Loneliness and Self-Management Abilities in the Visually Impaired Elderly
Loneliness and Self-Management Abilities in the Visually Impaired Elderly
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DOI：
10.1177/0898264311399758
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发表时间：
2011-08-01
影响因子：
2.8
通讯作者：
Suurmeijer, Theo P. B. M.
中科院分区：
文献类型：
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作者：
Alma, Manna A.;Van der Mei, Sijrike F.;Suurmeijer, Theo P. B. M.
目的：描述视障老人的孤独感程度，并与视力正常的老年人对照组进行比较。此外，我们研究了自我管理能力（SMAs）的视障老年人之间的孤独感的决定因素。方法：在一项横断面研究中，173名视障老年人完成了电话采访。分别用De Jong Gierveld孤独量表和SMAS-30评估孤独和SMA。结果：视力受损老年人的孤独感患病率高于对照组（50%对29%; p <0.001）。多因素分层回归分析表明，SMA自我效能感、伴侣地位和自尊是孤独感的决定因素。视力障碍的严重程度和持续时间对孤独感没有影响。讨论：SMA之间的关系（即，自我效能）和孤独感是有希望的，因为可以通过培训来学习SMAs。因此，自我管理训练可以减少孤独感。
Objectives: To describe the degree of loneliness among the visually impaired elderly and to make a comparison with a matched reference group of the normally sighted elderly. In addition, we examined self-management abilities (SMAs) as determinants of loneliness among the visually impaired elderly. Method: In a cross-sectional study, 173 visually impaired elderly persons completed telephone interviews. Loneliness and SMAs were assessed with the Loneliness Scale of De Jong Gierveld and the SMAS-30, respectively. Results: The prevalence of loneliness among the visually impaired elderly was higher compared with the reference group (50% vs. 29%; p < .001). Multivariate hierarchical regression analysis showed that the SMA self-efficacy, partner status, and self-esteem were determinants of loneliness. Severity and duration of visual impairment had no effect on loneliness. Discussion: The relationship between SMAs (i.e., self-efficacy) and loneliness is promising, as SMAs can be learned through training. Consequently, self-management training may reduce feelings of loneliness.