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一项由学生主导的代际支持项目对机构养老老年人生活满意度、孤独感和心理健康的影响。

The impact of a student-led intergenerational support program on life satisfaction, loneliness, and psychological well-being of institutionalized older adults.

作者信息

Mostafa Naglaa Alsaied, Harfoush Mohamed Saied, Atta Mohamed Hussein Ramadan, Fouad Rasha Ahmed, El Garhy Safaa Mabrouk

机构信息

Gerontological Nursing Department, Faculty of Nursing, Damanhour University, Egypt.

Community Nursing Department, Faculty of Nursing, Damanhour University, Egypt; Nursing Department, College of Applied Medical Sciences, Buraydah Private Colleges, Buraydah, 51418, Saudi Arabia.

出版信息

Geriatr Nurs. 2025 Mar-Apr;62(Pt A):157-167. doi: 10.1016/j.gerinurse.2025.01.018. Epub 2025 Feb 3.

DOI:10.1016/j.gerinurse.2025.01.018
PMID:39904066
Abstract

BACKGROUND

Institutionalized older adults often face significant challenges that affect their psychological status and experience a sense of loss and social isolation. One promising approach is the implementation of intergenerational support programs, which foster interactions between older adults and younger generations.

AIM

To evaluate the effect of the Intergenerational Support Program on life satisfaction, sense of loneliness, and psychological status among institutionalized older adults.

METHOD

A quasi-experimental research design was conducted on a convenience sample of volunteer students and older adults. A total of 74 older adults were recruited and divided equally into two matched groups: study and control groups, with each group consisting of 37 institutionalized older adults.

TOOLS

The Mini-Mental State Examination (MMSE), Socio-Demographic Data and presence of chronic diseases of older adults Structured Interview Schedule, Satisfaction with Life Scale (SWLS), De Jong Gierveld Loneliness Scale and Hospital Anxiety and Depression Scale (HADS). The study group received the proposed intergenerational support program, which included intergenerational sessions for each older adult occurring once a week for approximately one and a half to two hours over three months, totaling 12 sessions. The Chi test was used to test the association between two qualitative variables or to detect differences between two or more proportions.

RESULTS

The mean age of participants was 72.64 ± 7.52 years for the study group and 71.30 ± 8.41 years for the control group. Statistically significant differences were found between pre and post-intervention measurements in the study group regarding life satisfaction, sense of loneliness, depression, and anxiety (p = 0.000). In contrast, no statistically significant differences were found between pre and post-intervention measurements in the control group regarding life satisfaction (p = 0.212), sense of loneliness (p = 0.765), depression (p = 0.849) , and anxiety (p = 0.1068).

CONCLUSION

The proposed intergenerational support program significantly affects life satisfaction, feelings of loneliness, and psychological status.

IMPLICATIONS

Our findings foster strong relationships between students and older adults, emphasizing the importance of close and compatible interactions, which can build meaningful intergenerational bonds and offer emotional support and companionship to older adults.

摘要

背景

机构养老的老年人常常面临重大挑战,这些挑战会影响他们的心理状态,使他们产生失落感和社会隔离感。一种有前景的方法是实施代际支持项目,该项目能促进老年人与年轻一代之间的互动。

目的

评估代际支持项目对机构养老老年人生活满意度、孤独感和心理状态的影响。

方法

对志愿者学生和老年人的便利样本进行准实验研究设计。共招募了74名老年人,并将他们平均分为两个匹配组:研究组和对照组,每组由37名机构养老的老年人组成。

工具

简易精神状态检查表(MMSE)、老年人社会人口学数据和慢性病状况结构化访谈表、生活满意度量表(SWLS)、德容吉尔维尔德孤独量表和医院焦虑抑郁量表(HADS)。研究组接受了提议的代际支持项目,该项目包括为每位老年人开展代际活动,每周一次,每次约一个半小时到两小时,为期三个月,共12次活动。卡方检验用于检验两个定性变量之间的关联,或检测两个或多个比例之间的差异。

结果

研究组参与者的平均年龄为72.64±7.52岁,对照组为71.30±8.41岁。研究组在干预前后的生活满意度、孤独感、抑郁和焦虑测量上存在统计学显著差异(p = 0.000)。相比之下,对照组在干预前后的生活满意度(p = 0.212)、孤独感(p = 0.765)、抑郁(p = 0.849)和焦虑(p = 0.1068)测量上未发现统计学显著差异。

结论

提议的代际支持项目对生活满意度、孤独感和心理状态有显著影响。

启示

我们的研究结果促进了学生与老年人之间的紧密关系,强调了亲密且融洽互动的重要性,这种互动可以建立有意义的代际联系,并为老年人提供情感支持和陪伴。

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