背景:生活中的意义是在机构护理中促进社会心理健康的一个被广泛接受的目标。然而,照顾者互动和感知控制如何影响老年人的生活意义尚不清楚.本研究探讨了机构护理人员互动的效果,家庭照顾者互动,中国老年居民对生活意义的感知控制,以及老年人与社会工作者比率在这些协会中的潜在调节作用。
方法:采用多阶段随机抽样的方法,从中国城市4家养老院抽取452名老年居民。使用结构方程模型来检验研究假设。
结果:机构照顾者互动与生活意义呈正相关,老年居民的感知控制对生活意义有积极影响。此外,老年人与社会工作者的比例调节了机构照料者互动与生活意义之间的关系,以及家庭照顾者之间的互动和生活意义。
结论:增加老年人的生活意义是机构护理行业的重要服务目标。社会工作者在机构护理中影响对老年人生命意义的干预效果。较高的老年人与社会工作者比率可以提高老年居民生活意义干预措施的有效性。
BACKGROUND: Meaning in life is a widely accepted aim in promoting psychosocial health in institutional care. However, how caregiver interaction and perceived control impact meaning in life among the elderly remains unclear. This study explores the effect of institutional caregiver interaction, family caregiver interaction, and perceived control on meaning in life among elderly residents in
China, and the potential moderating effect of elderly-to-social worker ratio in these associations.
METHODS: Multistage random sampling was used to recruit a sample of 452 elderly residents from 4 elderly care homes in urban
China. A structural equation model was used to test the study hypothesis.
RESULTS: Institutional caregiver interaction is positively related to meaning in life, and perceived control among elderly residents has a positive impact on meaning in life. Moreover, the elderly-to-social worker ratio moderated the relationship between institutional caregiver interaction and meaning in life, as well as between family caregiver interaction and meaning in life.
CONCLUSIONS: Increase elderly\'s meaning in life is an important service target for the caring professions in institutional care. Social workers affect the effectiveness of interventions on elderly\'s meaning in life in institutional care. A higher elderly-to-social worker ratio could improve the effectiveness of interventions on meaning in life for elderly residents.