Sert Esma Nur, Ilgaz Aysegul
Faculty of Nursing, Akdeniz University, Antalya, Turkey.
Public Health Nurs. 2025 Jan-Feb;42(1):44-53. doi: 10.1111/phn.13439. Epub 2024 Oct 7.
It was aimed to explore the relationship between successful aging and self-neglect and factors affecting successful aging among community-dwelling older people.
This cross-sectional study was conducted with 316 participants aged 60 years and older in a Family Health Center (FHC). The data were collected by using the questionnaire form, Successful Aging Scale and Self-Neglect Scale. The questionnaire form includes sociodemographic characteristics, independence (Katz Daily Life Activities Scale) and well-being status (WHO-5 Well-Being Index), psychosocial support (Multidimensional Perceived Social Support Scale), and depressive symptoms (two questions-complaints such as feeling depressed or hopeless and loss of interest and inability to enjoy life).
Participants had a mean age of 67.5 (SD: 6.5) years, 55.4% were female. A strong positive correlation was determined between successful aging score and self-neglect score (r = 0.741, p < 0.001). Factors affecting successful aging were age, working status, education level, body mass index, physical activity, subjective health perception, health screening status, self-neglect level, depressive symptoms, independence in activities, well-being status, and psychosocial support. Gender, income status, chronic disease presence, cigarette and alcohol use, living alone, and family type did not affect it. According to multivariate linear regression, the factors affecting successful aging were age, psychosocial support presence, and self-neglect level (p < 0.05).
Older people have low successful aging and self-neglect scores. Successful aging is better at a young age, in the presence of psychosocial support and a low level of self-neglect. It is recommended to increase the existence of psychosocial support for them and to plan interventions to reduce self-neglect.
探讨社区老年人成功老龄化与自我忽视之间的关系以及影响成功老龄化的因素。
本横断面研究在一家家庭健康中心对316名60岁及以上的参与者进行。数据通过问卷调查表、成功老龄化量表和自我忽视量表收集。问卷调查表包括社会人口学特征、独立性(卡茨日常生活活动量表)和幸福状况(世界卫生组织-5幸福指数)、心理社会支持(多维感知社会支持量表)以及抑郁症状(两个问题——如感到沮丧或绝望、失去兴趣和无法享受生活等抱怨)。
参与者的平均年龄为67.5(标准差:6.5)岁,55.4%为女性。成功老龄化得分与自我忽视得分之间存在强正相关(r = 0.741,p < 0.001)。影响成功老龄化的因素有年龄、工作状态、教育水平、体重指数、身体活动、主观健康感知、健康筛查状况、自我忽视水平、抑郁症状、活动独立性、幸福状况和心理社会支持。性别、收入状况、慢性病存在情况、吸烟和饮酒情况、独居情况以及家庭类型对其没有影响。根据多元线性回归,影响成功老龄化的因素有年龄、心理社会支持的存在情况和自我忽视水平(p < 0.05)。
老年人的成功老龄化得分和自我忽视得分较低。在年轻时、存在心理社会支持且自我忽视水平较低的情况下,成功老龄化状况更好。建议增加针对他们的心理社会支持,并规划干预措施以减少自我忽视。