农村独居老年人老年自我忽视的现状及影响因素分析

doi:10.16460/j.issn1008-9969.2021.18.007

护理学报 ›› 2021, Vol. 28 ›› Issue (18): 7-11.doi: 10.16460/j.issn1008-9969.2021.18.007

农村独居老年人老年自我忽视的现状及影响因素分析

易子涵¹, 李茜², 张海茹³, 杨良琴², 陈明秋⁴, 鞠梅⁴

1.德阳市人民医院护理部,四川德阳 618000;
2.四川大学华西医院老年医学中心,四川成都 610041;
3.西南医科大学附属口腔医院儿科,四川泸州 646000;
4.西南医科大学护理学院,四川泸州 646000

收稿日期:2021-04-29 出版日期:2021-09-25 发布日期:2021-10-12
通讯作者: 鞠梅（1963-）,女,四川泸州人,硕士,教授。E-mail:2481476831@qq.com
作者简介:易子涵（1996-）,女,四川德阳人,本科学历,硕士研究生在读,护师。
基金资助:
2020年四川省大学生创新创业训练计划项目（S202010632260）; 2019年度四川省高校人文社会科学重点研究基地科研项目（SWFZ19-Q-12）

Elder Self-Neglect among Elderly People Living Alone in Rural Areas and Its Influence Factors

YI Zi-han¹, LI Qian², ZHANG Hai-ru³, YANG Liang-qin², CHEN Ming-qiu⁴, JU Mei⁴

1. Dept. of Nursing Administration, People's Hospital of Deyang City,Deyang 618000,China;
2. Geriatrics Center,West China Hospital of Sichuan University,Chengdu 610041,China;
3. Dept. of Pediatrics,Stomatological Hospital of Southwest Medical University, Luzhou 646000,China;
4. School of Nursing,Southwest Medical University,Luzhou 646000,China

Received:2021-04-29 Online:2021-09-25 Published:2021-10-12

摘要/Abstract

摘要： 目的了解农村独居老年人老年自我忽视的现状,并分析其影响因素。方法采用便利抽样法,选取四川省3个市共233名农村独居老人作为调查对象,采用一般资料调查表、农村老年自我忽视量表、老年抑郁筛查量表、简易精神状态检查量表等进行问卷调查,采用多元线性回归分析农村独居老年人老年自我忽视的影响因素。结果农村独居老年人老年自我忽视总分为9.00（5.50,15.00）,筛查出有老年自我忽视的老年人79名,占比33.9%,多元线性回归分析显示与子女交流频率、邻里关系、认知障碍、抑郁是农村老年人老年自我忽视的影响因素（P<0.05）。结论农村独居老年人老年自我忽视发生率比较高,农村社区卫生服务人员应高度重视独居老年人老年自我忽视的发生情况及特征表现,重点关注子女联络较少、邻里关系较差,认知功能低下且心理状态不容乐观的独居老年人,采取有效措施去提升老人的邻里关系及社会参与,降低负性情绪,进而降低其老年自我忽视水平。

关键词: 农村, 老年人, 独居, 自我忽视, 影响因素

Abstract: Objective To understand the current situation of elder self-neglect (ESN) among the elderly living alone in rural areas and analyze its influence factors. Methods With convenience sampling, 233 rural elderly people living alone in 3 cities in Sichuan Province were selected as the survey subjects and they were surveyed by using general information questionnaire, the Rural Elder Self-neglect Scale, the Depression Screening Scale (GDS-5), and the Short Portable Mental Status Questionnaire (SPMSQ). Multiple linear regression was used to explore the influence factors of ESN. Results The total ESN score of elderly people living alone in rural areas was 9.00 (5.50,15.00) and 79 elderly people with ESN were screened, accounting for 33.9%. Multiple linear regression showed that the frequency of communication with children, neighbor relationship, cognitive dysfunction and depression were the influence factors of the ESN of the rural elderly people (P<0.05). Conclusion The incidence of ESN among the elderly living alone in rural areas is relatively high, and great importance should be attached to the occurrence and characteristics of the ESN of the elderly living alone, focusing on those with less contact with children, poor neighbor relationships, poor cognitive function and mental state. Effective measures are needed to improve the neighbor relationships of the elderly and social participation, so as to reduce negative emotions, and then reduce their ESN.

Key words: rural, elderly, living alone, self-neglect, influence factor

中图分类号:

R473.59

易子涵, 李茜, 张海茹, 杨良琴, 陈明秋, 鞠梅. 农村独居老年人老年自我忽视的现状及影响因素分析[J]. 护理学报, 2021, 28(18): 7-11.

YI Zi-han, LI Qian, ZHANG Hai-ru, YANG Liang-qin, CHEN Ming-qiu, JU Mei. Elder Self-Neglect among Elderly People Living Alone in Rural Areas and Its Influence Factors[J]. Journal of Nursing, 2021, 28(18): 7-11.

参考文献

[1] Day MR.Self-neglect:A Challenge and a Dilemma[J]. Arch Psychiatr Nurs,2010 ,24(2):73-75.DOI:10.1016/j.apnu.2010.02.002.
[2] 蔡昭敏. 我国老年人自我忽视的问卷编制及初步研究[D]. 成都:四川师范大学,2015.
[3] 陈璟,蔡昭敏.老年人自我忽视研究:现状与展望[J]. 心理发展与教育,2015,31(3):377-384.DOI:10.16187/j.cnki.issn1001-4918.2015.03.16.
[4] 冀云,李进伟.中国老年人自我忽视的现状及影响因素研究[J].中国健康教育,2018, 34(11):968-972.DOI:10.16168/j.cnki.issn.1002-9982.2018.11.002.
[5] 王晓琴. 社会工作介入农村独居老人社会支持的实务研究[D]. 兰州:兰州大学,2020.
[6] 宋森. 硕士研究生内外向性格及其与成人依恋、孤独感的关系研究[D].南京:东南大学,2016.
[7] Kessler RC, Borges G,Walters EE.Prevalence of and Risk Factors for Lifetime Suicide Attempts in the National Comorbidity Survey[J]. Arch Gen Psychiatry,1999,56(7):617.
[8] 朱静. 山东省农村老年人自杀意念及其影响因素研究[D].济南:山东大学,2019.
[9] 赵媛媛. 农村老年人自我忽视的评定、影响因素及其对生活质量影响的研究[D]. 合肥:安徽医科大学,2017.
[10] Weeks SK, McGann PE, Michaels TK, et al. Comparing Various Short-form Geriatric Depression Scales Leads to the GDS-5/15[J]. J Nurs Scholarsh,2003,35(2):133-137. DOI:10.1111/j.1547-5069.2003.00133.x.PMID:12854293.
[11] Pfeiffer E.A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients[J]. J Am Geriatr Soc,1975,23(10):433-441.DOI:10.1111/j.1532-5415.1975.tb00927.x.PMID:1159263.
[12] 李杰. 安徽省马鞍山市老年人自我忽视影响因素的横断面及纵向研究[D]. 合肥:安徽医科大学,2018.
[13] Yu M, Gu L, Jiao W, et al.Predictors of Self-neglect among Community-dwelling Older Adults Living Alone in China[J]. Geriatr Nurs,2019,40(5):457-462.DOI:10.1016/j.gerinurse.2019.02.002.
[14] Zhao Y, Hu C, Feng F, et al.Associations of Self-neglect with Quality of Life in Older People in Rural China:A Cross-sectional Study[J].Int Psychogeriatr,2017,29(6):1015-1026.DOI:10.1017/S1041610217000229.
[15] 王航赛,曹梅娟. 老年人自我忽视及其影响因素的研究进展[J]. 护理研究,2018, 32(9):1357-1359.DOI:10.12102/j.issn.1009-6493.2018.09.009.
[16] 罗艳,周瑶,周通,等. 湖南省农村老年慢性病患者自我忽视、赋能及家庭关怀度的相关性研究[J]. 职业与健康,2019,35(15):2081-2084.DOI:10.13329/j.cnki.zyyjk.2019.0549.
[17] Hei A, Dong X.Neighborhood Disorder Is Associated with Greater Risk for Self-neglect among Chinese American Older Adults: Findings from PINE Study[J].Gerontol Geriatr Med, 2018,(4):2333721418778185.DOI:10.1177/2333721418778185.
[18] Dong XQ, Simon M, Evans D.Cross-sectional Study of the Characteristics of Reported Elder Self-neglect in a Community-dwelling Population: Findings from a Population-based Cohort[J]. Gerontology,2010,56(3):325-334.DOI:10.1159/000243164.
[19] Charles J, Naglie G, Lee J, et al.Self-report Measures of Well-being Predict Incident Harm Due to Self-neglect in Cognitively Impaired Seniors Who Live Alone[J].J Alzheimers Dis, 2015,44(2):425-430. DOI:10.3233/JAD-141671.
[20] 李舜伟. 认知功能障碍的诊断与治疗[J]. 中国神经精神疾病杂志, 2006,32(2):189-191.DOI:10.3969/j.issn.1002-0152.2006.02.036.
[21] Friedman EM, Shih RA, Slaughter ME, et al.Neighborhood Age Structure and Cognitive Function in a Nationally-representative Sample of Older Adults in the U.S[J]. Soc Sci Med,2017(174):149-158.DOI:10.1016/j.socscimed.2016.12.005.
[22] Olagunju AT, Olutoki MO, Ogunnubi OP, et al.Late-life Depression: Burden, Severity and Relationship with Social Support Dimensions in a West African Community[J]. Arch Gerontol Geriatr,2015, 61(2):240-246.DOI:10.1016/j.archger.2015.05.002.
[23] 蒋兴莉,王冬华.381例农村老年人积极老化现状及其影响因素分析[J].护理学报, 2019, 26(15):41-45.DOI:10.16460/j.issn1008-9969.2019.15.041.
[24] 蔡平平,毛平,谢建飞,等.老年抑郁症患者认知行为干预的研究进展[J].护理学报,2017,24(21):18-22.DOI:10.16460/j.issn1008-9969.2017.21.018.

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农村独居老年人老年自我忽视的现状及影响因素分析

Elder Self-Neglect among Elderly People Living Alone in Rural Areas and Its Influence Factors

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