Association between social participation and cognitive function among community-dwelling older adults living alone: Analysis of a nationally representative survey
Association between social participation and cognitive function among community-dwelling older adults living alone: Analysis of a nationally representative survey
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DOI：
10.1111/ijn.12841
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发表时间：
2020-05-27
影响因子：
1.9
通讯作者：
Choi, MoonKi
中科院分区：
文献类型：
--
作者：
Choi, MoonKi
目的 老年人中社交脱离和认知能力下降通常同时存在，独居可能是认知能力下降的一个重要风险因素。这项研究旨在确定独居老年人和与他人同住的老年人之间变量的差异；它还评估了独居老年人的社会参与和认知功能之间的关联。 方法 使用韩国卫生和社会事务研究所以及卫生和福利部在 2017 年 6 月至 8 月期间收集的 10 299 名 65 岁以上具有全国代表性的成年人的数据进行了二次分析。使用卡方和 t 检验来比较两组之间的特征。在调整其他变量后，采用多元线性回归分析来检验社会参与与认知之间的关联。结果 在 10 055 名成年人中，24% 独居。两组之间的社会人口统计学和健康相关变量以及社会参与度存在显着差异。在多元线性回归中，参加兄弟团体活动、宗教活动以及通过电话或信件与兄弟姐妹和亲戚联系对独居老年人的认知功能有显着贡献。结论护士可以鼓励各种智力和情感刺激的社交活动，因为它们有助于维持和改善独居老年人的认知功能。
Aim Social disengagement and cognitive decline commonly coexist among older adults, and living alone may be a significant risk factor for cognitive decline. This study aimed to identify differences in variables between older adults living alone and living with others; it also evaluated the association between social participation and cognitive function in older adults living alone.Methods A secondary analysis was performed using the data collected between June and August 2017 of 10 299 nationally representative adults aged >= 65 years, obtained from the Korean Institute for Health and Social Affairs and the Ministry of Health and Welfare. Chi-square and t tests were used to compare characteristics between the two groups. Multiple linear regression analyses were utilized to examine the association between social participation and cognition, after adjusting for other variables.Results Among 10 055 adults, 24% lived alone. Sociodemographic and health-related variables and social participation differed significantly between the two groups. On multiple linear regression, participation in fraternal group activity, religious activity, and contact with siblings and relatives through phone calls or letters contributed significantly to cognitive function in older adults living alone.Conclusion Nurses can encourage various intellectually and emotionally stimulating social activities, as they help to maintain and improve the cognitive function of older people living alone.