Functional disability and psychological well-being in later life: Does source of support matter?

Functional disability and psychological well-being in later life: Does source of support matter?
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DOI:
10.1080/13607863.2011.596809
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发表时间:
2012-01-01
影响因子:
3.4
通讯作者:
Chao, Shiau-Fang
Chao, Shiau-Fang
中科院分区:
医学2区
文献类型:
--
作者:
Chao, Shiau-Fang

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目的:本研究探讨了缓冲作用的工具和情感支持从不同的来源对抑郁症和生活satisfactions.Methods的影响,增加功能障碍:随机效应模型,利用数据从全国范围内的纵向研究在台湾。本研究以2856位老人为研究对象,共观察6722次,为期七年。结果:台湾老人的心理健康与来自家庭成员与正式组织的工具性支持,以及来自家庭、朋友与正式组织的情感性支持有显著相关。此外,从家庭成员和正式组织的工具性支持,可以缓和增加功能障碍和depress.Conclusion之间的联系:结果强调鼓励自然帮手和医疗保健专业人员之间的伙伴关系的重要性。正规和非正规网络之间的良好融合可以更有效地满足体弱老年人及其家人的需求。这项研究还呼吁更多地关注卫生保健政策和服务提供的文化能力。
Objectives: This study explored the buffering effects of instrumental and emotional support from different sources against the impact of increasing functional disability on depression and life satisfaction.Methods: Random effects modeling was utilized with data from a nationwide longitudinal study in Taiwan. A total of 6722 observations from 2856 elders over a seven-year period served as subjects of this study.Results: The results suggested that instrumental support from family members and formal organizations as well as emotional support from families, friends and formal organizations was significantly associated with better psychological well-being among the elderly in Taiwan. In addition, receiving instrumental support from family members and formal organizations can moderate the linkage between increasing functional disability and depression.Conclusion: The results emphasize the importance of encouraging a partnership between natural helpers and health care professionals. A good integration between formal and informal networks could more effectively meet the needs of the frail older adults and their families. This study also calls for more attention to the cultural competence of health care policy and service delivery.