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意大利独自居家养老的体弱老年人的孤独感、社会隔离及社会支持资源

Perceived Loneliness, Social Isolation, and Social Support Resources of Frail Older People Ageing in Place Alone in Italy.

作者信息

Melchiorre Maria Gabriella, Socci Marco, Lamura Giovanni, Quattrini Sabrina

机构信息

Centre for Socio-Economic Research on Ageing, IRCCS INRCA-National Institute of Health and Science on Ageing, Via Santa Margherita 5, 60124 Ancona, Italy.

出版信息

Healthcare (Basel). 2024 Apr 23;12(9):875. doi: 10.3390/healthcare12090875.

Abstract

This paper presents some findings from the IN-AGE ("Inclusive ageing in place") study, which the authors carried out in 2019 in Italy. It explores the available social support resources for frail older people with functional limitations ageing in place alone, and possible links between their social isolation and perceived loneliness. The authors conducted qualitative/semi-structured interviews involving 120 participants aged 65 years and over, and used a mixed-methods analysis (quantitative/qualitative). The main results show the family as the main help resource for daily activities, but also for intimate confidences against social isolation, especially when said relatives live close. Family confidants are less present when seniors are supported by friends/neighbours or/and public services. Moreover, the family is valuable for decreasing loneliness, although not always. However, some older people feel particularly alone when they are supported by public services. Such a complex context draws attention on the need of support for frail seniors living alone and could provide insights for policymakers on adequate policies for preventing and managing loneliness and social isolation in later life. This is especially relevant when family (and other) resources are not available or scarce, also considering the opportunities offered by technology, which can help seniors remain socially connected to relatives, friends and their overall community.

摘要

本文介绍了作者于2019年在意大利开展的“就地包容老龄化”(IN-AGE)研究的一些发现。该研究探讨了功能受限的体弱老年人独自居家养老时可获得的社会支持资源,以及他们的社会隔离与感知到的孤独感之间可能存在的联系。作者对120名65岁及以上的参与者进行了定性/半结构化访谈,并采用了混合方法分析(定量/定性)。主要结果表明,家庭不仅是日常活动的主要帮助资源,也是防止社会隔离的贴心倾诉对象,尤其是当亲属住得很近时。当老年人得到朋友/邻居或/和公共服务的支持时,家庭密友的存在就会减少。此外,家庭在减轻孤独感方面很重要,尽管并非总是如此。然而,一些老年人在得到公共服务支持时会感到格外孤独。这样一个复杂的背景凸显了为独居体弱老年人提供支持的必要性,并可为政策制定者制定预防和管理晚年孤独及社会隔离的适当政策提供见解。当家庭(及其他)资源不可用或稀缺时,这一点尤其重要,同时也要考虑到技术提供的机会,技术可以帮助老年人与亲属、朋友及整个社区保持社会联系。

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