Influência da Condição Social no Declínio Mnésico, Risco de Demência e Depressão, e Envolvimento Social em Idosos Insulares

Salomé Vasconcelos, S. Fernandes, Luís Querido, Sara D. S. Ramos, Arlette Verhaeghe
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Abstract

This study aimed to verify the influence of social conditions – living in nursing homes or attending social centres – on memory decline, risk of dementia and depression and social involvement of elderly living on Terceira Island - Azores. Different assessment scales were administered: Weschler Memory Scale – 3rd Edition, Dementia Rating Scale – 2, Geriatric Depression Scale – 15, and Social Involvement Scale. A multivariate analysis of variance showed that elderly participating in social centres had more positive outcomes than institutionalised ones regarding memory decline, risk of dementia, depressive symptoms, and level of social involvement. A hierarchical regression analysis revealed that social condition was a factor for memory decline and risk of dementia, that the principal factor associated with depression was social involvement, and that the main factors related to social involvement were age and gender. These results suggest the importance of activities that promote social involvement in institutionalised elderly individuals.
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社会地位对岛民老年人记忆力衰退、痴呆和抑郁风险以及社会参与的影响
本研究旨在验证社会条件(居住在养老院或参加社会中心)对亚速尔群岛特塞拉岛老年人记忆力衰退、痴呆症和抑郁症风险以及社会参与的影响。采用了不同的评估量表:韦施勒记忆量表--第三版、痴呆评定量表--2、老年抑郁量表--15 和社会参与量表。多变量方差分析显示,在记忆力衰退、痴呆风险、抑郁症状和社会参与程度方面,参加社交中心的老人比住在养老院的老人有更积极的结果。分层回归分析表明,社会条件是影响记忆力衰退和痴呆症风险的一个因素,与抑郁症相关的主要因素是社会参与,而与社会参与相关的主要因素是年龄和性别。这些结果表明,促进社会参与的活动对机构养老的老年人非常重要。
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