The Effect Of Interpersonal Well-being And Social Support Interaction On Social Isolation Of The Elderly People In Community

Objectives1 To investigate the current situation of Social Isolation of the elderly people in community.2 To explore the effect of interpersonal well-being and social support interaction on social isolation of the elderly people in community.MethodsFrom September 2017 to August 2018,a total of 1,526 elderly community residents of 6 typical elderly communities in Tangshan were selected as research objects by means of convenient sampling.The LSNS-6 was used to evaluate social isolation conditions of elderly people in community,at the same time,the old general information questionnaire,the old basic health questionnaire,MMSE,EPQ-RSC,Interpersonal well-being questionnaire for home-based elderly people,APGAR,SSRS and self-designed community environment questionnaire were used to investigate the general information,physical and mental health status,family,social and community support of elderly people in community.T-test,variance analysis and hierarchical regression analysis were used to analyze the current situation and influencing factors of social isolation of elderly people in community.Chi-square test and Logistic regression analysis were used the effect of interpersonal well-being and social support interaction on social isolation of elderly people in community.and the OR was used to reflect the correlation strength of the interaction.Results1 The current situation and influencing factors of social isolation of elderly people in communityThe total scores of social isolation,family isolation and friend isolation of elderly in community were(16.16±5.447),(7.94±2.938)and(8.22±3.342),respectively.The incidence rates were 24.3%,28.2%and 26.7%,respectively.Univariate analysis showed that the community elderly social network in different age,culture level,occupation before retirement,again obtain employment after retirement,residential floor,chronic disease situation,sensory and perceptual,cognitive,personality,interpersonal well-being,marital status,living structure,intergenerational economic support,generational tending,family care,social support,community function and the utilization ratio of community public service groups,the difference was statistically significant(P<0.05),There was no significant difference between different gender groups(P>0.05).Hierarchical regression analysis,the elderly general data,physical and mental health,family environment,and community support related factors were choose the first layer of control variables,the results showed that age,occupation before retirement,residential floor,chronic disease situation,sensory and perceptual function change,cognitive function,character,marital status,family structure,intergenerational economic support,family care,community function and utilization rate of community public service is associated with social isolation occurs the elderly community(P<0.05),they can explain 37.8%variance of social isolation of the community elderly.Interpersonal well-being and social support were taken as independent variables and included in the second layer of hierarchical regression equation,the explanatory power for the total score of the social network reached44.7%.The explanatory power of occupation before retirement decreased to no statistical significance,while the explanatory power of education level increased to statistical significance(P<0.05).Age(?=-0.051),residential floor(?=-0.075),chronic disease status(?=-0.112),sensory and perceptual functional change(?=-0.065),family structure(?=-0.091)were negatively correlated with the total score of social network for elderly in community(P<0.05).Education level(?=0.046),cognitive function(?=0.192),sensory and perceptual functional change(?=0.098),marital status(?=0.086),intergenerational economic support(?=0.065),family care(?=0.172),community function(?=0.066),utilization rate of community public service(?=0.059)were positively correlated with the total score of social network of elderly in the community(P<0.05).Interpersonal well-being(?=0.090)and social support(?=0.288)were positively correlated with the total score of social network of elderly in the community(P<0.05),both of which have made significant independent contributions to the occurrence of social isolation of elderly in community,which can explain 6.9%of the overall variation of social isolation of elderly people in community.2 The effect of interpersonal well-being and social support interaction on social isolation of the elderly people in communityThe results shows that the incidence of social isolation was different among the four groups(?~2=374.156,P<0.05).The incidence of social isolation of community elderly in the low interpersonal well-being and low social support group was significantly higher than that in the high interpersonal well-being and high social support group(?~2=270.992,P<0.05).Compared with the high interpersonal happiness and high social support group,the social isolation risk increased with high interpersonal happiness and low social support group(OR=8.488,95%CI:3.302~21.821),the low interpersonal happiness and high social support group(OR=2.831,95%CI:1.077~7.446),and low interpersonal happiness and low social support group(OR=17.142,95%CI:7.121~41.262)(P<0.05).Compared with the high interpersonal well-being and high social support group,the family isolation(OR=2.021,95%CI:1.353~3.018,P<0.05)and friend isolation(OR=5.675,95%CI:3.465~9.292,P<0.05)in the low interpersonal well-being and low social support group had an increased risk.Conclusions1 Nearly a quarter of the elderly in community occur social isolation,community workers need to pay a attention to advanced age,the low degree of culture,living in higher floors,more chronic disease,changes in perceptual function,cognitive impairment,introversive type character,low level of interpersonal well-being,mateless,solitary,intergenerational economic support,bad family care,low levels of social support,community function in general,low utilization rate of community public service of elderly people in community.Corresponding measures should be taken to prevent the occurrence of social isolation.2 There is an interactive relationship between interpersonal well-being and social support.Low interpersonal well-being and low social support can increase the risk of social isolation of the elderly people in community.Figure 0;Table 12;Reference 126...