Loneliness and nursing home admission among rural older adults
Loneliness and nursing home admission among rural older adults
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DOI：
10.1037/0882-7974.12.4.574
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发表时间：
1997-12-01
影响因子：
3.7
通讯作者：
Wallace, RB
中科院分区：
文献类型：
--
作者：
Russell, DW;Cutrona, CE;Wallace, RB
在这项研究中，作者对大约3000名爱荷华州农村老年人的样本进行了为期4年的测试，测试了孤独感与随后入住养老院的关系。研究发现，较高的孤独感增加了疗养院入院的可能性，并缩短了疗养院入院的时间。在控制了其他变量，如年龄、教育程度、收入、精神状态后，极高的孤独感对养老院入院的影响仍然具有统计学意义。身体健康，士气和社会接触，也是护士霍恩入院的预测因素，提出了几种机制来解释极端孤独和疗养院入院之间的联系。其中包括将孤独作为心理和身体健康下降的诱因，将养老院安置作为与他人进行社会接触的一种策略。对预防性干预的含义进行了讨论。
In this study, the authors tested the relation between loneliness and subsequent admission to a nursing home over a 4-year time period in a sample of approximately 3,000 rural older Iowans. Higher levels of loneliness were found to increase the likelihood of nursing home admission and to decrease the time until nursing home admission. The influence of extremely high loneliness on nursing home admission remained statistically significant after controlling for other variables, such as age, education: income, mental status. physical health, morale, and social contact, that were also predictive of nursing horne admission, Several mechanisms are proposed to explain the link between extreme loneliness and nursing home admission. These include loneliness as a precipitant of declines in mental and physical health and nursing home placement as a strategy to gain social contact with others. Implications for preventative interventions are discussed.