有证据表明,越来越强调生活质量范式作为老年患者的结果衡量标准的相关性,法医,以及矫正护理。本文旨在探讨根据美好生活模型(“自我”,“身体”和“社会生活”)与年龄较大的被监禁罪犯的生活质量有关。
数据是通过结构化问卷收集的,该问卷是在对比利时荷兰语地区16所监狱中93名60岁及以上的老年囚犯的个人访谈中进行的。通过专门设计的项目以及三种经过验证的仪器(精神疾病,孤独,和脆弱)。因变量由WHOQOL-BREF仪器的四个子域组成,该仪器在四个域中测量生活质量,即:(1)身体健康,(2)心理健康,(3)社会关系,(4)环境。结构方程模型(SEM)用于统计分析。
单个变量,例如对活动的满意度,同时与几个领域的年长囚犯QoL有关。除了自杀意念,精神病理学症状与生活质量没有显著关系.
方法让年长的囚犯公开他们的兴趣,经验,感情在监狱里很重要.应特别注意老年囚犯的精神症状和与年龄有关的症状,因为监狱工作人员可能不会注意到它们,与年轻的同龄人相比,年长的囚犯似乎是较差的自我倡导者。
There is evidence of an increasing emphasis on the relevance of the quality of life-paradigm as an outcome measure for clients in geriatric, forensic, as well as correctional care. This paper aims to explore to what extent variables that were categorized according to the main areas of the Good Lives Model (\'the self\', \'the body\' and \'social life\') are related to the quality of life domains of older imprisoned offenders.
Data were collected by means of a structured questionnaire administered in individual interviews with 93 older prisoners aged 60 years and over in 16 prisons of the Dutch-speaking region in Belgium. Characteristics of the main GLM-areas were identified by specifically designed items as well three validated instruments (psychiatric disorders, loneliness, and frailty). Dependent variables consisted of the four sub-domains of the WHOQOL-BREF instrument which measures quality of life in four domains, namely: (1) physical health, (2) psychological health, (3) social relationships, and (4) environment. Structural equation modelling (SEM) was used for statistical analysis.
Individual variables, such as satisfaction with activities, were related to the older prisoners\' QoL in several domains simultaneously. Other than suicidal ideation, psychopathological symptoms had no significant relation to quality of life.
Approaches enabling older prisoner to disclose their interests, experiences, and feelings are important in prison. Special attention should be given to psychiatric and age-related symptoms of older prisoners, since they may not be noted by the prison staff, as older prisoners seem to be poorer self-advocates as compared to their younger peers.