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马来西亚慢性病老年人的祖父母养育方式及其与身心健康的关联:一项横断面研究。

Grandparenting practices and their association with physical and mental well-being among older adults with chronic diseases in Malaysia: A cross-sectional study.

作者信息

Othman Sajaratulnisah, Hee Vinvie Wei Huo, Ng Clarice Jing Wen, Suhaimi Julia

机构信息

MBBS, MFamMed, PhD, Department of Primary Care, Medicine, Faculty of Medicine University of Malaya, Kuala Lumpur, Malaysia. Email:

MD, MFamMed, Klinik Kesihatan Jalan Macalister, Penang, Malaysia.

出版信息

Malays Fam Physician. 2024 Nov 12;19:64. doi: 10.51866/oa.586. eCollection 2024.

Abstract

INTRODUCTION

There is limited understanding of the association of grandparenting with the wellbeing of older adults with chronic diseases. This study aimed to examine grandparenting practices and their association with physical and mental well-being among older adults.

METHODS

The cross-sectional study was conducted at an outpatient clinic in a tertiary hospital in the Klang Valley, Malaysia. A total of 421 older patients with grandparenting experience were interviewed. The SF-12 Version 2.0 Health Survey was utilised to assess mental and physical wellbeing. Sociodemographic information, chronic disease care and grandparenting practices were evaluated to investigate any potential relationship with physical and mental well-being.

RESULTS

Of the participants, 80% were aged 60-74 years; 62.5% were women; and 81.4% completed secondary education. More than half of the participants voluntarily took on the role of grandparenting. The participants showed an impaired physical function but a preserved mental wellbeing. Never missing regular medication due to grandparenting and taking up grandparenting based on the circumstances were related to mental health. However, no factor was significantly associated with physical well-being.

CONCLUSION

Two factors are linked to improved mental well-being. In contrast, there is no significant relationship found between a decline in physical health and grandparenting practices. Further research is needed to determine the causal relationship between physical health challenges and grandparenting practices.

摘要

引言

对于祖父母养育与患有慢性病的老年人幸福感之间的关联,人们了解有限。本研究旨在探讨祖父母养育行为及其与老年人身心健康的关联。

方法

这项横断面研究在马来西亚巴生谷一家三级医院的门诊进行。共采访了421名有祖父母养育经历的老年患者。采用SF-12第2.0版健康调查来评估心理和身体健康状况。评估了社会人口统计学信息、慢性病护理和祖父母养育行为,以调查其与身心健康的任何潜在关系。

结果

参与者中,80%年龄在60 - 74岁;62.5%为女性;81.4%完成了中等教育。超过一半的参与者自愿承担祖父母养育角色。参与者身体功能受损,但心理健康状况良好。不因祖父母养育而错过常规药物治疗以及根据情况承担祖父母养育角色与心理健康有关。然而,没有因素与身体健康显著相关。

结论

有两个因素与改善心理健康有关。相比之下,身体健康下降与祖父母养育行为之间未发现显著关系。需要进一步研究来确定身体健康挑战与祖父母养育行为之间的因果关系。

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