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关怀是否会导致污名化?医疗保健专业人员和普通大众对老年人的看法:一项横断面研究。

Does caring lead to stigmatisation? The perception of older people among healthcare professionals and the general population: A cross-sectional study.

机构信息

Psychology of Aging Unit, University of Liège, Liège, Belgium.

出版信息

Int J Older People Nurs. 2022 Sep;17(5):e12457. doi: 10.1111/opn.12457. Epub 2022 Mar 10.

DOI:10.1111/opn.12457
PMID:35267232
Abstract

BACKGROUND

It is well recognised that healthcare professionals are particularly at risk for developing a negative perception of older people. Indeed, in addition to receiving education centred on a biomedical view of ageing, they are constantly exposed to the most vulnerable and dependent older individuals.

AIM

The purpose of our study is to compare the perception of older people between health professionals, working in a nursing home and the general population.

METHODS

This is a cross-sectional study. The perception of older people was measured using two different instruments: the image-of-ageing question and the Aging Semantic Differential (ASD) scale. We performed t-test to compare the perception of older individuals between the general population and healthcare professionals.

RESULTS

The image-of-ageing question does not show any difference between the general population (n = 148) and healthcare professionals (n = 107). In these both groups, almost half of the words cited in reference to older individuals were negative. Concerning the ASD, results show that healthcare professionals have significantly more negative perceptions towards older individuals than the general population (with the control of age, gender and educational level).

CONCLUSION

Healthcare professionals seem to have a more negative view of older people than the general population. Their regular contact with the frailest older adults could explain this finding. Another hypothesis could be a non-optimal quality of contact in nursing homes.

IMPLICATIONS FOR PRACTICE

Such results highlight the importance to promote a more holistic view of ageing in educational programs of healthcare professional. Improving the quality of contact with nursing homes residents should be strongly considered to reduce ageism among healthcare professionals.

摘要

背景

人们普遍认识到,医疗保健专业人员尤其容易对老年人产生负面看法。事实上,除了接受以生物医学观点为中心的老龄化教育外,他们还经常接触到最脆弱和最依赖的老年人。

目的

我们的研究目的是比较养老院医护人员和一般人群对老年人的看法。

方法

这是一项横断面研究。使用两种不同的工具来衡量对老年人的看法:年龄形象问题和老龄化语义差异(ASD)量表。我们使用 t 检验比较一般人群和医疗保健专业人员对老年人的看法。

结果

年龄形象问题在一般人群(n=148)和医疗保健专业人员(n=107)之间没有显示出任何差异。在这两组人群中,近一半用来形容老年人的词语都是负面的。关于 ASD,结果表明,医疗保健专业人员对老年人的看法比一般人群更为负面(在控制年龄、性别和教育水平的情况下)。

结论

医疗保健专业人员似乎对老年人的看法比一般人群更为负面。他们与最脆弱的老年人的日常接触可能解释了这一发现。另一种假设可能是养老院中接触质量不理想。

实践意义

这些结果强调了在医疗保健专业人员教育计划中推广更全面的老龄化观点的重要性。应强烈考虑改善与养老院居民的接触质量,以减少医疗保健专业人员中的年龄歧视。

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