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Older Adults in Nursing Homes: Assessing Relationships Between Multiple Constructs of Social Integration, Facility Characteristics, and Health.

机译：疗养院中的老年人：评估社会融合，设施特征和健康的多种结构之间的关系。

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摘要

An extensive body of research has examined connections between older adults' social worlds and health and well-being, particularly for community-dwelling older adults. Yet, little is known about the social worlds of older adults living in nursing homes because of this population's exclusion from many studies and national databases. Further, the influence of social workers and culture change practices on the social lives of nursing home residents is not well-documented. This research assessed the relationships between multiple social integration (i.e., social networks, social capital, social support, and social engagement) and health (i.e., depression, functional health and well-being) constructs, and examined the influence of facility characteristics (i.e., culture change, role of social workers) on these variables. This study drew on a model based on social network theory developed by Berkman, Glass, Brissette, and Seeman (2000). Data were collected at 30 nursing homes in Northeast Kansas using a cross-sectional, quantitative, planned missing data design with random sampling techniques. Data collection occurred at the individual-level through in-person structured interviews with older adult nursing home residents ( N = 140) and at the facility-level (N = 30) with social service directors and nursing home administrators. Data were imputed using multiple imputation, and multilevel confirmatory factor analysis was used to verify measurement properties. Multilevel structural equation modeling (MSEM) was used to answer the research questions and test hypotheses. Findings revealed that the data did fit the proposed model supporting social network theory, showing that social networks and social group participation indirectly influence depression and functional health and well-being primarily via social engagement. Social capital had a direct influence on both health constructs. Further, the relationships sub-scale of culture change involvement significantly influenced between-level differences in residents' social networks, and the number of social workers in a nursing home was positively associated with between-level differences in residents' social support. These findings inform social integration strategies for reducing social isolation and related declines in physical and mental health for older adults in nursing homes as well as nursing home and health care policies for improving quality of life of those utilizing long term care services.
机译：广泛的研究研究了老年人社会世界与健康与福祉之间的联系，特别是对于居住在社区中的老年人。然而，由于许多研究和国家数据库中都排除了这一人口，因此对养老院中老年人的社会世界知之甚少。此外，没有充分记录社会工作者和文化变革实践对疗养院居民社会生活的影响。这项研究评估了多种社会融合（即社会网络，社会资本，社会支持和社会参与）与健康（即抑郁，功能性健康和福祉）结构之间的关系，并考察了设施特征的影响（即，文化变革，社会工作者的角色）。这项研究基于Berkman，Glass，Brissette和Seeman（2000）开发的基于社交网络理论的模型。使用横断面，定量，计划性缺失数据设计和随机抽样技术，在堪萨斯州东北部的30个疗养院中收集了数据。数据收集是通过与老年人疗养院居民的面对面结构化访谈（N = 140）在个人层面进行的，而在设施层次（N = 30）与社会服务主管和疗养院管理人员进行的是数据收集。使用多重插补估算数据，并使用多级确认因子分析来验证测量属性。多级结构方程建模（MSEM）用于回答研究问题和检验假设。研究发现，这些数据确实符合支持社会网络理论的拟议模型，表明社会网络和社会团体的参与主要通过社会参与间接影响抑郁症和功能性健康及幸福感。社会资本对两种健康结构都有直接影响。此外，文化变化参与的关系子量表显着影响居民社会网络之间的层级差异，疗养院中的社工人数与居民社会支持的层级差异呈正相关。这些发现为减少老年人在疗养院中的社会隔离和相关的身心健康下降的社会融合战略，以及为改善那些使用长期护理服务的人的生活质量而制定的疗养院和保健政策提供了信息。

著录项

  • 作者

    Leedahl, Skye N.;

  • 作者单位

    University of Kansas.;

  • 授予单位 University of Kansas.;
  • 学科 Social Work.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 150 p.
  • 总页数 150
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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