[在黑暗中看东西:老年人视力受限是一种典型的“环境相关”能力丧失]。

Zeitschrift fur Gerontologie Pub Date : 1994-11-01
H W Wahl
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引用次数: 0

摘要

在这篇文章的概念部分,强调了在晚年经历戏剧性的视觉丧失的存在维度。提出了三种理论途径来研究年龄相关性视力丧失:1)压力和负担视角;2)应对视角;3)环境心理学视角。本实证研究以84名视力丧失的老年受试者(42名视力受损,42名失明)、42名行动障碍的对照组和42名健康受试者(特别是视力或行动能力未受损的受试者)为基础。所有受损组均在55岁以后出现损伤;受试者的鉴定基于医学专业知识。各组的平均年龄从75岁到78岁不等,每组有30名女性和12名男性。收集了基于人(如日常生活自理功能、主观幸福感、抑郁)和人-环境-交易测量(如室内微生态、室外行动范围)的数据。结果显示,患有视力丧失的受试者的adl能力降低,主观幸福感降低,抑郁程度升高,动作范围缩小。然而,也需要一个不同的视角:例如,根据个人变量(独居/不独居、视力丧失程度、应对方式、共存疾病),观察到对环境压力的不同“恢复力”。这些发现指出了“差异”环境老年学的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Seeing in the dark: limited vision in the aged as a prototypical "environmentally relevant" loss in competence].

In the conceptual part of this article, the existential dimension of experiencing a dramatic visual loss in late life is highlighted. Three theoretical avenues are proposed to approach age-related vision loss: 1) a stress and burden perspective; 2) a coping perspective, 3) an environmental psychology perspective. The empirical study is based on 84 elderly subjects suffering from vision loss (42 visually impaired, 42 blind), a comparison group of 42 subjects with mobility impairments, and a control group of 42 healthy subjects (particularly not impaired in vision or mobility). In all impaired groups, the impairment appeared after the age of 55 years; identification of subjects was based on medical expertise. Mean age varies between groups from 75 to 78 years with 30 females and 12 males in each group. Data based on person (e.g., ADL-functioning, subjective well-being, depressivity) as well as person-environment-transaction measures (e.g., microecology within the house, action range outside the house) were collected. Results revealed a reduced ADL-competence, lower subjective well-being, higher depressivity, and a shrinkage of action range in subjects suffering from visual loss. However, there was also a need for a differential perspective: For example, depending on person variables (living alone/not alone, degree of visual loss, coping style, coexisting illnesses), a different "resilience" against environmental pressure was observed. These findings point to the importance of a "differential" environmental gerontology.

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