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患有慢性病的老年人中的虐待老人与死亡焦虑研究

Examination of Elder Abuse and Death Anxiety in Older Adults With a Chronic Disease.

作者信息

Karaman Seda, Bahçecioğlu Turan Gülcan, Çayır Yılmaz Merve, Yilmaz Karabulutlu Elanur

机构信息

Faculty of Nursing, Atatürk University, Erzurum, Turkey.

Department of Nursing, Faculty of Health Sciences, Fırat University, Elazığ, Turkey.

出版信息

Nurs Open. 2025 Jan;12(1):e70092. doi: 10.1002/nop2.70092.

Abstract

AIM

This study was conducted to examine elder abuse and death anxiety in older adults who had chronic diseases.

DESIGN

The present study is a cross-sectional and correlational study.

METHODS

This study was conducted with 200 patients who met the research criteria and agreed to participate in the study and who were admitted to the internal medicine outpatient clinics of a university hospital in Elazig, eastern Turkey. Data were collected by using 'Descriptive Information Form' Hwalek-Sengstock Elderly Abuse Screening Test (H-S/EAST) 'Death Anxiety Scale (DAS)'.

RESULTS

The mean DAS score of 8.66 ± 2.87 was evaluated as high and the mean H-S/EAST score of 6.41 ± 3.78 was evaluated as moderate risk of abuse. It was found that the independent variable H-S/EAST total score affected DAS total score positively (β = 0.633) and explained 38% (p < 0.001). Among the variables included in the model, gender, age and employment status were found to be positive (β = 0.243, β = 0.222, β = 0.222) statistically significant predictors of H-S/EAST total score. In addition, it was found that gender was a positive (β = 0.318) and statistically significant predictor of DAS total score (p < 0.05).

CONCLUSIONS

Older individuals with chronic illness have a moderate risk of abuse and a high level of death anxiety. As the risk of elder abuse increases, death anxiety also increases. In addition, gender is an important predictor of elder abuse and death anxiety. In line with these results, it is recommended to identify groups with high potential for abuse, to organise awareness-raising training programs to prevent abuse and to conduct evaluations for abuse and death anxiety at regular intervals. Also, the results of this research will contribute to nursing literature and will be useful for future interventional research.

PUBLIC CONTRIBUTION

There is no public contribution.

摘要

目的

本研究旨在调查患有慢性病的老年人中的虐待老人情况和死亡焦虑。

设计

本研究为横断面相关性研究。

方法

本研究对200名符合研究标准并同意参与研究的患者进行,这些患者均入住土耳其东部埃拉泽格市一所大学医院的内科门诊。通过使用“描述性信息表”、Hwalek-Sengstock老年人虐待筛查测试(H-S/EAST)、“死亡焦虑量表(DAS)”收集数据。

结果

DAS平均得分为8.66±2.87,被评估为高水平;H-S/EAST平均得分为6.41±3.78,被评估为虐待中度风险。发现自变量H-S/EAST总分对DAS总分有正向影响(β=0.633),并解释了38%(p<0.001)。在模型中的变量中,性别、年龄和就业状况被发现是H-S/EAST总分的正向(β=0.243、β=0.222、β=0.222)统计学显著预测因素。此外,发现性别是DAS总分的正向(β=0.318)且统计学显著预测因素(p<0.05)。

结论

患有慢性病的老年人存在虐待中度风险和高水平的死亡焦虑。随着虐待老人风险的增加,死亡焦虑也会增加。此外,性别是虐待老人和死亡焦虑的重要预测因素。根据这些结果,建议识别出具有高虐待可能性的群体,组织提高认识的培训项目以预防虐待,并定期对虐待和死亡焦虑进行评估。此外,本研究结果将为护理文献做出贡献,并对未来的干预性研究有用。

公众贡献

无公众贡献。

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