感知社会支持和身体健康对斯里兰卡机构养老和非机构养老老年人生活质量的影响。
Impact of perceived social support and physical fitness on quality of life of institutionalized and non-institutionalized older adults in Sri Lanka.
作者信息
Wickramasinghe Anuradha, Gamage Madushika, Torabi Mohammad R, Perera Bilesha
机构信息
Department of Nursing, Faculty of Allied Health Sciences, University of Ruhuna, Galle, Sri Lanka.
School of Public Health - Bloomington, Indiana University, IN 47405, USA.
出版信息
Dialogues Health. 2022 Nov 19;1:100079. doi: 10.1016/j.dialog.2022.100079. eCollection 2022 Dec.
BACKGROUND AND AIM
Quality of life (QoL) in old age contributes to enhance active aging. This study aimed to assess and compare QoL and associated factors of institutionalized and non-institutionalized older adults (aged 60+ years) in Southern Sri Lanka.
METHODS
A total of 160 older adults (80 institutionalized and 80 non-institutionalized) were surveyed. Physical and cognitive skills were measured using Barthel index, and Mini Mental State Examination scales. Nutritional status and perceived social support were measured using Mini Nutritional Assessment and Multidimensional Scale of Perceived Social Support. Descriptive statistics and multiple regression techniques were used in the analysis.
RESULTS
The mean age of the institutionalized older adults was higher than that of non-institutionalized older adults (74.9 years versus 72.1 years, p < 0.01). About half of the sample consisted of older men (48.8%). Economically under privileged older adults who were unmarried were more likely to become institutionalized. The mean value of the QoL score was higher in non-institutionalized older adults compared to that of institutionalized older adults (63.1 ( = 21.9) versus 49.1 ( = 25.6), p < 0.05). Activities of daily living (ẞ=-0.46, p < 0.01) and perceived social support (ẞ=-0.20, p < 0.05) were found to be significant determinants of QoL of institutionalized older adults while activities of daily living (ẞ=-0.28, p < 0.05) and nutritional status (ẞ=-0.27, p < 0.05) were found to be significant determinants of QoL of non-institutionalized older adults. Cognitive impairments was not a significant determinant of QoL in both institutionalized and non-institutionalized older adults.
CONCLUSIONS
Promotion of physically active life style especially among young older adults to maintain their independence as they age and improvements of social support and social connectedness among older adults would be practical and cost-effective strategies to promote active aging in Sri Lankan older adults.
背景与目的
老年生活质量有助于促进积极老龄化。本研究旨在评估和比较斯里兰卡南部机构养老和非机构养老的老年人（60岁及以上）的生活质量及相关因素。
方法
共对160名老年人（80名机构养老者和80名非机构养老者）进行了调查。使用巴氏指数和简易精神状态检查表测量身体和认知技能。使用微型营养评定量表和领悟社会支持多维量表测量营养状况和领悟社会支持。分析中采用了描述性统计和多元回归技术。
结果
机构养老老年人的平均年龄高于非机构养老老年人（74.9岁对72.1岁，p<0.01）。约一半的样本为老年男性（48.8%）。经济条件差且未婚的老年人更有可能进入机构养老。非机构养老老年人的生活质量得分平均值高于机构养老老年人（63.1（标准差=21.9）对49.1（标准差=25.6），p<0.05）。日常生活活动能力（β=-0.46，p<0.01）和领悟社会支持（β=-0.20，p<0.05）被发现是机构养老老年人生活质量的重要决定因素，而日常生活活动能力（β=-0.28，p<0.05）和营养状况（β=-0.27，p<0.05）被发现是非机构养老老年人生活质量的重要决定因素。认知障碍在机构养老和非机构养老的老年人中均不是生活质量的重要决定因素。
结论
促进积极的生活方式，尤其是在年轻老年人中，以随着年龄增长保持其独立性，以及改善老年人的社会支持和社会联系，将是促进斯里兰卡老年人积极老龄化的切实可行且具有成本效益的策略。
Zotero 插件