การสนับสนุนทางสังคมและภาวะสุขภาพของผู้สูงอายุโรคเรื้อรังที่อาศัยอยู่ตามลำพังในชุมชน
คำสำคัญ:
ผู้สูงอายุโรคเรื้อรัง ที่อยู่ตามลำพัง, การสนับสนุนทางสังคม, ภาวะสุขภาพบทคัดย่อ
วัตถุประสงค์: เพื่อศึกษา 1) ปัจจัยส่วนบุคคล การสนับสนุนทางสังคม และภาวะสุขภาพและ 2) ความสัมพันธ์ของปัจจัยส่วนบุคคล และการสนับสนุนทางสังคม กับภาวะสุขภาพของผู้สูงอายุโรคเรื้อรัง ที่อาศัยอยู่ตามลำพังในชุมชน
แบบวิจัย: การศึกษาแบบพรรณนาเชิงความสัมพันธ์
การดำเนินการวิจัย: ตัวอย่างเป็นผู้สูงอายุโรคเรื้อรังที่อาศัยอยู่ตามลำพัง ในจังหวัดทางภาคตะวันออกเฉียงเหนือ จำนวน 262 คน เก็บรวบรวมข้อมูลโดยการสัมภาษณ์จากแบบสอบถามข้อมูลส่วนบุคคล แบบสอบถามความสุขของฉัน แบบประเมินการสนับสนุนทางสังคม การรับรู้
ภาวะสุขภาพกาย ภาวะซึมเศร้า และการยอมรับความตาย วิเคราะห์ข้อมูลด้วยสถิติบรรยาย สถิติไบซีเรียล และสถิติสหสัมพันธ์สเปียร์แมน
ผลการศึกษา: ผู้สูงอายุมีอายุเฉลี่ย 71.20 ± 7.53 ปี ได้รับการสนับสนุนทางสังคมโดยรวมระดับปานกลาง (ร้อยละ 66.8) รับรู้ภาวะสุขภาพกายระดับพอใช้ (ร้อยละ 47.7) เริ่มมีภาวะซึมเศร้า (ร้อยละ 80.5) มีความสุขในชีวิตระดับสูง (ร้อยละ 52.7) และยอมรับความตายในระดับ
เล็กน้อย (ร้อยละ 57.6) ผลการวิเคราะห์ความสัมพันธ์พบว่า รายได้มีความสัมพันธ์กับการรับรู้ภาวะสุขภาพกาย (r= .181, p= .003) และความสุขในชีวิต (r= .136, p= .028) การสนับสนุนทางสังคมโดยรวม มีความสัมพันธ์กับการรับรู้ภาวะสุขภาพกาย (r= .148, p= .016) และความสุขในชีวิต(r= .489, p< .001)
ข้อเสนอแนะ: การสร้างเสริมสุขภาวะทั้ง 4 มิติโดยเฉพาะผู้สูงอายุที่มีรายได้น้อย และขาดการสนับสนุนทางสังคม ควรเพิ่มวิธีการเข้าถึงบริการด้านสุขภาพและสังคม กิจกรรมเพื่อสร้างรายได้ คงไว้ซึ่งคุณค่าในตนเอง ลดภาวะซึมเศร้า รวมถึงส่งเสริมกิจกรรมในชุมชนที่สอดคล้องกับความเชื่อ ประเพณีวัฒนธรรม เพื่อให้ผู้สูงอายุสามารถคงไว้ซึ่งศรัทธา ความเชื่อ และสิ่งยึดเหนี่ยวทางใจ
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เอกสารอ้างอิง
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members in the hospitals under medical service department, Bangkok metropolis [Dissertation]. Bangkok: Srinakharinwirot University; 2008.
27. Rangsikosai S, Piphatvanitcha N. & Paokunha R. Factors related to behavior for preparing to cope with
dying and death among older adults in the Elderly Club, Pattani Province. Songklanagarind Journal of Nursing 2013;33:43-56.
28. Dhammaramo S. The attitude towards death in Theravada Buddhism: a case study of students from the classroom of Wat Chaichumbhonchanasongkhram Mahachulalongkornajavidyalaya University,Kanchanaburi Province [Dissertation]. Kanchanaburi:Mahachulalongkornrajavidyalaya University; 2011.
29. Boukeaw P. & Teungfung R. Health Care and Health Status of Thai Aging. Journal of the Association of
Researchers 2016;21:94-109.
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2013;7:18-28.
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adult with chronic disease in urban area. JONAE 2013;6:27-37.126
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33. Cornwell EY, & Waite LJ. Social dis-connectedness, perceived isolation, and health among older adults.
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34. Khwandee N. Thosingha O. Danaidutsadeekul S & Riansuwan K. The relationship between pain, depression,
social support and functional recovery in elderly patients with hip fracture following surgery. Vajira Nursing Journal 2011;13: 68-81.
35. Kaewkanya C, Preechawong S, & Chimluang J. Selected Factors Predicting Depression in Person
with Chronic Heart Failure. Journal of The Royal Thai Army Nurses 2017;18:66-73.
36. Wichitsiri P. & Sawangsopakul B. Wisdom, social support and psychological well-being of elderly in the elderly
club at WatSarod Rat Burana District, Bangkok. Journal of Social Sciences and Humanities 2012;38:139-51.
37. Sujaritwarakul M. & Somanusorn S. Factors related to death preparation among Thai buddhist elderly. Kuakarun Journal of Nursing 2018;25:154-69.
2. Park E - J, Sohn HS, Lee E - K & Kwon J - W. Living arrangements, chronic diseases, and prescription drug expenditures among Korean elderly: vulnerability to potential medication underuse. BMC Public Health 2014;14(1284):1-8.
3. Sarwari AR, Freedman L, Langenberg P, & Magaziner J. Prospective study on the relation between living arrangement and change in functional health status of women. AJE 1998;14(7):370-78.
4. Manorath P. Older alone: impact and social role on care. Boromarajonani College of Nursing Uttaradit Journal 2013;5(2):98-102.
5. Rachaneekorn M, Kangchai W & Nasaarn S. Health status and self care behavior of the elderly living alone
at Kalasin municipality, Kalasin Province [Dissertation]. Chon Buri: Burapha University; 2001.
6. Easton ME. Fear of crime and older adults: A metanarrative review of the literature. Simon Fraser University. Canada: Master of Arts; 2013.
7. Besser A, & Priel B. Attachment, depression, and fear of death in older adults: The roles of neediness and perceived availability of social support. Pers. Individ. Differ. 2008;44(8):1711-25.
8. Hsu M, Huang X & Yupho S. The development of universal health insurance coverage in Thailand: challenges of population aging and informal economy. Soc Sci Med 2015;145:227-36.
9. Dai Y, Zhang C - Y, Zhang B - Q, Li Z, Jiang C & Huang H - L.. Social support and the self-rated health
of older people. A comparative study in Tainan Taiwan and Fuzhou Fujian province. Medicine (Baltimore), 2016;95(24):1-4.
10. Chimjinda J. The factors influencing life happiness amongst the elderly at a community in Nakhon
Pathom Province [Dissertation]. Nakhonpathom: Christian University of Thailand; 2012.
11. Rangsikosai S, Piphatvanitcha N. & Paokunha R. Factors related to behavior for preparing to cope with dying and death among older adults in the Elderly Club, Pattani Province. Songklanagarind Journal of Nursing 2013;33:43-56.
12. Chotthanaphan S. The relationship between social support and depression of the elderly in Bangkhae home of
the aged [Dissertation]. Bangkok: Srinakharinwirot University; 2007.
13. Toci E, Burazeri G, Jerliu N, Sorensen K, Ramadani N, Hysa B & Brand H. Health literacy, self-perceived health and self-reported chronic morbidity among older people in Kosovo. Health Promot. Int. 2015;30(3):667-74.
14. Albert PR. Why is depression more prevalent in women? J Psychiatry Neurosci 2015; 40(4):219-21.
15. Cicirelli VG. Personal meanings of death in older adults and young adults in relation to their fears of death. Death Stud. 2001;25(8):663-83.
16. Fernandez-Martinez B, Prieto-Flores M - E, Forjaz MJ, Fernández-Mayoralas G, Rojo-Pérez F & MartínezMartín P. Self-perceived health status in older adults: Regional and sociodemographic inequalities in Spain. Rev Saúde Pública 2012;46(2):310-19.
17. Polyiam I, Siri S, Taechabunsermsak P & Sujirarat D. Prevalence and associated factors of depression in
elderly patients with non communicable disease, Roi Et province [Dissertation]. Bangkok: Mahidol University; 2014.
18. Thammatawat P. The relationships of preparation for aging and life sattiafaction of the elderly in Nakhon
Si Thammarat municipality, Nakhon Si Thammarat province. Sripatum Chonburi Journal 2014;10:88-94.
19. House JS. Work stress and social support. Reading, Massachusetts: Addison-Wesley; 1981.
20. World Health Organization [Internet]. Mental health: a state of well-being; 2014 [updated 2014 August; cited 2018 Jul 9]. Available from: http://www.who.int/featur es/factfles/mental_health/en/
21. National Health Commission. National Health Act, B.E.2550. National Health Commission: Nonthaburi; 2007.
22. Phatharapreeyakul L, Kraithaworn P, & Piaseu N. Perceived social isolation, self-care behaviors and
health status among community dwelling older adults living alone. The Bangkok Medical Journal 2016; 11:17-23.
23. Chuen-im K. Health-related quality of life amongst elderly people with osteoarthritis at a community in
Samut Sakhon Province [The Degree of Master of Nursing]. Nakhon Pathom: Christian University; 2007.
24. Piaseu N. Factors affecting food insecurity among urban poor in Thailand. SAJCN 2003;18:156-62.
25. Wongpakaran N. Wongpakaran T. Prevalence of major depressive disorders and suicide in long-term care facilities: a report from northern Thailand. Psychogeriatrics 2012;12:11-7.
26. Nakwijit B. Psycho-social fators related to self- care behavior and happiness of the senior citizen club
members in the hospitals under medical service department, Bangkok metropolis [Dissertation]. Bangkok: Srinakharinwirot University; 2008.
27. Rangsikosai S, Piphatvanitcha N. & Paokunha R. Factors related to behavior for preparing to cope with
dying and death among older adults in the Elderly Club, Pattani Province. Songklanagarind Journal of Nursing 2013;33:43-56.
28. Dhammaramo S. The attitude towards death in Theravada Buddhism: a case study of students from the classroom of Wat Chaichumbhonchanasongkhram Mahachulalongkornajavidyalaya University,Kanchanaburi Province [Dissertation]. Kanchanaburi:Mahachulalongkornrajavidyalaya University; 2011.
29. Boukeaw P. & Teungfung R. Health Care and Health Status of Thai Aging. Journal of the Association of
Researchers 2016;21:94-109.
30. Atthamaethakul W. & Srivilai W. The influences of aging health in Tumbon Koobua, Ratchaburi. JHSR
2013;7:18-28.
31. Chaiyasung P, Sutawatnatcha S, Intakan P & Lichanatein S. Predictors of depression among older
adult with chronic disease in urban area. JONAE 2013;6:27-37.126
32. Goodman LM. Death and the creative life: Conversations with eminent artists and scientists as they reflect on
life and death. New York, NY: Springer; 1981.
33. Cornwell EY, & Waite LJ. Social dis-connectedness, perceived isolation, and health among older adults.
JHSB 2009;50:31-48.
34. Khwandee N. Thosingha O. Danaidutsadeekul S & Riansuwan K. The relationship between pain, depression,
social support and functional recovery in elderly patients with hip fracture following surgery. Vajira Nursing Journal 2011;13: 68-81.
35. Kaewkanya C, Preechawong S, & Chimluang J. Selected Factors Predicting Depression in Person
with Chronic Heart Failure. Journal of The Royal Thai Army Nurses 2017;18:66-73.
36. Wichitsiri P. & Sawangsopakul B. Wisdom, social support and psychological well-being of elderly in the elderly
club at WatSarod Rat Burana District, Bangkok. Journal of Social Sciences and Humanities 2012;38:139-51.
37. Sujaritwarakul M. & Somanusorn S. Factors related to death preparation among Thai buddhist elderly. Kuakarun Journal of Nursing 2018;25:154-69.
ดาวน์โหลด
เผยแพร่แล้ว
2019-04-23
รูปแบบการอ้างอิง
1.
บุญพา ร, ไกรถาวร ผ, เปียซื่อ น. การสนับสนุนทางสังคมและภาวะสุขภาพของผู้สูงอายุโรคเรื้อรังที่อาศัยอยู่ตามลำพังในชุมชน. J Thai Nurse Midwife Counc [อินเทอร์เน็ต]. 23 เมษายน 2019 [อ้างถึง 30 ธันวาคม 2025];34(2):112-26. available at: https://he02.tci-thaijo.org/index.php/TJONC/article/view/161600
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