Ayaz Canan Bulut, Gürsoy Melike Yalçin
Kütahya Health Sciences University Hospital, Kütahya, Türkiye.
Health Sciences Faculty, Nursing Department, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye.
BMC Geriatr. 2024 Dec 24;24(1):1036. doi: 10.1186/s12877-024-05558-1.
Self-neglect is a serious public health problem affecting older people. This study was conducted to determine the prevalence of self-neglect and related factors in the elderly, which has become more important with the increase in the elderly population.
The cross-sectional study included individuals aged 65 years and over. Data were collected via face-to-face interviews using a questionnaire. The questionnaire content included questions related to sociodemographic and health-related characteristics, the Istanbul Medical School Elder Self-Neglect questionnaire, standardized Mini Mental State Examination, Geriatric Depression Scale: Short Form, and Katz Activities of Daily Living Scale. Factors associated with self-neglect were identified using logistic regression analysis.
In this study, the prevalence of self-neglect in the elderly was 36.6%. In addition, living alone (OR: 2.71), low monthly income perception (OR: 1.86), poor/very poor health perception (OR: 2.30), having mild dementia (OR: 3.00), having severe dementia (OR: 4.54), being severely dependent (OR: 3.39) and lower levels of education (OR: 1.70) were found to be significant factors associated with self-neglect.
The results of this study showed that approximately one in three elderly people neglected themselves, and that some sociodemographic and health-related characteristics of the elderly were associated with self-neglect.
自我忽视是一个影响老年人的严重公共卫生问题。随着老年人口的增加,开展这项研究以确定老年人自我忽视的患病率及其相关因素变得愈发重要。
这项横断面研究纳入了65岁及以上的个体。通过使用问卷进行面对面访谈来收集数据。问卷内容包括与社会人口学和健康相关特征、伊斯坦布尔医学院老年人自我忽视问卷、标准化简易精神状态检查表、老年抑郁量表简表以及卡茨日常生活活动量表相关的问题。使用逻辑回归分析确定与自我忽视相关的因素。
在本研究中,老年人自我忽视的患病率为36.6%。此外,独居(比值比:2.71)、认为月收入低(比值比:1.86)、认为健康状况差/非常差(比值比:2.30)、患有轻度痴呆(比值比:3.00)、患有重度痴呆(比值比:4.54)、严重依赖他人(比值比:3.39)以及受教育程度较低(比值比:1.70)被发现是与自我忽视相关的显著因素。
本研究结果表明,大约三分之一的老年人存在自我忽视情况,并且老年人的一些社会人口学和健康相关特征与自我忽视有关。