衰老和孤独。孤独地变老意味着什么?

Laura Gold
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引用次数: 1

摘要

并非所有的老年人都遭受孤独之苦,有些人可能会从中恢复过来。2009年的一份出版物[2]发现,孤独加速了老年人衰老和运动功能下降的影响。该研究分析了906名没有痴呆症、帕金森病或中风的老年人参加社交活动与运动功能下降之间的关系,并对他们进行了大约5年的跟踪调查。结果显示,一个人的社交活动得分每下降一分,运动功能下降的速度就会加快33%,残疾的风险就会增加65%,死亡的风险就会增加40%。我和我的合作者是一个多学科的团队,包括医生、护士、护理助理、社会工作者、物理治疗师、职业治疗师、营养师和心理学家,我们有幸与这些病人建立起关爱关系。不仅治疗他们的医疗问题,还帮助他们处理衰老的其他方面,比如孤独和社会孤立等。我们要么在家里,要么在日间医院提供常规护理,病人不仅参加治疗小组(活动、记忆、营养、物质依赖管理),而且有机会发展与同龄人的关系。最后,如果可能的话,如果他们愿意,我们还使他们能够在家中死去,为他们提供全面的护理,直到他们生命的尽头。能够在最好的情况下尊重亲人的意愿,对他们来说是一种深深的满足。孤独和社会孤立是任何年龄组,特别是老年人全球健康状况的主要决定因素。卫生保健政策应将这一概念纳入传统的疾病医学模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aging and loneliness. What does it mean to grow old alone?
not all elderly people suffer from loneliness and some may recover from it. A 2009 publication [2] found that loneliness speeds the effects of aging and motor function decline in older adults. The study analysed the relationship between participation in social activities and motor function decline in 906 older adults without dementia, Parkinson’s disease or stroke, followed for about 5 years. The results showed that each point decrease in a person’s social activity score was associated with a 33% faster rate of motor function decline and a 65% higher risk of disability as well as a 40% increase risk of death. My collaborators and I, a multidisciplinary team including doctors, nurses, nursing assistants, social workers, physiotherapists, occupational therapists, a dietician and psychologists, have the privilege of developing caring relationships with these patients. Not only treating their medical problems but also helping them deal with other aspects of aging, such as loneliness and social isolation among others. We either provide regular care at home or in our day hospital where patients not only participate in therapeutic groups (mobility, memory, nutrition, management of substance dependency) but have the opportunity to develop relationships with their peers. Finally, we also enable them, if possible, to die at home if they so wish, providing them with comprehensive care until the end of their lives. It is a deep satisfaction for loved ones to have been able to respect their wishes in the best circumstances possible. Loneliness and social isolation are major determinants of global health status in any age group, particularly the older adult. Health care policies should integrate this concept into the traditional medical model of disease.
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