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社区关怀服务对老年人心理健康的影响:中国辽宁省的实证研究。

The impact of community care services on older people's psychological health: an empirical study in Liaoning Province, China.

机构信息

School of Humanity and Law, Northeastern University, Shenyang, China.

出版信息

Front Public Health. 2023 Aug 4;11:1199830. doi: 10.3389/fpubh.2023.1199830. eCollection 2023.

Abstract

BACKGROUND

Rapid population aging in China means it is imperative to establish a comprehensive care service system for older people. Currently, China is vigorously promoting the development of community care services for older people which should, ideally, focus on psychological health in addition to physical health. This study examined the impact of community care services on older people's psychological health.

METHODS

Survey data ( = 741) were collected from people aged 60 years and older in Liaoning Province, China, in which various community care services for older people were provided. Information was collected regarding the types of services provided (e.g., meal services, medical and social care), participants' demographic details (age, gender, economic circumstances, etc.), and their psychological health (e.g., loneliness, life satisfaction). The impact of the various care services on older people's psychological health was subsequently examined through the construction of a structural equation model.

RESULTS

Community care services for older people had a significant positive impact on their psychological health, with the most significant positive impact on cultural and sports activities, visiting and chat services, and emotional counseling. The impact of community care services on sub-groups of older people (e.g., those who were disabled, socially isolated and/or poor) was different.

CONCLUSION

It is necessary to provide comprehensive and high-quality community care services, organize diverse cultural, sports, and recreational activities, provide differentiated and specific services for older people, and formulate corresponding service guidelines.

摘要

背景

中国人口老龄化迅速,建立全面的老年人护理服务体系势在必行。目前,中国正在大力推进老年人社区护理服务的发展,除了身体健康外,还应重点关注心理健康。本研究考察了社区护理服务对老年人心理健康的影响。

方法

本研究从中国辽宁省 60 岁及以上的人群中收集了调查数据(n=741),这些人都接受了各种老年人社区护理服务。收集了有关提供的服务类型(例如,膳食服务、医疗和社会护理)、参与者的人口统计细节(年龄、性别、经济状况等)以及他们的心理健康(例如孤独感、生活满意度)的信息。随后,通过构建结构方程模型,考察了各种护理服务对老年人心理健康的影响。

结果

老年人社区护理服务对其心理健康有显著的积极影响,其中对文化和体育活动、探访和聊天服务以及情绪咨询的影响最大。社区护理服务对老年人的不同亚组(例如残疾、社会孤立和/或贫困)的影响不同。

结论

有必要提供全面和高质量的社区护理服务,组织多样化的文化、体育和娱乐活动,为老年人提供差异化和特定的服务,并制定相应的服务指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dba/10436539/2efb1ad0817f/fpubh-11-1199830-g001.jpg

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