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基于社区的多维度干预对 unwanted 孤独感及其后果的影响:一项准实验研究。 (注:“unwanted”直译为“不想要的”,这里结合语境可能是指“非自愿的”等意思,但因未明确专业术语,暂保留英文。)

Impact of a Multidimensional Community-Based Intervention on the Feeling of Unwanted Loneliness and Its Consequences: A Quasi-Experimental Study.

作者信息

Francisco-Sánchez Alba, Martínez-León Sofía, García-Pérez Alejandro, Báez-Hernández Juan Andrés, Rodríguez-Álvaro Martín, García-Hernández Alfonso Miguel

机构信息

Primary Health Care, La Palma Health Services, The Canary Islands Health Service, 38713 Breña Alta, Spain.

Nursing Department, Healthcare Sciences School, University of La Laguna, 38200 Santa Cruz de Tenerife, Spain.

出版信息

Healthcare (Basel). 2025 Jun 18;13(12):1465. doi: 10.3390/healthcare13121465.

Abstract

: Unwanted loneliness is the gap between the social relations a person has and those they want. The main objective of this research is to assess the impact of a multidimensional community-based intervention on the feeling of unwanted loneliness in the population over the age of 65 years old who live alone, are under social risk, or are socially isolated living on La Palma island. : A quasi-experimental study was designed with pre- and post-intervention (at three months) measurements, with no control group or randomization. A sample comprising 90 subjects was estimated for a small-moderate (0.3) or large (0.8) effect size, with a significance level (α) of 0.05 and a power (1 - β) of 0.8. : The intervention was initiated with 90 participants in 8 of the 9 Basic Health Districts from the La Palma Health Area. A moderate effect size (d = -0.77; 95%CI [-1.02, -0.52]) was evidenced in self-perceived loneliness. Three months after the proposed community-based intervention, significant differences were evidenced in adequate eating habits, physical activity, support network, anxiety, depression, and perceived social support. : Compartiendo Salud (Sharing Health) presents promising results, as it exerts positive effects on health management among older adults that live alone. The results of this intervention could serve as a model to design replicable strategies in other communities, improving the quality of life and levels of perceived social support in older adults.

摘要

: unwanted loneliness是一个人实际拥有的社会关系与他们期望的社会关系之间的差距。本研究的主要目的是评估一项基于社区的多维度干预措施,对居住在拉帕尔马岛、年龄在65岁以上、独居、面临社会风险或社会孤立的人群中 unwanted loneliness 感受的影响。

: 设计了一项准实验研究,在干预前和干预后(三个月时)进行测量,没有对照组或随机分组。估计样本量为90名受试者,效应量为小到中等(0.3)或大(0.8),显著性水平(α)为0.05,检验效能(1-β)为0.8。

: 干预在拉帕尔马岛卫生区9个基本卫生区中的8个区的90名参与者中展开。自我感知的孤独感呈现出中等效应量(d = -0.77;95%CI [-1.02, -0.52])。在提出的基于社区的干预措施实施三个月后,在饮食习惯、身体活动、支持网络、焦虑、抑郁和感知到的社会支持方面出现了显著差异。

: Compartiendo Salud(共享健康)呈现出了有前景的结果,因为它对独居老年人的健康管理产生了积极影响。这项干预措施的结果可以作为一个模型,用于在其他社区设计可复制的策略,提高老年人的生活质量和感知到的社会支持水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c90/12193032/3451b4c9e1fa/healthcare-13-01465-g001.jpg

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