pearson和Spearman相关性分析以及多变量线性回归进行统计处理。
233名住院患者和237名居家老年人参与了捷克共和国两个地区的研究。
获得了作者所在大学机构审查委员会的批准。
住院患者对衰老的态度更为消极（M = 74.9±10.9；<0.0001）。他们对衰老态度的预测因素是性别和尊严。女性（= -2.969，= 0.045）和尊严评分较低的住院患者（= -0.332，<0.0001）对衰老的态度更为消极。居家老年人的预测因素是教育程度、居住安排和尊严。教育程度较低（= 2.716，= 0.007）、独居（= 2.163，= 0.046）且尊严评分较低（= -0.325，<0.0001）的老年人对衰老的态度更为消极。
本研究结果有助于加深理解，即尊严感是居家老年人和住院患者对衰老态度的重要预测因素。
