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Population Features of Visually Impaired Children and Their Parents Living in Hungary 居住在匈牙利的视障儿童及其父母的人口特征
IF 0.7 Q4 Social Sciences Pub Date : 2021-01-01 DOI: 10.5708/EJMH.16.2021.1.3
E. Kiss, Emese Pajor
This exploratory research (2014–2019) was conducted among visually impaired children aged 0–14 years and their parents. The paper focuses on the crucial features of the healthcare and pedagogical services provided for visually impaired children and analyses the situation of parents raising them. In order to explore the population characteristics of visually impaired children in Hungary, we relied on two major data sources: the census data of the Hungarian Central Statistical Office between 1990–2016, and the examination documents of the Corps of Pedagogical Services of Visually Impaired Children between 2009–2013. The research included data of 1,432 visually impaired children. In order to survey the situation of these children’s parents, we conducted semi-structured, individual interviews. We investigated the retrospective narratives of 39 mothers and 29 fathers through narrative categorical content analysis and performed the situation analysis of the parents, using the model of game theory between humans and environment, whilst we also took into consideration the Hungarian and international methodological context for researching parents raising visually impaired children. Results suggest that the population of visually impaired children is under transformation: visually impaired groups based on the classical interpretation of visual performance are being replaced by new groups governed by needs. What the parents of such children seem to lack the most in the Hungarian care system are the opportunities for physical and mental relief. It would be vital to improve the situation of the parents concerned by more flexible special education and social services that could support both single parents and couples to overcome their difficulties.
本探索性研究(2014-2019)以0-14岁视障儿童及其父母为研究对象。本文着重介绍为视障儿童提供的保健和教学服务的关键特点,并分析抚养视障儿童的父母的情况。为了探讨匈牙利视障儿童的人口特征,我们主要依靠两个数据来源:1990-2016年匈牙利中央统计局的人口普查数据和2009-2013年视障儿童教育服务团的检查文件。该研究包括1432名视障儿童的数据。为了调查这些孩子父母的情况,我们进行了半结构化的个人访谈。我们通过叙事分类内容分析对39名母亲和29名父亲的回顾性叙述进行了调查,并使用人与环境之间的博弈论模型对父母进行了情境分析,同时我们还考虑了匈牙利和国际上研究视障儿童父母的方法背景。结果表明,视障儿童群体正在发生转变:基于视觉表现的经典解释的视障群体正在被需求支配的新群体所取代。在匈牙利的照料系统中,这些儿童的父母似乎最缺乏的是获得身心救济的机会。通过更灵活的特殊教育和社会服务来改善有关父母的状况是至关重要的,这些服务可以支持单身父母和夫妇克服他们的困难。
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引用次数: 2
Perceived Physical and Psychological Health in Middle Adulthood : Links to Marital Satisfaction, Age of Marriage, and SES 中年身心健康感知:与婚姻满意度、结婚年龄和社会经济地位的关系
IF 0.7 Q4 Social Sciences Pub Date : 2021-01-01 DOI: 10.5708/ejmh.16.2021.2.2
Nilay Pekel Uludağlı, Şeyda Pekçetin
Background: The life course health development approach, as a new theoretical model relating to health, dwells on psychosocial factors as well as biological factors, and it proposes that the effects of developmental timing unfolding over one’s lifespan should be considered. Based on this theoretical model, as well as empirical studies relating to marriage and health, one of the psychosocial factors that may contribute to the health of middle-aged individuals is the marital relationship. Aims: The aim of this study – conducted with individuals in middle adulthood – is to investigate the relationships between marital satisfaction, age at the time of marriage, SES (socioeconomic status) and psychological and physical health. Method: Data was collected from middle-aged individuals between 40–69 years in Turkey (160 women and 142 men). The World Health Organization Quality of Life Measurement Tool, Brief Symptom Inventory, Marriage Life Scale, and a Demographic Information Form were used to assess the participants’ perceived physical and psychological health, their marital satisfaction, their age of marriage, and SES. Results: A path analysis indicated that the age of marriage was positively related, and perceived psychological health problems were negatively related to perceived physical health. Both marital satisfaction and SES were negatively related to perceived psychological health problems. Upon examination of the mediator role of psychological health problems and SES, it was observed that both marital satisfaction and SES were related to perceived physical health through perceived psychological health problems. Also, the age of marriage was related to perceived psychological health problems via SES. Conclusion: The findings showed that marriage is an important component in the evaluation of perceived health in middle age; individuals are healthier when they get married at a more mature age and have a positive marital relationship.
背景:生命历程健康发展理论作为一种新的健康理论模型,既考虑了生理因素,也考虑了心理社会因素,提出了发育时间在人的一生中展开的影响。根据这一理论模型,以及与婚姻和健康有关的实证研究,婚姻关系可能是影响中年人健康的社会心理因素之一。目的:这项研究的目的是调查婚姻满意度、结婚年龄、社会经济地位和心理和身体健康之间的关系。研究对象为中年人士。方法:数据收集自土耳其40-69岁的中年人(160名女性和142名男性)。采用世界卫生组织生活质量测量工具、简要症状量表、婚姻生活量表和人口统计信息表评估参与者的身心健康、婚姻满意度、结婚年龄和社会经济状况。结果:通径分析显示,结婚年龄与心理健康问题感知呈显著正相关,与生理健康感知呈显著负相关。婚姻满意度和社会经济状况与感知的心理健康问题呈负相关。通过检验心理健康问题与社会地位的中介作用,我们发现婚姻满意度和社会地位都通过感知心理健康问题与感知身体健康相关。此外,结婚年龄与SES感知的心理健康问题相关。结论:婚姻是评价中年人感知健康的重要因素;当一个人在更成熟的年龄结婚并拥有积极的婚姻关系时,他会更健康。
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引用次数: 0
Examination of Coping Strategies among On-Site Paramedics 现场护理人员应对策略的研究
IF 0.7 Q4 Social Sciences Pub Date : 2021-01-01 DOI: 10.5708/ejmh.16.2021.2.9
Vladimír Moskola, Á. Sándor, É. Susánszky, Andrea Székely, I. Hornyák, Barbara Ozsvárt, Tibor Néninger, Z. Balogh
The occurrence of physical and psychological symptoms that negatively influence everyday activities, efficient job performance, and professional patient treatment are common among paramedic workers. Aim: We uncovered the characteristic coping strategies applied by on-site paramedics and searched for correlations between these strategies and demographic, socio-economic characteristics, as well as factors related to work, workplace, and health behaviours. Sample and methodology: The survey was conducted between March 1, 2018, and February 28, 2019, among employees of the DG National Ambulance Service and participants of the Chamber of Hungarian Health Care Professionals. We used an abbreviated version of the Ways of Coping Questionnaire that contains 22 items (WOC-22). Descriptive statistics, independent samples T-tests, correlation calculations, analysis of variance with the Games-Howell post-hoc test were also carried out. Results: Tension reduction was a more common coping strategy among female and/or single paramedics as well as also being characteristic of people who work as paramedic officers. Problem-oriented coping stood out as a characteristic of people who have a higher level of education and/or are more satisfied with their financial situation. Risk-seeking appears dominantly among those who are not religious and/or have a lower level of education. Conclusions: Although paramedics are basically characterized by problem-oriented coping strategies, they quite often apply non-adaptive strategies as well; consequently, the chance of developing anxiety remains higher for them. Our aim is to use effective intervention methods for curbing the development of anxiety conditions among the ambulance personnel that have long-lasting negative effects on health care. To achieve this goal, we recommend including a questionnaire about coping strategies into the admission process of would-be paramedics; also, completing such questionnaires among the whole emergency workforce.
对日常活动、高效工作表现和专业患者治疗产生负面影响的生理和心理症状的发生在护理人员中很常见。目的:我们揭示了现场护理人员使用的特征性应对策略,并寻找这些策略与人口统计学、社会经济特征以及与工作、工作场所和健康行为相关的因素之间的相关性。样本和方法:该调查于2018年3月1日至2019年2月28日期间在DG国家救护车服务的员工和匈牙利卫生保健专业人员商会的参与者中进行。我们使用了包含22个项目的简明版应对方式问卷(WOC-22)。描述性统计、独立样本t检验、相关计算、Games-Howell事后检验方差分析也进行了分析。结果:减压是女性和/或单身医护人员更常见的应对策略,也是医护人员的特征。以问题为导向的应对方式是那些受教育程度较高和/或对自己的财务状况更满意的人的一个突出特征。冒险倾向主要出现在那些没有宗教信仰和/或受教育程度较低的人群中。结论:护理人员的应对策略以问题导向为主,但非适应性策略的应用较多;因此,他们患焦虑症的几率更高。我们的目标是使用有效的干预方法来遏制救护车人员对医疗保健产生长期负面影响的焦虑状况的发展。为了实现这一目标,我们建议在准护理人员的入院过程中包括一份关于应对策略的问卷;此外,在整个应急工作人员中完成此类调查问卷。
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引用次数: 1
Health Acceptance through Camp : Mixed-Method Data from a Central-European Therapeutic Recreational Based Camp for Seriously Ill Children 通过营地接受健康:来自中欧重病儿童治疗性娱乐营地的混合方法数据
IF 0.7 Q4 Social Sciences Pub Date : 2021-01-01 DOI: 10.5708/ejmh.16.2021.2.6
Zsuzsanna K. Papp, Borbála Somogyi, Cait Wilson, S. Török
This study aims to understand how youth living with serious illness retrospectively value their therapeutic recreational (TR) based camp experience. We focus primarily on how they learned to accept their health condition, what they consider the most valuable outcome from camp, and through which mechanisms the camp contributed to these outcomes. The study applied a mixed-method online survey measuring learning outcomes retrospectively in a sample of 18–25-year-old camp alumni (N = 60) from the Hungarian ‘Camp of Courage’ (Bátor Tábor). Questions regarding illness acceptance and health competence formed the quantitative part and were analyzed via descriptive statistics. We assessed the most important camp outcomes with open-ended survey questions in the qualitative part, and applied a deductive thematic analysis method. Our research found that illness acceptance and health competence are important constructs for young adults, and TR-based camps may play a major role in their development. We organized recurring themes under the overarching theme ‘restorative experience and growth’ as the main benefit from camp and under ‘unconditional acceptance’ as the camp mechanism contributing to this benefit. Those campers who have experienced illness-based limitations in life before expressed most benefits in psychosocial domains. They highlighted the acceptance, empathy, and social support at camp, experienced mainly through interactions with peers and camp counselors. We may conclude that Camp of Courage provides a suitable environment for psychosocial rehabilitation of youth affected by childhood cancer or other serious illness. We recommend further research on the roles of illness acceptance and social interactions at camp.
本研究旨在了解患有严重疾病的青少年如何回顾他们的治疗性娱乐(TR)营地经验。我们主要关注他们如何学会接受自己的健康状况,他们认为从营地获得的最有价值的成果是什么,以及营地通过哪些机制促成了这些成果。该研究采用了一种混合方法的在线调查,回顾性地测量了匈牙利“勇气营地”(Bátor Tábor) 18 - 25岁营地校友(N = 60)的学习成果。关于疾病接受度和健康能力的问题构成定量部分,并通过描述性统计进行分析。我们在定性部分使用开放式调查问题评估了最重要的营地结果,并应用了演绎主题分析方法。我们的研究发现,疾病接受度和健康能力是年轻成人的重要建构,而基于康复的训练营可能在他们的发展中发挥重要作用。我们在“恢复性体验和成长”这一总体主题下组织了反复出现的主题,作为营地的主要好处,并在“无条件接受”这一营地机制下促成了这一好处。那些在生活中经历过疾病限制的营员在心理社会领域表现出最大的好处。他们强调了营地的接纳、同理心和社会支持,主要是通过与同伴和营地辅导员的互动来体验的。我们可以得出结论,勇气营为患有儿童癌症或其他严重疾病的青少年提供了一个合适的社会心理康复环境。我们建议进一步研究疾病接受和营地社会互动的作用。
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引用次数: 0
Resilience Factors, the School-Based Universal Prevention Program "Unplugged" and Healthy Behavior among Early Adolescents 弹性因素、校本普遍预防计划“不插电”与青少年早期健康行为
IF 0.7 Q4 Social Sciences Pub Date : 2021-01-01 DOI: 10.5708/ejmh.16.2021.2.3
L. Abrinková, O. Orosová, Saul Neves De Jesus, B. Gajdošová, M. Bacikova-Sleskova
The paper investigates the role of the internal asset (IA), perceived external resources (PER) of resilience, and the school-based universal prevention program known as ‘Unplugged’ in explaining persistent healthy behavior among early adolescence. A sample of 425 adolescents was collected in a repeated measure design study with a baseline (T1) and a six-month follow-up (T2) after the Unplugged implementation. Persistent healthy behavior was assessed by a change in the cumulative index of substance use created by combining alcohol use and cigarette smoking in the past 30 days and their change between T1 and T2. Four categories were created: non-users, permanent users, new users and ex-users. A multinominal logistic regression revealed that non-users were more likely to show higher self-esteem when compared to permanent users. Females had a higher probability of being non-users than either being permanent users or new users. Moreover, Unplugged intervention increased the probability of being a non-user rather than a new user. Regarding PER of resilience, non-users were more likely to have higher home support, prosocial peers, and school connectedness compared to permanent users. Non-users were also more likely to have higher levels of prosocial peers compared to new users. In summary, higher self-esteem, home support, prosocial peers and school connectedness are associated with persistent healthy behavior. To maintain this persistent healthy behavior, the school-based universal prevention program Unplugged has been effective; thus internal assets and external resources of resilience, and prevention program Unplugged, play an important role in the absence of alcohol or cigarette use in early teenage years.
本文调查了弹性的内部资产(IA),感知外部资源(PER)以及以学校为基础的普遍预防计划(称为“不插电”)在解释青春期早期持续健康行为中的作用。在一项重复测量设计研究中,收集了425名青少年的样本,在实施“拔掉插头”后进行了基线(T1)和6个月的随访(T2)。在过去30天内,通过结合饮酒和吸烟产生的物质使用累积指数的变化以及它们在T1和T2之间的变化来评估持续健康行为。创建了四个类别:非用户、永久用户、新用户和前用户。多项逻辑回归显示,与长期用户相比,非用户更有可能表现出更高的自尊。比起永久用户或新用户,女性成为非用户的可能性更高。此外,不插电干预增加了成为非用户而不是新用户的可能性。在弹性PER方面,与长期用户相比,非用户更有可能拥有更高的家庭支持、亲社会同伴和学校联系。与新用户相比,非用户也更有可能拥有更高水平的亲社会同伴。总之,较高的自尊、家庭支持、亲社会同伴和学校联系与持续的健康行为有关。为了保持这种持续的健康行为,以学校为基础的普遍预防计划“不插电”已经取得了成效;因此,恢复力的内部资产和外部资源以及预防方案“不插电”在青少年早期不使用酒精或香烟方面发挥了重要作用。
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引用次数: 0
Everyday Life Emotions during Anti-Fugitive Offenders Ordinance Protests in Hong Kong 香港《逃犯条例》抗议活动中的日常生活情绪
IF 0.7 Q4 Social Sciences Pub Date : 2020-06-15 DOI: 10.5708/ejmh.15.2020.1.4
MaChung Wah
This experience sampling study investigated the impact of political movement (i.e. Anti-Fugitive Offenders Ordinance Protests) on everyday emotional reactivity and dynamics. Participants who finished our experience sampling during Movement (18–70 years; n = 100) and matched sample (18–70 years; n = 100) reported positive and negative emotions seven times a week for five weeks. Hierarchical linear modeling revealed that during the Movement, participants reported lower positive emotions and higher negative emotions, and lower positive emotional inertia and higher negative emotional inertia. This study is the first of its kind to investigate different aspects of everyday emotional experiences during political movements. Participants perceived significant changes in their everyday events although the Movement was not long and not severely violent. This study highlights the importance of investigating everyday emotions of people in other more serious conflict and post-conflict settings.
这项经验抽样研究调查了政治运动(即《反逃犯条例》抗议活动)对日常情绪反应和动态的影响。在运动期间完成我们的经验抽样的参与者(18-70岁;n=100)和匹配的样本(18-70年;n=100。分层线性模型显示,在运动过程中,参与者报告的积极情绪较低,消极情绪较高,积极情绪惯性较低,负面情绪惯性较高。这项研究是首次对政治运动中日常情绪体验的不同方面进行调查。尽管运动时间不长,也没有严重的暴力,但参与者在日常活动中感受到了重大变化。这项研究强调了在其他更严重的冲突和冲突后环境中调查人们日常情绪的重要性。
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引用次数: 0
Perceived Stress and Burnout: The Mediating Role of Self-Care and Job Satisfaction as Preventive Factors in Helping Professions 知觉压力与职业倦怠:自我照顾与工作满意度作为预防因素的中介作用
IF 0.7 Q4 Social Sciences Pub Date : 2020-06-15 DOI: 10.5708/ejmh.15.2020.1.1
M. Hricova, Jana Nezkusilová, Beáta Ráczová
Background: Stress and burnout are among the common causes of absenteeism and fluctuation of staff in European workplaces. Therefore, the demand for understanding the predictors of burnout in high risk professions has been growing. The aim of this study is to explore the link between perceived stress and the three dimensions of burnout (emotional exhaustion, depersonalization, and personal accomplishment) while considering the potential mediating role of self-care and job satisfaction that may prevent the transformation of stress into burnout. Methods: A randomly selected group of Slovak social service professionals (N = 689; 618 women) from institutions in 8 districts in Slovakia described their levels of perceived stress, burnout, performed self-care and job satisfaction in self-reported questionnaires. Results: The relationship between stress and emotional exhaustion is solely mediated by certain aspects of job satisfaction: salary, nature of work, and operating procedures. The relationship between stress and depersonalization is mediated by the nature of work, psychological self-care, and professional self-care. However, professional self-care does not prevent but rather facilitates the development of depersonalization in times of high perceived stress. The relationship between stress and personal accomplishment is mediated by psychological and professional self-care as well as by three factors of job satisfaction: co-workers, nature of work and job benefits. When stress increases, satisfaction with co-workers and nature of work prevent the decrease of personal accomplishment. However, job benefits, with increasing stress, may be related to a decrease in personal accomplishment at work. Conclusion: Satisfaction with salary, nature of work, operating procedures and co-workers as well as psychological self-care may prevent the further development of burnout in times of high stress. Yet, professional self-care and job benefits may, in times of increased stress, potentially lead towards specific aspects of burnout (depersonalization and reduction of personal accomplishment).
背景:压力和倦怠是欧洲工作场所员工缺勤和波动的常见原因之一。因此,对了解高风险职业倦怠预测因素的需求一直在增长。本研究的目的是探索感知压力与倦怠的三个维度(情绪衰竭、人格解体和个人成就)之间的联系,同时考虑自我照顾和工作满意度可能阻止压力转化为倦怠的潜在中介作用。方法:从斯洛伐克8个区的机构中随机选择一组斯洛伐克社会服务专业人员(N=689;618名女性),在自我报告的问卷中描述了她们的压力、倦怠、自我护理和工作满意度。结果:压力和情绪衰竭之间的关系完全由工作满意度的某些方面介导:工资、工作性质和操作程序。压力和人格解体之间的关系是由工作性质、心理自我照顾和职业自我照顾介导的。然而,在高压力时期,职业自我照顾并不能阻止,反而会促进人格解体的发展。压力和个人成就之间的关系是由心理和职业自我照顾以及工作满意度的三个因素调节的:同事、工作性质和工作福利。当压力增加时,对同事的满意度和工作性质会阻止个人成就的下降。然而,随着压力的增加,工作福利可能与个人工作成就的下降有关。结论:对工资、工作性质、操作程序和同事的满意度以及心理自我护理可以防止高压力时期倦怠的进一步发展。然而,在压力增加的时候,职业自我照顾和工作福利可能会导致倦怠的特定方面(人格解体和个人成就的降低)。
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引用次数: 5
Features of Intellectual Functions Inhibition among Ukrainian Boxers: A Sociocultural Study 乌克兰拳击手智力功能抑制特征:一项社会文化研究
IF 0.7 Q4 Social Sciences Pub Date : 2020-01-01 DOI: 10.5708/ejmh.15.2020.1.2
A. Ivanchenko, O. Timchenko, Adriano Zamperini, I. Testoni, Olena Gant, I. Malyk
The effects of boxing’s extreme aggressive conditions in training and competitive activity in sportsmen’s mental working capacity still remains under-explored. While the neurophysiological effects caused by micro traumas to the brain have been extensively studied, less attention has been paid to the psychological consequences. This article reports on our study of the features of mental operations efficiency in Ukrainian boxers. The study involved athletes (n = 168, gender: men, average age: 25.5 ± 6.2 years), who were engaged in boxing and kickboxing in the Ukraine’s eastern region. A ‘Classification’ method was used: a set of 70 cards with the images of various objects, plants, and living beings was given with instructions to arrange the items into groups in such a way that the objects in each concrete group possess common properties. Athletes were divided into groups, depending on the level of their sport qualification. Adopting the Vygotskian perspective, this study shows correlations between the productivity of boxers’ thinking processes and the level of their sport skills: highly qualified sportsmen have many more well-marked thinking process defects than the sportsmen of the 2 nd and 3 rd categories. We observed a decrease in the generalization level, reduction in speed, deterioration of neurodynamic characteristics and criticality processes nearly in all participants. Exhaustibility and decrease in mental working capacity, impulsiveness of thinking, and its unproductive transformation were marked more often among the highly skilled boxers. A discussion on the cultural redefinition of this sport and on the necessary rehabilitative treatments is then presented.
拳击在训练和竞技活动中的极端侵略性条件对运动员心理工作能力的影响仍未得到充分研究。脑微创伤对神经生理的影响已被广泛研究,但对其心理影响的关注较少。本文报道了我们对乌克兰拳击手心理操作效率特征的研究。该研究涉及乌克兰东部地区从事拳击和自由搏击的运动员(n = 168,性别:男性,平均年龄:25.5±6.2岁)。使用了一种“分类”方法:一套70张卡片,上面有各种各样的物体、植物和生物的图像,并指示将这些物品按具有共同属性的具体方式分组。根据运动员的运动水平,他们被分成几组。本研究采用维果茨基视角,揭示了拳击手思维过程生产力与其运动技能水平之间的相关关系:高水平运动员的思维过程缺陷明显多于第二、三类运动员。我们观察到几乎所有参与者的泛化水平下降,速度降低,神经动力学特征和临界过程恶化。在高技能拳击手中,精神工作能力的耗竭和下降、思维的冲动及其非生产性转化更为明显。然后提出了关于这项运动的文化重新定义和必要的康复治疗的讨论。
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引用次数: 1
Opportunities and Specifics Underlying Day Care for Older Adults in Hungary with Consideration of Active Ageing 考虑到积极老龄化,匈牙利老年人日托的机会和具体情况
IF 0.7 Q4 Social Sciences Pub Date : 2020-01-01 DOI: 10.5708/ejmh.15.2020.1.3
Vajda Kinga
In the past few decades, ageing has become a serious global issue. The concept of active aging and its incorporation into different type of social services (e.g. day care for elderly people) is one of the possible solutions. The main goal of this research was to evaluate the status of clients in Hungarian day care institutions. Another important goal is to explore which domains of the concept of active and independent ageing were already considered and applied in Hungarian day care service and where they should be strengthened. The questionnaire was based on the Active Ageing Index questionnaire (ZAIDI et al. 2013). 14% of the observed sample was 64 years old or younger, 38% was 65–74 years old, 36% was 75–84 years old, 12% was 85 years old or older. Most of the participants (74%) were women. More than half of the sample were widowed. One third of the sample received some kind of ICT (Information and Communication Technology) device. There was a strong connection between the frequency of ICT usage and education variables. Accessibility, which was also a facilitator of active and independent ageing, came up only in 25% of the sample. Mental well-being – as a new variable – was analyzed with principle component analysis from five former variables with the highest rate in the Central Hungarian region. Satisfying physical security was reported by only 56% of the sample, more often among men (p = 0.03). Reinforcing the preventive aspect of the service, propagating it amongst freshly retired people, and including not only widows, but other potential clients as well could be the key points of service development. To intensify the potential points in the service connected to active ageing (accessibility, volunteering in late-life, use of ICT devices etc.) could be a key factor in the improvement of day care services.
在过去的几十年里,老龄化已经成为一个严重的全球性问题。积极乐颐年的概念,以及将其纳入不同类型的社会服务(例如长者日托服务),是其中一个可行的解决方案。本研究的主要目的是评估客户在匈牙利日托机构的地位。另一个重要目标是探索匈牙利日托服务已经考虑和应用了积极和独立老龄化概念的哪些领域,以及应该在哪些方面加强这些领域。问卷采用主动老龄化指数问卷(ZAIDI et al. 2013)。观察样本中64岁及以下的占14%,65-74岁的占38%,75-84岁的占36%,85岁及以上的占12%。大多数参与者(74%)是女性。超过一半的样本是寡妇。三分之一的样本收到了某种信息和通信技术(ICT)设备。信息和通信技术使用频率与教育变量之间有很强的联系。可接近性,这也是积极和独立的老龄化的促进者,只有25%的样本提到。心理健康作为一个新的变量,用主成分分析分析了匈牙利中部地区发病率最高的五个前变量。只有56%的人对自己的人身安全感到满意,其中男性更为常见(p = 0.03)。加强这项服务的预防方面,在刚退休的人中宣传这项服务,不仅包括寡妇,也包括其他潜在的客户,这可能是发展这项服务的关键点。加强与积极老龄化相关的服务的潜在点(无障碍、晚年志愿服务、信息通信技术设备的使用等)可能是改善日托服务的一个关键因素。
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引用次数: 0
Prevention of Dementia Formation in Retired Combat Participants with a History of Traumatic Brain Injuries 有创伤性脑损伤史的退役战斗人员痴呆形成的预防
IF 0.7 Q4 Social Sciences Pub Date : 2020-01-01 DOI: 10.5708/ejmh.15.2020.2.5
A. Soloviev, E. Ichitovkina, E. Golubeva
Background: A set of measures to prevent the formation of gross organic mental disorders in combat participants having traumatic brain injury (TBI) is an important public health task. This study aims to conduct a catamnestic survey of retired combat participants who possess a history of TBI to determine the directions of prevention of dementia formation. Methods: Seventy-one retired combatants were surveyed at the time of their retirement and three years after their retirement. Clinical and experimental psychological methods were used. To identify the dynamics of cognitive disorders, the Short Sample Test was used (in the adaptation of Vanderlick), and Kotenev’s Questionnaire of Traumatic Stress was used for post-stress disorders –. The catamnestic method was applied via the study of outpatient cards and using a social survey of retired combatants three years after their dismissal. Results: It was found that 47.8% of participants in combat operations had neurosis-like disorders with impaired emotions, 26.8% – organic emotional-labile disorder, 25.4% – organic personality disorder, 26.7% – alcohol abuse, and 25.4% were disabled due to mental illness. Three years after their dismissal, their cognitive abilities had a significant negative dynamic with a marked decrease in the integral indicator of intellectual activity; emotional disorders, and signs of psychosocial maladaptation were detected. Conclusion: A catamnestic analysis of the mental health of participants in combat operations with traumatic brain injury in their history showed the presence of adverse psychosocial trends, a fact that requires the development of measures to improve the effectiveness of complex inter-professional therapy and rehabilitation. To prevent the formation of deep mental disorders with severe cognitive impairment and dementia, it is necessary to develop and improve the regulatory legal and information base for organizing psychiatric care.
背景:研究一套预防创伤性脑损伤(TBI)参战人员总体器质性精神障碍形成的措施是一项重要的公共卫生任务。本研究旨在对有创伤性脑损伤史的退役战斗参与者进行回顾性调查,以确定预防痴呆形成的方向。方法:对71名退役战士在退役时和退役后3年进行问卷调查。采用临床和实验心理学方法。为了确定认知障碍的动态,使用了短样本测试(在Vanderlick的改编中),并使用Kotenev的创伤应激问卷来确定应激后障碍。通过对门诊卡的研究和对退役战斗人员退役三年后的社会调查,采用了灾变法。结果:47.8%的作战行动参与者有神经症样障碍伴情绪损伤,26.8%为器质性情绪不稳定障碍,25.4%为器质性人格障碍,26.7%为酗酒,25.4%为精神疾病致残。被解雇三年后,他们的认知能力出现了显著的负向动态变化,智力活动的综合指标显著下降;发现了情绪障碍和社会心理适应不良的迹象。结论:对作战行动中创伤性脑损伤参与者的心理健康进行的一项动态分析显示,存在不良的社会心理趋势,这一事实要求制定措施,以提高复杂的跨专业治疗和康复的有效性。为了防止重度认知障碍和痴呆的形成,有必要建立和完善组织精神病学护理的监管法律和信息库。
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European Journal of Mental Health
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