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认知功能正常的老年人中污名化和社会支持与抑郁及焦虑的关系。

Relationship of stigmatization and social support with depression and anxiety among cognitively intact older adults.

作者信息

Al-Dwaikat Tariq N, Rababa Mohammad, Alaloul Fawwaz

机构信息

Jordan University of Science and Technology Faculty of Nursing, P. O. Box 3030, Irbid 22110, Jordan.

School of Nursing, Health Sciences Campus, K-Wing, 555 South Floyd Street, Suite 3019, Louisville, KY, USA.

出版信息

Heliyon. 2022 Sep 20;8(9):e10722. doi: 10.1016/j.heliyon.2022.e10722. eCollection 2022 Sep.

Abstract

AIMS AND OBJECTIVES

This study aimed to assess depression and anxiety symptoms among older adult residents of long-term care facilities (LTCFs) in Jordan and to examine the relationships between stigmatization and social support with depression and anxiety.

METHODS

Data was collected between December 2019 and March 2020 using a cross-sectional design. A total of 90 LTCF residents responded to measures of cognition, anxiety, depression, stigmatization, and social support. Descriptive statistics and multiple regression analyses were used in this study.

RESULTS

The average scores of depression and anxiety were high among the participants, with 81.1% of the participants found to be at risk of developing clinical depression. Stigmatization was positively correlated with depression and anxiety, whereas social support was negatively correlated with depression. Stigmatization was a significant predictor of both anxiety and depression scores ( = .19, = .03; = .32, = .001, respectively).

CONCLUSIONS

Older adults residing in LTCFs in Jordan suffer from many psychological distress symptoms, which place them at risk of serious mental problems. Reducing stigmatization would improve the psychological well-being of LTCF residents.

RELEVANCE TO CLINICAL PRACTICE

Caregivers working at LTCFs should be aware that with the longer stay, older adult residents are expected to complain of psychological distress symptoms. Thus, frequent assessment of the residents is highly recommended. In addition, caregivers should provide the residents with appropriate social support to mitigate the negative impact of a lengthy stay.

摘要

目的与目标

本研究旨在评估约旦长期护理机构(LTCFs)中老年居民的抑郁和焦虑症状,并探讨污名化和社会支持与抑郁和焦虑之间的关系。

方法

采用横断面设计于2019年12月至2020年3月收集数据。共有90名长期护理机构居民对认知、焦虑、抑郁、污名化和社会支持量表进行了回应。本研究使用了描述性统计和多元回归分析。

结果

参与者的抑郁和焦虑平均得分较高,81.1%的参与者有患临床抑郁症的风险。污名化与抑郁和焦虑呈正相关,而社会支持与抑郁呈负相关。污名化是焦虑和抑郁得分的显著预测因素(分别为β = 0.19,p = 0.03;β = 0.32,p = 0.001)。

结论

居住在约旦长期护理机构的老年人存在许多心理困扰症状,这使他们面临严重心理问题的风险。减少污名化将改善长期护理机构居民的心理健康。

与临床实践的相关性

在长期护理机构工作的护理人员应意识到,随着居住时间的延长,老年居民可能会出现心理困扰症状。因此,强烈建议对居民进行频繁评估。此外,护理人员应向居民提供适当的社会支持,以减轻长期居住的负面影响。

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