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首页> 外文期刊>Health Psychology Research >Risk for depression affects older people’s possibilities to exercise self-determination in using time, social relationships and living life as one wants: A cross-sectional study with frail older people
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Risk for depression affects older people’s possibilities to exercise self-determination in using time, social relationships and living life as one wants: A cross-sectional study with frail older people

机译：抑郁的风险影响老年人在根据自己的意愿使用时间，社会关系和生活中行使自决的可能性：一项针对衰弱的老年人的横断面研究

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摘要

Exercising self-determination in daily life is highly valued by older people. However, being in the hands of other people may challenge the older people’s possibilities to exercise self-determination in their daily life. Among frail older people living in Sweden, risk for depression is highly predominant. There is a knowledge gap regarding if, and how having a risk of depression affects older people’s self-determination. The objective was, therefore, to explore if, and in that case how, frail older people’s self-determination is affected by the risk of depression. In this cross-sectional, secondary data analysis, with 161 communitydwelling frail older people, simple logistic regression models were performed to explore the association between self-determination, the risk of depression and demographic variables. The findings showed that risk for depression and reduced self-determination were significantly associated in the dimensions: use of time (P=0.020), social relationship (P=0.003), help and support others (P=0.033), and the overall self-determination item (P=0.000). Risk for depression significantly affected self-determination in use of time (OR=3.04, P=0.014), social relationship (OR=2.53, P=0.011), and overall self-determination (OR=6.17, P=0.000). This point out an increased need of strengthening healthcare professionals’ perspectives, and attitudes towards a self-determined, friendly, and person-centred dialogue.
机译：老年人高度重视日常生活中的自决。但是，由他人掌控可能会挑战老年人在日常生活中行使自决的可能性。在生活在瑞典的年老体弱的老年人中，患抑郁症的风险非常高。关于是否以及如何患抑郁症会影响老年人的自决能力存在知识差距。因此，目的是探讨抑郁症的风险是否会影响老年人的自决，以及在这种情况下如何影响老年人的自决。在这个横断面的二次数据分析中，对161名社区脆弱的老年人进行了简单的逻辑回归模型，以探讨自我决定，抑郁风险和人口统计学变量之间的关系。研究结果表明，抑郁和自决的风险在以下方面显着相关：使用时间（P = 0.020），社交关系（P = 0.003），帮助和支持他人（P = 0.033）以及整体自我确定项目（P = 0.000）。抑郁风险显着影响使用时间的自决（OR = 3.04，P = 0.014），社会关系（OR = 2.53，P = 0.011）和总体自决（OR = 6.17，P = 0.000）。这表明越来越需要加强医疗保健专业人员的观点，以及对自我决定，友好和以人为本的对话的态度。

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