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受虐待影响的老年人——他们的心理健康和社会参与情况如何?一项混合方法研究。

Older Adults Affected by Abuse-What about Their Mental Health and Social Participation? A Mixed Methods Study.

作者信息

Salminen-Tuomaala Mari, Tiainen Juha, Paavilainen Eija

机构信息

School of Health Care and Social Work, Seinäjoki University of Applied Sciences, 60100 Seinäjoki, Finland.

Finnish Student Health Service YTHS, 90570 Oulu, Finland.

出版信息

Behav Sci (Basel). 2024 Feb 27;14(3):188. doi: 10.3390/bs14030188.

DOI:10.3390/bs14030188
PMID:38540491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10967753/
Abstract

The purpose of the study was to describe what types of abuse of older adults the healthcare providers in hospital emergency departments are currently able to identify. The study aimed at producing new information about the identification of abuse to enable the development of staff skills in the identification of abuse and in optimal interventions. The study is the first on the topic from the perspective of hospital emergency staff in Finland. The 76 participants represent 5 hospitals. The results are based on a statistical analysis of quantitative questions and on an inductive content analysis of participant experiences of suspected abuse. The inductive content analysis revealed that older adults subjected to abuse have narrowed social networks and many of them surrender to loneliness. Based on the relevant literature, the study discusses how the formal and informal social participation and mental health of this group of people could be promoted. Given the current limited resources, it is proposed that the idea of social prescribing might be applied informally, with help of a volunteer link person. Any interventions should be based on the older adults' conceptions of what is meaningful to them.

摘要

该研究的目的是描述医院急诊科的医疗服务提供者目前能够识别出哪些类型的老年人虐待情况。该研究旨在生成有关虐待识别方面的新信息,以提高工作人员在识别虐待及采取最佳干预措施方面的技能。这项研究是芬兰首次从医院急诊工作人员的角度探讨该主题。76名参与者来自5家医院。研究结果基于对定量问题的统计分析以及对参与者疑似虐待经历的归纳性内容分析。归纳性内容分析显示,遭受虐待的老年人社交网络变窄,其中许多人陷入孤独。基于相关文献,该研究讨论了如何促进这一群体的正式和非正式社会参与以及心理健康。鉴于目前资源有限,建议在志愿者联络人的帮助下非正式地应用社会处方理念。任何干预措施都应基于老年人对他们而言有意义之事的观念。

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BMJ Ment Health. 2023 Oct;26(1). doi: 10.1136/bmjment-2023-300870.
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Does social participation make Thai psychologically abused elders happier? a stress-buffering effect hypothesis.社交参与是否能使泰国受心理虐待的老年人更快乐?压力缓冲效应假说。
J Elder Abuse Negl. 2023 Mar;35(2-3):89-120. doi: 10.1080/08946566.2023.2236786. Epub 2023 Jul 19.
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Elder abuse and depressive symptoms among older adults in China: The moderating role of adverse childhood experiences.中国老年人虐待与抑郁症状:不良童年经历的调节作用
J Affect Disord. 2023 Oct 15;339:742-749. doi: 10.1016/j.jad.2023.07.070. Epub 2023 Jul 16.
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Social Participation Considered as Meaningful in old age - the Perceptions of Senior Housing Residents in Finland.社会参与在老年阶段被视为有意义——芬兰老年住宅居民的看法
Ageing Int. 2023 Feb 21:1-21. doi: 10.1007/s12126-023-09522-z.
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Elder abuse and life-course victimization in hospitalized older adults in Sweden: prevalence and associations with mental ill-health.瑞典住院老年人的虐待和生命历程受害:流行率及与心理健康不良的关联。
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Age Ageing. 2022 Feb 2;51(2). doi: 10.1093/ageing/afab215.
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