Akgül Gök Fulya, Yazgan Eda Özge, Albayrak Gülnur, Cagliyan Turk Ayla
Department of Social Work, Ankara University Health Sciences Faculty, Ankara, Turkey.
Department of Nursing, Malatya Turgut Özal University Health Sciences Faculty, Malatya, Turkey.
Soc Work Public Health. 2023 Apr 3;38(3):209-220. doi: 10.1080/19371918.2022.2118924. Epub 2022 Aug 31.
The extension of the human lifespan has led to an increase in the proportion of the elderly population worldwide. This situation has also brought the issue of healthy aging to the agenda. The importance of more active participation of elderly individuals in life in the development of health is increasing. Depression and self-efficacy of the elderly people are primarily addressed to support this situation. This study is a randomized controlled intervention study in which evaluating the change in depression and self-efficacy levels of elderly individuals after the empowerment intervention. In the study, which was conducted to improve elderly individuals' depression and self-efficacy levels, an empowerment intervention consisting of 7 sessions was applied to these individuals. In the sessions, practices were carried out to increase the functionality of the elderly in cognitive, social, emotional, physical and spiritual areas. In this study, 60 elderly individuals (intervention and control groups) who were hospitalized for physical therapy and rehabilitation in a state hospital in Turkey between September 2019 and December 2020 were included. The simple random sampling method was used for sampling. The sample size was determined by G Power analysis. Geriatric depression and self-efficacy scales were used in the study. The study data were analyzed on the IBM SPSS Statistics 25.0 software package. Descriptive statistics were used to calculate descriptive data. Pearson, Chi-Square, and Fisher Exact tests were used to compare the sociodemographic and clinical characteristics of the participants. Paired Samples t-test was used to compare the intervention and the control groups' pretest and posttest scores. In the study, it was determined that the mean geriatric depression pretest score was 15.43 ± 7.05 in the control group and 14.46 ± 7.21 in the intervention group, and there was no significant difference between the groups' geriatric depression pretest scores (p = .602). However, it was determined that the mean geriatric depression posttest score was 13.50 ± 9.02 in the control group and 9.23 ± 6.71 in the intervention group, and there was a significant difference between the posttest scores of the groups (). No significant difference was found between the pretest and posttest geriatric depression scale scores of the control group (t = 1.346; p = .189). The posttest geriatric depression score of the intervention group was significantly lower than the pretest score (t = 5.966; p = .0001). In the study, it was determined that the mean self-efficacy pretest score was 79.63 ± 12.62 in the control group, 75.63 ± 14.20 in the intervention group, and there was no significant difference between the pretest scores of the groups (p = .254). It was determined that the mean self-efficacy posttest score was 83.10 ± 11.35 in the control group and 84.50 ± 14.41 in the intervention group, and there was no significant difference between the posttest scores of the groups (). The posttest self-efficacy score of the intervention group was found to be significantly higher than the pretest score (p = .001). The empowerment intervention was determined to decrease the elderly individuals' depression and increase their self-efficacy levels.
人类寿命的延长导致全球老年人口比例增加。这种情况也将健康老龄化问题提上了议程。老年人更积极地参与生活对健康发展的重要性日益凸显。主要针对老年人的抑郁和自我效能感来支持这种情况。本研究是一项随机对照干预研究,旨在评估赋权干预后老年人抑郁和自我效能水平的变化。在该研究中,为了提高老年人的抑郁和自我效能水平,对这些个体实施了由7次课程组成的赋权干预。在课程中,开展了一些实践活动,以提高老年人在认知、社会、情感、身体和精神领域的功能。本研究纳入了2019年9月至2020年12月期间在土耳其一家国立医院因物理治疗和康复住院的60名老年人(干预组和对照组)。采用简单随机抽样方法进行抽样。样本量通过G Power分析确定。研究中使用了老年抑郁量表和自我效能量表。研究数据在IBM SPSS Statistics 25.0软件包上进行分析。描述性统计用于计算描述性数据。Pearson检验、卡方检验和Fisher精确检验用于比较参与者的社会人口学和临床特征。配对样本t检验用于比较干预组和对照组的前测和后测分数。在研究中,确定对照组老年抑郁前测平均分为15.43±7.05,干预组为14.46±7.21,两组老年抑郁前测分数之间无显著差异(p = 0.602)。然而,确定对照组老年抑郁后测平均分为13.50±9.02,干预组为9.23±6.71,两组后测分数之间存在显著差异()。对照组老年抑郁量表前测和后测分数之间未发现显著差异(t = 1.346;p = 0.189)。干预组老年抑郁后测分数显著低于前测分数(t = 5.966;p = 0.0001)。在研究中,确定对照组自我效能前测平均分为79.63±12.62,干预组为75.63±14.20,两组前测分数之间无显著差异(p = 0.254)。确定对照组自我效能后测平均分为83.10±11.35,干预组为84.50±14.41,两组后测分数之间无显著差异()。发现干预组自我效能后测分数显著高于前测分数(p = 0.001)。赋权干预被确定可降低老年人的抑郁并提高他们的自我效能水平。