Relationship Between Loneliness,social Isolation And Quality Of Life In Different Pension Models And Its Intervention Model Research

Objective:1.To understand the loneliness,social isolation and quality of life of the elderly under different pension modes,and to analyze the influencing factors of loneliness,social isolation and quality of life of the elderly.the path analysis model was used to analyze the relationship between loneliness,social isolation and quality of life of the elderly under different pension modes.2.To explore the cognitive experience of loneliness of the elderly under different modes of providing for the aged,and to analyze the psychological change process of the elderly after the feeling of loneliness.3.The preliminary construction of the intervention model of loneliness for the elderly provides a theoretical reference for the formulation of mental health promotion programs for the elderly under different pension modes.Methods:1.A study on the relationship between loneliness,Social isolation and quality of Life of the elderly under different modes of providing for the aged;A questionnaire was used to investigate the loneliness,social isolation and quality of life of the elderly.descriptive analysis of variance and multiple linear regression were used to analyze the influencing factors of loneliness,social isolation and quality of life of the elderly.According to the literature research and related theories,the relationship model among loneliness,social isolation and quality of life of the elderly is constructed,and the path differences among loneliness,social isolation and quality of life of the elderly under different pension modes are analyzed and discussed.two。2.A qualitative study on the perception of loneliness among the elderly under different pension modes face-to-face interviews were conducted among the elderly under different pension modes by semi-structured interviews to explore the cognitive experience of loneliness under different pension models.to provide a theoretical basis for the next step of constructing the intervention model of loneliness for the elderly.3.In the preliminary construction of the intervention model of loneliness for the elderly,the literature related to loneliness and social isolation was analyzed by the method of systematic evaluation,and the information of research time,author,intervention model,content,time and interventionist was extracted from the literature.combined with the research results of research content 1 and research content 2,the intervention model of loneliness for the elderly was constructed.Results:1.A study on the relationship between loneliness,social isolation and quality of life of the elderly under different pension modes.(1)The scores of loneliness,social isolation and quality of life of the elderly were significantly different under different pension modes(P <0.05).The marital status,number of children,living style,types of diseases,ability of daily living and hearing were the influencing factors of loneliness(P < 0.05).Under the institutional pension mode,the number of children,hearing and eyesight were the influencing factors of loneliness(P < 0.05).The multivariate analysis of social isolation showed that the age and marital status of the elderly under the home pension model were the influencing factors of social isolation(P < 0.05).Under the institutional pension model,the income,smoking and hearing of the elderly were the influencing factors of social isolation(P < 0.05).Multivariate analysis of quality of life showed that age,marital status,income,types of diseases,activities of daily living,loneliness and social isolation were influencing factors of quality of life(P < 0.05).In institutional pension mode,the number of children,ability of daily living,hearing,eyesight,loneliness and social isolation were influencing factors of quality of life(P < 0.05).(2)There are differences in the influence of loneliness on the quality of life among the elderly under different pension modes,there are mainly five paths,"loneliness" social isolation,home and institutional pension mode are-0.849 and-0.686,respectively.For "health promotion behavior of loneliness",the scores of home and institutional pension model were 0.031and-0.321 respectively(P < 0.05),and the total scores of "quality of life of loneliness" were-0.309 and-0.062 respectively(P < 0.05).The health promotion behavior of social isolation and home and institution pension model were 0.905 and 0.622 respectively(P < 0.05 or P < 0.05),while those of home and institution pension model were-0.309 and-0.062(P <0.05),and those of home and institution old-age model were 0.905 and0.622 respectively(P < 0.05),and those of home and institution old-age model were 2.096(P < 0.05)and-0.062(P < 0.05),respectively."Health promoting behavior and quality of life",home-based and institutional pension patterns were 0.552 and 0.796 respectively(P < 0.05,0.796 and4.484,respectively).2.Qualitative research on the perception of loneliness of the elderly under different pension models abstracts three themes: risk factors of loneliness,inner experience of loneliness and coping strategies.The specific contents are as follows:(1)Risk factors: mainly include individual factors,family factors and environmental factors.(2)Inner experience: it is mainly manifested in three aspects:depression,lack of motivation and emotional dependence.(3)Coping strategies: it mainly includes three aspects: maintaining or actively establishing social relations network,promoting family participation of the elderly in institutions,and making psychological adjustment in the face of stress events.3.The preliminary construction of the intervention model of loneliness in the elderly combined with the results of quantitative and qualitative research,and summarized the intervention objectives,interveners and intervention methods in the systematic review.It is found that the construction of the intervention model of loneliness in the elderly mainly includes prevention period(risk factor identification),intervention expectation(inner experience),reconstruction period(coping strategy),and mainly involves three aspects: psychological adjustment,behavior change and social reconstruction of the elderly.The preliminary model provides theoretical guidance for the loneliness and social isolation management practice of the elderly under different pension modes,and provides policy suggestions for promoting healthy aging and carrying out the implementation of mental health promotion plan for the elderly.to provide policy recommendations to improve the mental health level of the elderly.Conclusion:1.The loneliness of the elderly is closely related to social isolation,and there are differences in the influence of loneliness on the quality of life under different pension modes.For the institutional pension model,medical and health personnel should not only provide spiritual comfort and humanistic care services for the loneliness of the elderly,but also regularly assess the risk of social isolation of the elderly and maintain their active social participation.establish more opportunities for the elderly to communicate with the outside world and stable ties with their families,and promote a healthy lifestyle at the same time.Make the elderly aware of the importance of reasonable diet and regular exercise to their health.For the home care model,community health workers need to provide emotional and functional support for the loneliness of the elderly,so as to weaken the direct impact of loneliness on the quality of life of the elderly with few family support resources and weak family social capital.two。2.Loneliness is a bad emotional experience of the elderly.At the institutional and community level,the risk of loneliness of the elderly should be identified early and evaluated regularly.At the same time,the elderly should bear greater psychological pressure when they suffer from loneliness.The social support network of family participation should be established;the individual level of the elderly should help and guide the elderly to shape positive life values and improve the level of psychological adjustment in stress events.3.The preliminary construction of the intervention model of loneliness for the elderly includes three aspects: psychological adjustment,behavior change and social reconstruction,in order to carry out the intervention program of loneliness and social isolation of the elderly.to provide a theoretical basis for improving the mental health level of the elderly.