Faculty of Health Sciences, Zonguldak Bülent Ecevit University, Zonguldak, Turkey.
Psychogeriatrics. 2022 Jul;22(4):485-492. doi: 10.1111/psyg.12832. Epub 2022 Apr 16.
This study aimed to evaluate the frailty, abuse, and depression experienced by community-dwelling older adults and to raise awareness in society about the abuse of the elderly.
This cross-sectional study was carried out in three family health centres in a city centre in the northwest of Turkey. The sample consisted of 429 older adults. Data were collected with Descriptive form, FRAIL Scale, Hwalek-Sengstock Elder Abuse Screening Test, and the Geriatric Depression Scale Short Form. In data analysis, percentage, mean ± SD, t-test, analysis of variance, Tukey test, Pearson correlation coefficient, and multiple regression analysis were used. The significance level in the tests was taken as P < 0.05.
In this study, 28.68% of the elderly were in the fragile group, 22.84% experienced abuse and 24.0% were depressed. The elders who participated in the study were evaluated according to the scale scores used. It was determined that they were in the fragile group with a score of 2.21 + 1.47; they were exposed to low level of abuse with 1.58 + 1.17 points and they were depressed with 5.15 + 4.82 points. There was a high and positive significant correlation between the frailty and abuse experienced by the elderly (P < 0.001; r: 0.621), there was a middle and positive significant correlation between frailty and depression (P < 0.001; r: 0.492), and high and positive correlation were found between abuse and depression in the elderly (P < 0.001; r: 0.647).
This study shows that frailty, abuse, and depression are important problems in community-dwelling older adults and there are significant relationships between them. In order to prevent the abuse that the elderly in the fragile group are exposed to, it is recommended that especially health workers should be trained on elder abuse in in-service training programs.
本研究旨在评估社区居住的老年人的脆弱性、虐待和抑郁情况，并提高社会对老年人虐待问题的认识。
这是一项在土耳其西北部一个城市中心的三个家庭健康中心进行的横断面研究。样本由 429 名老年人组成。使用描述性表格、脆弱性量表、Hwalek-Sengstock 老年虐待筛查测试和老年抑郁量表短式收集数据。在数据分析中，使用了百分比、均值±标准差、t 检验、方差分析、Tukey 检验、皮尔逊相关系数和多元回归分析。检验的显著性水平为 P<0.05。
在这项研究中，28.68%的老年人处于脆弱状态，22.84%的老年人经历过虐待，24.0%的老年人抑郁。根据使用的量表评分，对参与研究的老年人进行了评估。结果表明，他们的脆弱程度得分为 2.21±1.47，处于轻度虐待状态，得分为 1.58±1.17，抑郁程度得分为 5.15±4.82。老年人的脆弱性和虐待经历之间存在高度正相关（P<0.001；r：0.621），脆弱性和抑郁之间存在中度正相关（P<0.001；r：0.492），虐待和抑郁之间存在高度正相关（P<0.001；r：0.647）。
本研究表明，脆弱性、虐待和抑郁是社区居住的老年人的重要问题，它们之间存在显著关系。为了防止脆弱组老年人遭受虐待，建议在在职培训计划中对卫生工作者进行老年虐待方面的培训。
