Determination of the reasons causing elderly adults in the community to be housebound: Establishment of an intervention program

本研究以311名无长期需求证明的老年人为研究对象。调查显示，77名受试者（24.8%）的被调查者因日常生活独立性差、交通不便、外出需要帮助、年龄大、抑郁自评量表阳性率高、主观健康状况差等8个因素而居家不出门;单因素分析显示，居家不出门的成年人更容易出现膝盖或臀部疼痛等问题;尿失禁或尿频的焦虑、视力下降、耳聋、外出劳累、羞耻感、怕摔倒、没有品味、朋友少、一个人吃饭，目前的社区卫生服务不足以应对老年人因角色转变或身体衰退而产生的疏离感而导致的居家生活。因此，我们需要对老年人进行干预，使他们重新认识到自己是社会的重要成员，能够自信地参与社会活动。本研究设计并实施了一项旨在提高老年人自我效能感的干预辅导计划。14名被试在2个月内接受了5次（每次2 h）的干预，并在干预前后使用自尊和抑郁量表获得被试的反馈。然而，仅从7名受试者中收集数据，这不足以进行统计分析。然而，所有7名受试者的抑郁量表都有所改善，4名受试者的自尊有所改善，3名受试者的自尊有所下降。“，“这是令人振奋的。”和“我感到自信。“没有负面评论。

This Study was conducted on 311 senior citizens who did not have the certification of long-term need. The survey showed that 77 subjects (24.8%) were housebound due to the following 8 factors : daily life with less independence ; inconvenient transportation facilities ; assistance required for outings ; great age ; high rate of SDS ; low subjective health performance ; and tiredness from going out.The univariate analysis showed that the housebound adults had a high propensity to have problems such as pain in the knee or hip; anxiety about urinary incontinence or frequency of micturition ; decreased vision; deafness ; tiredness from outings ; sense of shame ; fear of falling; having no taste ; having few friends ; and having a meal alone.Current community health services are not enough to deal with loss of elderly confidence because of role changes or feelings of alienation as they decrease physically leading to being housebound. It is clear we need interventions for the elderly so that they realize again they are the important members of the society, able to participate in social activities with confidence.This study created and conducted an intervention coaching program for enhancing the self-efficacy of the elderly. Consent to cooperate in the intervention program was gained from 14 subjects, who participated in 2 groups (7 subjects each) 5 times (2 hours each time) over 2 months.Self-esteem and depression scale was utilized before and after the program to obtain feedback from the subjects. However data was collected from only from 7 subjects, which was not sufficient for statistical analysis. However, the depression scale of all 7 subjects had improved, and self esteem improved in 4 but decreased in 3.Major comments from subjects after the program included^* "It was fun.", "It was uplifting." and "I feel confident." There were no negative comments.