Broese van Groenou M, Thomése F
Vrije Universiteit, Faculteit Sociaal Culturele Wetenschappen, Vakgroep Sociologie en Sociale Gerontologie, Amsterdam.
Tijdschr Gerontol Geriatr. 1996 Aug;27(4):150-8.
This article confronts the belief that, among elderly persons, living (in)dependently is equivalent to functioning (in)dependently. It has been examined to what degree the living situation of elderly persons (either living independently or in a residential home) affects the degree of social functioning (as indicated by the size of the personal network, participation in voluntary organizations, outdoor mobility and loneliness), when the differences in need for care and background characteristics are taken into account. Respondents were 2523 older persons between 68 and 90 years of age, who took part in the main survey of the NESTOR-programme "Living arrangements and social networks of elderly'. Using a LISREL-model the direct effects of the living situation on the four aspects of social functioning are examined. The results indicate that, controlled for the need for care and the background characteristics, older persons living in a residential home have smaller networks, participate less in voluntary organizations, and have a lower outdoor mobility compared to independently living older adults, but are not more or less lonely. The relatively low degree of social functioning of older persons living in a residential home can also be explained by factors as the need for care, age and partner status. The general conclusion is that living independently contributes to the maintenance of social functioning outside the home, whereas the social life of older adults in residential homes remains to a large degree "indoors'.
本文对一种观点提出了质疑,即认为在老年人中,独立生活等同于独立功能。研究探讨了老年人的生活状况(独立生活或居住在养老院)在考虑到护理需求和背景特征差异的情况下,对社会功能程度(以个人社交网络规模、参与志愿组织情况、户外出行能力和孤独感来衡量)的影响程度。受访者为2523名年龄在68岁至90岁之间的老年人,他们参与了NESTOR项目“老年人的生活安排和社会网络”的主要调查。使用线性结构关系模型(LISREL模型)检验了生活状况对社会功能四个方面的直接影响。结果表明,在控制了护理需求和背景特征后,与独立生活的老年人相比,居住在养老院的老年人社交网络更小,参与志愿组织的程度更低,户外出行能力也更低,但孤独感并无差异。居住在养老院的老年人相对较低的社会功能程度也可以由护理需求、年龄和伴侣状况等因素来解释。总体结论是,独立生活有助于维持家庭以外的社会功能,而居住在养老院的老年人的社交生活在很大程度上仍局限于“室内”。