Research progress on assessment and intervention of loneliness among the elderly in nursing home

Abstract

Abstract: The evaluation of loneliness among the elderly in nursing home can timely understand the psychological state of the elderly,which is conducive to formulating intervention programs. This paper reviews the loneliness of the elderly in nursing home at home and abroad,including the major content,application,and limitations of assessment tools and intervention programs. It aims to provide references for the evaluation of loneliness and the formulation of intervention programs for the elderly in the domestic elderly care institutions and to provide a basis for the optimization of psychological services in nursing homes.

Key words: Nursing home, The elderly, Loneliness, Assessment, Intervention

CLC Number:

R395.6

ZHOU Feiyang, LONG Keyu, GUO Chunbo, XIE Linlin, YANG Tingting, DENG Lu. Research progress on assessment and intervention of loneliness among the elderly in nursing home. [J]OCCUPATION AND HEALTH, 2024, 40(6): 860-864.

References

[1] 国家统计局,国务院第七次全国人口普查领导小组办公室.第七次全国人口普查公报(第五号)[EB/OL].(2021-05-11)[2021-11-29].http://www.stats.gov.cn/tjsj/tjgb/rkpcgb/qgrkpcgb/202106/t20210628_1818824.html.
[2] 本刊编辑部.我国养老服务领域首个强制性国家标准2022年1月1日实施——民政部举行《养老机构服务安全基本规范》强制性国家标准及相关行业标准新闻发布会[J].中国民政,2022,1(1):35-37.
[3] 黄丽洁,王飞杰,张海鑫,等.心理资本在农村空巢老年人孤独感与抑郁间的中介作用分析[J].中国卫生统计,2021,38(2):280-282.
[4] 胡雅,刘丽华,付藏媚,等.孤独感对养老机构老年人生活质量的影响:抑郁与衰弱的链式中介作用[J].现代预防医学,2020,47(15):2801-2805.
[5] PATEL R S,WARDLE K,PARIKH R J.Loneliness:the present and the future[J].Age Ageing,2019,48(4):476-477.
[6] BOSS L,KANG D H,BRANSON S.Loneliness and cognitive function in the older adult:Asystematic review[J].Int Psychogeriatr,2015,27(4):541-553.
[7] MILLER G.Social neuroscience.Why loneliness is hazardous to your health[J].Science,2011,331(6014):138-140.
[8] 曹红京,郑莉萍,郭海玲.养老机构老人心理特点与应对策略[J].中华现代护理杂志,2019,25(34):4523-4526.
[9] CACIOPPO J T,CACIOPPO S.The growing problem of loneliness[J].Lancet,2018,391(10119):426.
[10] 胡雯. 健康中国背景下机构改革助力医养结合发展的方案构想[J].行政管理改革,2019,114(2):48-56.
[11] 国务院.国务院关于印发“十三五”国家老龄事业发展和养老体系建设规划的通知[EB/OL].(2017-02-28)[2018-02-15].https://www.gov.cn/zhengce/content/2017-03/06/content_5173930.htm.
[12] 张晓曼,鱼莉军,顾静,等.养老机构生活自理老年人负性情绪的质性研究[J].护理学杂志,2018,33(21):76-78.
[13] 吴品瑷,许暖,刘腊梅.养老机构老年人孤独感现状及关怀需求[J].中国老年学杂志,2021,41(24):5765-5768.
[14] 宇寰,赵梅,谢伦芳,等.特质性与状态性孤独、社会支持、日常生活活动能力对养老机构老年人舒适影响的路径分析[J].护理研究,2021,35(13):2299-2304.
[15] 陈瑞云,戴付敏,杨慧,等.养老机构老年人需求及启示[J].中国老年学杂志,2021,41(13):2888-2890.
[16] WHO.Mental health of older adults[EB/OL].(2017-12-12)[2023-01-20].https://www.who.int/en/news-room/fact-sheets/detail/mental-health-of-older-adults.
[17] PRIETO-FLORES M E,FORJAZ M J,FERNANDEZ-MAYORALAS G,et al.Factors associated with loneliness of noninstitutionalized and institutionalized older adults[J].J Aging Health,2011,23(1):177-194.
[18] YANG K,VICTOR C.Age and loneliness in 25 European nations[J].Ageing Soci,2011,31(8):1368-1388.
[19] CHEN Y,HICKS A,WHILE A E.Loneliness and social support of older people in C hina:a systematic literature review[J].Health Soc Care Community,2014,22(2):113-123.
[20] ZHAO X,SI H.Loneliness and frailty among nursing home older adults:the multiple mediating role of social support and resilience[J].Psychogeriatrics,2021,21(6):902-909.
[21] RUSSELL D,PEPLAU L A,FERGUSON M L.Developing a measure of loneliness[J].J Pers Assess,1978,42(3):290-294.
[22] RUSSELL D W.UCLA Loneliness Scale(Version 3):Reliability,validity,and factor structure[J].J Pers Assess,1996,66(1):20-40.
[23] JIN E,HWANG S.The validity of the Korean-UCLA loneliness scale version 3[J].Korean J Youth Stud,2019,26(10):53-80.
[24] ZAREI S,MEMARI A H,MOSHAYEDI P,et al.Validity and reliability of the UCLA loneliness scale version 3 in Farsi[J].Educ Gerontol,2016,42(1):49-57.
[25] 任丽杰,韩宪国,刘俊升,等.UCLA-3孤独量表的因子结构及追踪测量等值性检验[J].心理研究,2019,12(5):439-445.
[26] KURU ALICI N,KALANLAR B.Attitudes toward aging and loneliness among older adults:A mixed methods study[J].Perspect Psychiatr Care,2021,57(4):1838-1845.
[27] 杨兵,郭蕾蕾.中文版De Jong Gierveld孤独量表的信效度研究[J].中国全科医学,2019,22(33):4110-4115.
[28] HUGHES M E,WAITE L J,HAWKLEY L C,et al.A Short scale for measuring loneliness in large surveys:Results from two population-based studies[J].Res Aging,2004,26(6):655-672.
[29] LIU T,LU S,LEUNG D K Y,et al.Adapting the UCLA 3-item loneliness scale for community-based depressive symptoms screening interview among older Chinese:A cross-sectional study[J].BMJ Open,2020,10(12):e041921.
[30] DAS A,PADALA K P,CRAWFORD C G,et al.A systematic review of loneliness and social isolation scales used in epidemics and pandemics[J].Psychiatry Res,2021,306:114217.
[31] End Loneliness UK.Measuring your impact on loneliness in later life[EB/OL].(2023-03-15)[2023-07-20].https://www.campaigntoendloneliness.org/document/measuring-your-impact-on-loneliness-in-later-life/.
[32] SOMES J.The Loneliness of Aging[J].J Emerg Nurs,2021,47(3):469-475.
[33] GUIDI J,BRAKEMEIER E L,BOCKTING C L H,et al.Methodological recommendations for trials of psychological interventions[J].Psychother Psychosom,2018,87(5):276-284.
[34] KALL A,BACK M,WELIN C,et al.Therapist-Guided Internet-based treatments for loneliness:A randomized controlled three-arm trial comparing cognitive behavioral therapy and interpersonal psychotherapy[J]. Psychother Psychosom,2021,90(5):351-358.
[35] LINDSAY E K,YOUNG S,BROWN K W,et al.Mindfulness training reduces loneliness and increases social contact in a randomized controlled trial[J].Proc Natl Acad Sci U S A,2019,116(9):3488-3493.
[36] 李娜. 养老院老年人心理资本与主观幸福感的关系[D].重庆:西南大学,2021.
[37] KÄLL A,BACKLUND U,SHAFRAN R,et al.Lonesome no more? A two-year follow-up of internet-administered cognitive behavioral therapy for loneliness[J].Internet Interv 2020,19:100301.
[38] VERONESE N,GALVANO D,D'ANTIGA F,et al.Interventions for reducing loneliness:An umbrella review of intervention studies[J]. Health Soc Care Community,2021,29(5):e89-e96.
[39] APPEL L,APPEL E,BOGLER O,et al.Older adults with cognitive and/or physical impairments can benefit from immersive virtual reality experiences:A feasibility study[J].Front Med(Lausanne),2019(6):329.
[40] 吴冬梅,胡秀英.缅怀疗法在中国的应用现状及展望[J].中国老年学杂志,2017,37(15):3893-3895.
[41] CHIANG K J,CHU H,CHANG H J,et al.The effects of reminiscence therapy on psychological well-being,depression,and loneliness among the institutionalized aged[J].Int J Geriatr Psychiatry,2010,25(4):380-388.
[42] WESTERHOF G J,KORTE J,ESHUIS S,et al.Precious memories:a randomized controlled trial on the effects of an autobiographical memory intervention delivered by trained volunteers in residential care homes[J].Aging Ment Health,2018,22(11):1494-1501.
[43] GROESSL E J,KAPLAN R M,REJESKI W J,et al.Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability[J].Am J Prev Med,2019,56(1):141-146.
[44] ZHANG S,XIANG K,LI S,et al.Physical activity and depression in older adults:the knowns and unknowns[J].Psychiatry Res,2021,297:113738.
[45] LINDSAY SMITH G,BANTING L,EIME R,et al.The association between social support and physical activity in older adults:a systematic review[J].Int J Behav Nutr Phys Act,2017,14(1):56.
[46] ARRIETA H,REZOLA-PARDO C,KORTAJARENA M,et al.The impact of physical exercise on cognitive and affective functions and serum levels of brain-derived neurotrophic factor in nursing home residents:A randomized controlled trial[J].Maturitas,2020,131(1):72-77.
[47] 甄志平,徐丹,李晗冉,等.孤独症运动干预的研究进展[J].中国预防医学杂志,2020,21(7):828-835.
[48] TSAI H H,CHENG C Y,SHIEH W Y.Effectiveness of laptop-based versus smartphone-based videoconferencing interaction on loneliness,depression and social support in nursing home residents:A secondary data analysis[J].J Telemed Telecare,2020,29(3):177-186.
[49] YU K,WU S,CHI I.Internet Use and Loneliness of older adults over time:The mediating effect of social contact[J].J Gerontol B Psychol Sci Soc Sci,2021,76(3):541-550.
[50] CONWELL Y,VAN ORDEN K A,STONE D M,et al.Peer companionship for mental health of older adults in primary care:A pragmatic,nonblinded,parallel-group,randomized controlled trial[J].Am J Geriatr Psychiatry,2021,29(8):748-757.
[51] 胡欢平. 园艺疗法对养老院失能老人身心健康的影响[D].南昌:南昌大学,2020.
[52] MILLETT G,FIOCCO A J.A pilot study implementing the JAVA Music Club in residential care:Impact on cognition and psychosocial health[J].Aging Ment Health,2021,25(10):1848-1856.
[53] 姚莉珮,张培莉,丁永霞,等.小丑照护对养老院老年人情绪的影响[J].中华护理杂志,2020,55(11):1685-1690.
[54] HWANG T J,RABHERU K,PEISAH C,et al.Loneliness and social isolation during the COVID-19 pandemic[J].Int Psychogeriatr,2020,32(10):1217-1220.