Department of Psychology, 6403Miami University, Oxford, OH, USA.
Scripps Gerontology Center, Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
J Appl Gerontol. 2023 May;42(5):981-991. doi: 10.1177/07334648221150966. Epub 2023 Jan 17.
The purpose of this study was to examine changes in and predictors of perceived tangible social support over a 2-year period among older adults new to LTSS. Linear mixed effects models were used to model repeated measures of tangible social support as a function of LTSS type [NH, AL, HCBS], personal, clinical, and health-related quality of life variables. AL residents reported greater initial tangible social support, but NH and HCBS residents improved more over time. Predictors of increased tangible social support over time included greater positive affect, sense of aesthetics, education, satisfaction with family relationships, and total number of close friends and family. Decreased tangible support over time was associated with greater depressive symptoms. Findings indicate the positive influence of NH and HCBS services on perception of tangible social support, and the importance of addressing depressive symptoms and assisting with the maintenance of important relationships.
本研究旨在考察新接受长期护理服务（LTSS）的老年人在 2 年内感知有形社会支持的变化及其预测因素。线性混合效应模型被用来模拟有形社会支持的重复测量，作为 LTSS 类型[NH、AL、HCBS]、个人、临床和与健康相关的生活质量变量的函数。AL 居民报告了更大的初始有形社会支持，但 NH 和 HCBS 居民随着时间的推移改善得更多。随着时间的推移，有形社会支持增加的预测因素包括更积极的情绪、美感、教育、对家庭关系的满意度以及亲密朋友和家人的总数。随着时间的推移，有形支持的减少与更多的抑郁症状有关。研究结果表明 NH 和 HCBS 服务对有形社会支持感知的积极影响，以及解决抑郁症状和协助维持重要关系的重要性。
