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FACTORS AFFECTING THE LEVEL OF LONELINESS AMONG ELDERLY RECEIVING HOME CARE SERVICES

Year 2024, Volume: 18 Issue: 4, 456 - 465
https://doi.org/10.21763/tjfmpc.1477431

Abstract

Objective: The primary aim of this study was to identify and understand the factors contributing to loneliness among individuals aged 65 and above receiving home care services.
Methods: This research adopted a cross-sectional descriptive design to investigate the factors influencing loneliness in the elderly population. The study's population comprised individuals aged 65 and above receiving home care services from a municipality in Istanbul. The sample, determined through the convenience sampling method, consisted of 285 older participants who volunteered to take part in the study and were actively receiving home care. Data were collected using three main instruments: The Personal Information Form, The Loneliness Scale for the Elderly, and The Rosenberg Self-Esteem Scale.
Results: The loneliness level among single elderly individuals was significantly higher than that of their married counterparts, with being single explaining 33% of the variation in loneliness (R² = 33). The engagement in social activities emerged as a crucial factor, as the loneliness levels of socially active elderly individuals were notably lower, contributing to 25% of the variation in loneliness (R² = 25). The Rosenberg Self-Esteem Scale revealed that as the self-esteem of older adults increased, their loneliness levels decreased, explaining 26% of the variation (R² = 26). Marital status, social activity, and self-esteem variables collectively explained 23% of the variation in the level of loneliness.
Conclusion: The study's key findings indicate that the level of self-esteem among elderly individuals receiving home care services was moderate. Additionally, single elderly individuals experienced higher levels of loneliness compared to their married counterparts. Socially active older adults exhibited lower loneliness levels, and increased self-esteem corresponded to decreased loneliness. Notably, variables such as age, gender, educational status, and the presence of chronic diseases showed no significant impact on the level of loneliness among the elderly.

References

  • 1. Neto F. Psychometric Analysis Of The Short-Form UCLA Loneliness Scale (ULS-6) In Older Adults. Eur J Ageing. 2014;11:313-9.
  • 2. Catak B, Kilinc A, Badillioglu O, Sutlu S, Sofuoglu AE, Aslan D. Profile of Elderly Patients Receiving Home Health Services in Burdur and Health Services Provided at Home. Turk J Public Health. 2012;10(1):13-21.
  • 3. Union of Turkish Municipalities [Internet]. Available from: https://www.tbb.gov.tr/Tr/. Accessed August 27, 2024.
  • 4. Turkish Statistical Institute (TUIK) [Internet]. Available from: https://www.tuik.gov.tr/. Accessed August 27, 2024.
  • 5. Istanbul Metropolitan Municipality Health Services [Internet]. Available from: https://saglik.ibb.istanbul/evde-saglik-hizmeti-2-2/. Accessed August 27, 2024.
  • 6. Official Gazette [Internet]. Available from: https://www.resmigazete.gov.tr/eskiler/2023/06/20230602-1.htm#:~. Accessed August 27, 2024.
  • 7. Kaya M, Demir A. The effects of home health and care services on the quality of life of the elderly. J Med Health Sci. 2020;27(4):341-55.
  • 8. Kilinc A, Ozcan E. Comparative analysis of home care and health services. J Elderly Health Res. 2021;10(1):75-89.
  • 9. Senol D, Erdem S. Old Age and Older Women's Perception of Nursing Homes: A Qualitative Study. Kirikkale Univ J Soc Sci. 2017;7(2):31-50.
  • 10. Korkmaz T, Ummet D. Examination of Loneliness Perception and Quality of Life of Elderly People in Nursing Homes According to Some Variables. Manas J Soc Res. 2021;10(1):463-75.
  • 11. Oz F, Swift J. The last stage of life: a psychosocial review of old age. Crisis J. 2002;10(2):17-28.
  • 12. Altug F, Yagci N, Kitis A, Buker N, Cavlak U. Factors affecting the quality of life in elderly people living at home. J Res Elderly Issues. 2009;2(1):48-60.
  • 13. Erol S, Sezer A, Sisman FN, Ozturk S. Perception of loneliness and life satisfaction in the elderly. Gumushane Univ J Health Sci. 2016;5(3):60-9.
  • 14. Akgul A. In SPSS applications of statistical analysis techniques in medical research: Factor analysis. 2nd ed. Ankara: Emek Ofset; 2005. p. 441.
  • 15. Akgul H, Yesilyaprak B. Adaptation of the 'Loneliness Scale for the Elderly' to Turkish Culture: Validity and Reliability Study. J Elderly Issues Res. 2015;8(1):34-45.
  • 16. de Jong Gierveld J, van Tilburg TG. Manual of the Loneliness Scale. Amsterdam: VU University; 2011. p. 121-30.
  • 17. Cuhadaroglu F. Self-Esteem in Adolescents [Unpublished Specialization Thesis]. Ankara: Hacettepe University; 1986. p. 56-8.
  • 18. Gun E. Self-esteem in Adolescents Engaged in Sports and Non-Engaged Adolescents [Unpublished Master's Thesis]. Adana: Cukurova University; 2006. p. 78.
  • 19. DeVellis RF. Scale Development. 3rd ed. Ankara: Nobel Academic Publishing; 2014. p. 1-28.
  • 20. Unuvar H. Happiness at Work Scale (HMS): A Scale Development Study and the Mediating Role of Work Life Balance in the Effect of Five Factor Personality Traits on Happiness at Work [Doctoral Thesis]. Tokat: Tokat Gaziosmanpasa University; 2021. p. 89-92.
  • 21. Gurbuz S, Sahin F. Research Methods in the Social Sciences. 5th ed. Ankara: Seckin Publishing; 2018. p. 25-32.
  • 22. Meydan H, Sesen H. Structural Equation Modeling AMOS Applications. Ankara: Detay Publishing; 2011. p. 25-55.
  • 23. Sumer N. Structural Equation Models: Basic Concepts and Example Applications. Turk Psychol Writings. 2000;3(6):49-74.
  • 24. Yilmaz E. The Relationship Between Depression and Self-Esteem in Elderly People Staying in Nursing Homes. Kalem J Educ Human Sci. 2018;8(2):553-78.
  • 25. Alcelik Z. God Imagination and Self-Esteem in Old Age [Master's Thesis]. Istanbul: Marmara University; 2013. p. 25.
  • 26. Calik S. The Effect of Life Satisfaction, Quality of Life and Self-Esteem on the Feeling of Loneliness of Elderly People Residing in Nursing Homes [Master's Thesis]. Istanbul: Halic University; 2021. p. 28-30.
  • 27. Celik A, Kardas Kin O, Karadakovan A. Loneliness and healthy lifestyle behaviors in elderly individuals living in nursing homes. Izmir Katip Celebi Univ Fac Health Sci J. 2017;2(3):17-23.
  • 28. Dahlberg L, McKee KJ. Correlates of social and emotional loneliness in older people: Evidence from an English community study. Aging Ment Health. 2014;18(4):504-14.
  • 29. Ceyhan S. Examination of Loneliness Levels of Individuals Aged 65 and Over Living in Kayseri Nuh Naci Yazgan Health Center Region [Master's Thesis]. Kayseri: Erciyes University; 2005. p. 52-5.
  • 30. Ozvurmaz S. The Relationship Between Older Individuals' Loneliness Levels and Perceptions of Social Support. Adnan Menderes Univ Fac Health Sci J. 2018;2(3):118-25.
  • 31. Polat F, Gec F. The Relationship Between the Level of Loneliness Perceived by Older Individuals and Depression. J Inonu Univ Voc Sch Health Serv. 2020;8(1):72-82.
  • 32. Agirman E, Gencer MZ. Comparison of Depression and Feeling of Loneliness Levels in Elderly Individuals Living in a Nursing Home, at Home with Their Family, and Alone. J Contemp Med. 2017;7(3):234-40.
  • 33. Grover S, Avasthi A, Sahoo S, Lakdawala B, Dan A, Nebhinani N, et al. Relationship of loneliness and social connectedness with depression in elderly: A multicentric study under the aegis of Indian association for geriatric mental health. Official J Indian Assoc Geriatr Ment Health. 2018;5(2):99-106.
  • 34. Simon MA, Chang ES, Zhang M, Ruan J, Dong X. The prevalence of loneliness among U.S. Chinese older adults. J Aging Health. 2014;26:1172-88.
  • 35. Gerst-Emerson K, Shovali TE, Markides KS. Loneliness among very old Mexican Americans: Findings from the hispanic established populations epidemiologic studies of the elderly. Arch Gerontol Geriatr. 2014;59:145-9.
  • 36. Yang K, Victor C. Age and loneliness in 25 European nations. Ageing Soc. 2011;31:1368-88.
  • 37. Loboprabhu S, Molinari V. Severe loneliness in community-dwelling aging adults with mental illness. J Psychiatr Pract. 2012;18(1):20-8.
  • 38. Polat U, Kahraman BB. The relationship between healthy lifestyle behaviors and perceived social support of elderly individuals. Firat Med J. 2013;18(4):213-8.
  • 39. Singh A, Misra N. Loneliness, Depression And Sociability In Old Age. Ind Psychiatry J. 2009;18(1):51.
  • 40. Dereli F, Koca B, Demircan S, Tor N. Examination of the Loneliness Levels of Elderly People Staying in a Nursing Home. New Med J. 2010;27:93-7.

EVDE BAKIM HİZMETİ ALAN YAŞLILARIN BENLİK SAYGISI veYALNIZLIK DÜZEYİ ARASINDAKİ İLİŞKİ

Year 2024, Volume: 18 Issue: 4, 456 - 465
https://doi.org/10.21763/tjfmpc.1477431

Abstract

Amaç: Bu çalışma, evde bakım hizmeti alan 65 yaş ve üzeri bireylerde yalnızlığa katkıda bulunan faktörlerin ortaya çıkarılmasını amaçlamıştır.
Gereç ve Yöntem: Kesitsel tanımlayıcı bir tasarımı benimseyen bu araştırma, yaşlı nüfusta yalnızlığı etkileyen faktörleri araştırmaktadır. Araştırmanın evrenini İstanbul'daki bir belediyeden evde bakım hizmeti alan 65 yaş ve üzeri bireyler oluşturmuştur. Kolayda örnekleme yöntemi kullanılmış ve örneklemi aktif olarak evde bakım hizmeti alan 285 yaşlı birey oluşturmuştur. Veri toplamada Kişisel Bilgi Formu, Yaşlılar İçin Yalnızlık Ölçeği ve Rosenberg Benlik Saygısı Ölçeği kullanılmıştır.
Bulgular: Bekar yaşlı bireyler arasındaki yalnızlık düzeyleri, evli olanlara göre önemli ölçüde daha yüksek bulundu; bekarlık, yalnızlık varyasyonunun %33'ünü açıklıyordu (R 2 = 33). Sosyal açıdan aktif yaşlı bireylerde, belirgin şekilde yalnızlık seviyeleri daha düşüktü, varyasyonun %25'ine katkıda bulundu (R 2 = 25). Yaşlı yetişkinlerin benlik saygısı arttıkça yalnızlık düzeylerinin azaldığı bulundu ve bu varyasyonun %26'sını açıkladığını gösterdi (R 2 = 26). Medeni durum, sosyal aktivite ve benlik saygısı değişkenleri toplu olarak yalnızlık düzeyindeki değişimin %23'ünü açıkladı.
Sonuç: Evde bakım hizmeti alan yaşlı bireyler arasında benlik saygısının orta düzeyde olduğu, bekar yaşlı bireylerin yalnızlık düzeylerinin evlilere göre daha yüksek olduğu, sosyal olarak aktif olan yaşlı bireylerin yalnızlık düzeylerinin daha düşük olduğu belirlendi. Benlik saygısı arttıkça yalnızlık düzeyinin azaldığı tespit edildi. Özellikle yaş, cinsiyet, eğitim durumu ve kronik hastalıklar gibi değişkenlerin yaşlılarda yalnızlık düzeyleri üzerinde anlamlı bir etkisi olmadığı görüldü. Bu sonuçlar doğrultusunda, evde bakım hizmeti alan yaşlı bireylerin yalnızlık düzeylerinin azaltılması için sosyal aktivitelere katılımlarının ve benlik saygısının ele alınmasının önemi vurgulanmaktadır.

References

  • 1. Neto F. Psychometric Analysis Of The Short-Form UCLA Loneliness Scale (ULS-6) In Older Adults. Eur J Ageing. 2014;11:313-9.
  • 2. Catak B, Kilinc A, Badillioglu O, Sutlu S, Sofuoglu AE, Aslan D. Profile of Elderly Patients Receiving Home Health Services in Burdur and Health Services Provided at Home. Turk J Public Health. 2012;10(1):13-21.
  • 3. Union of Turkish Municipalities [Internet]. Available from: https://www.tbb.gov.tr/Tr/. Accessed August 27, 2024.
  • 4. Turkish Statistical Institute (TUIK) [Internet]. Available from: https://www.tuik.gov.tr/. Accessed August 27, 2024.
  • 5. Istanbul Metropolitan Municipality Health Services [Internet]. Available from: https://saglik.ibb.istanbul/evde-saglik-hizmeti-2-2/. Accessed August 27, 2024.
  • 6. Official Gazette [Internet]. Available from: https://www.resmigazete.gov.tr/eskiler/2023/06/20230602-1.htm#:~. Accessed August 27, 2024.
  • 7. Kaya M, Demir A. The effects of home health and care services on the quality of life of the elderly. J Med Health Sci. 2020;27(4):341-55.
  • 8. Kilinc A, Ozcan E. Comparative analysis of home care and health services. J Elderly Health Res. 2021;10(1):75-89.
  • 9. Senol D, Erdem S. Old Age and Older Women's Perception of Nursing Homes: A Qualitative Study. Kirikkale Univ J Soc Sci. 2017;7(2):31-50.
  • 10. Korkmaz T, Ummet D. Examination of Loneliness Perception and Quality of Life of Elderly People in Nursing Homes According to Some Variables. Manas J Soc Res. 2021;10(1):463-75.
  • 11. Oz F, Swift J. The last stage of life: a psychosocial review of old age. Crisis J. 2002;10(2):17-28.
  • 12. Altug F, Yagci N, Kitis A, Buker N, Cavlak U. Factors affecting the quality of life in elderly people living at home. J Res Elderly Issues. 2009;2(1):48-60.
  • 13. Erol S, Sezer A, Sisman FN, Ozturk S. Perception of loneliness and life satisfaction in the elderly. Gumushane Univ J Health Sci. 2016;5(3):60-9.
  • 14. Akgul A. In SPSS applications of statistical analysis techniques in medical research: Factor analysis. 2nd ed. Ankara: Emek Ofset; 2005. p. 441.
  • 15. Akgul H, Yesilyaprak B. Adaptation of the 'Loneliness Scale for the Elderly' to Turkish Culture: Validity and Reliability Study. J Elderly Issues Res. 2015;8(1):34-45.
  • 16. de Jong Gierveld J, van Tilburg TG. Manual of the Loneliness Scale. Amsterdam: VU University; 2011. p. 121-30.
  • 17. Cuhadaroglu F. Self-Esteem in Adolescents [Unpublished Specialization Thesis]. Ankara: Hacettepe University; 1986. p. 56-8.
  • 18. Gun E. Self-esteem in Adolescents Engaged in Sports and Non-Engaged Adolescents [Unpublished Master's Thesis]. Adana: Cukurova University; 2006. p. 78.
  • 19. DeVellis RF. Scale Development. 3rd ed. Ankara: Nobel Academic Publishing; 2014. p. 1-28.
  • 20. Unuvar H. Happiness at Work Scale (HMS): A Scale Development Study and the Mediating Role of Work Life Balance in the Effect of Five Factor Personality Traits on Happiness at Work [Doctoral Thesis]. Tokat: Tokat Gaziosmanpasa University; 2021. p. 89-92.
  • 21. Gurbuz S, Sahin F. Research Methods in the Social Sciences. 5th ed. Ankara: Seckin Publishing; 2018. p. 25-32.
  • 22. Meydan H, Sesen H. Structural Equation Modeling AMOS Applications. Ankara: Detay Publishing; 2011. p. 25-55.
  • 23. Sumer N. Structural Equation Models: Basic Concepts and Example Applications. Turk Psychol Writings. 2000;3(6):49-74.
  • 24. Yilmaz E. The Relationship Between Depression and Self-Esteem in Elderly People Staying in Nursing Homes. Kalem J Educ Human Sci. 2018;8(2):553-78.
  • 25. Alcelik Z. God Imagination and Self-Esteem in Old Age [Master's Thesis]. Istanbul: Marmara University; 2013. p. 25.
  • 26. Calik S. The Effect of Life Satisfaction, Quality of Life and Self-Esteem on the Feeling of Loneliness of Elderly People Residing in Nursing Homes [Master's Thesis]. Istanbul: Halic University; 2021. p. 28-30.
  • 27. Celik A, Kardas Kin O, Karadakovan A. Loneliness and healthy lifestyle behaviors in elderly individuals living in nursing homes. Izmir Katip Celebi Univ Fac Health Sci J. 2017;2(3):17-23.
  • 28. Dahlberg L, McKee KJ. Correlates of social and emotional loneliness in older people: Evidence from an English community study. Aging Ment Health. 2014;18(4):504-14.
  • 29. Ceyhan S. Examination of Loneliness Levels of Individuals Aged 65 and Over Living in Kayseri Nuh Naci Yazgan Health Center Region [Master's Thesis]. Kayseri: Erciyes University; 2005. p. 52-5.
  • 30. Ozvurmaz S. The Relationship Between Older Individuals' Loneliness Levels and Perceptions of Social Support. Adnan Menderes Univ Fac Health Sci J. 2018;2(3):118-25.
  • 31. Polat F, Gec F. The Relationship Between the Level of Loneliness Perceived by Older Individuals and Depression. J Inonu Univ Voc Sch Health Serv. 2020;8(1):72-82.
  • 32. Agirman E, Gencer MZ. Comparison of Depression and Feeling of Loneliness Levels in Elderly Individuals Living in a Nursing Home, at Home with Their Family, and Alone. J Contemp Med. 2017;7(3):234-40.
  • 33. Grover S, Avasthi A, Sahoo S, Lakdawala B, Dan A, Nebhinani N, et al. Relationship of loneliness and social connectedness with depression in elderly: A multicentric study under the aegis of Indian association for geriatric mental health. Official J Indian Assoc Geriatr Ment Health. 2018;5(2):99-106.
  • 34. Simon MA, Chang ES, Zhang M, Ruan J, Dong X. The prevalence of loneliness among U.S. Chinese older adults. J Aging Health. 2014;26:1172-88.
  • 35. Gerst-Emerson K, Shovali TE, Markides KS. Loneliness among very old Mexican Americans: Findings from the hispanic established populations epidemiologic studies of the elderly. Arch Gerontol Geriatr. 2014;59:145-9.
  • 36. Yang K, Victor C. Age and loneliness in 25 European nations. Ageing Soc. 2011;31:1368-88.
  • 37. Loboprabhu S, Molinari V. Severe loneliness in community-dwelling aging adults with mental illness. J Psychiatr Pract. 2012;18(1):20-8.
  • 38. Polat U, Kahraman BB. The relationship between healthy lifestyle behaviors and perceived social support of elderly individuals. Firat Med J. 2013;18(4):213-8.
  • 39. Singh A, Misra N. Loneliness, Depression And Sociability In Old Age. Ind Psychiatry J. 2009;18(1):51.
  • 40. Dereli F, Koca B, Demircan S, Tor N. Examination of the Loneliness Levels of Elderly People Staying in a Nursing Home. New Med J. 2010;27:93-7.
There are 40 citations in total.

Details

Primary Language English
Subjects Preventative Health Care, Family Medicine
Journal Section Orijinal Articles
Authors

Ece Alagöz 0000-0002-4913-0944

Vildan Yanık 0009-0006-4985-7103

Early Pub Date December 1, 2024
Publication Date
Submission Date May 2, 2024
Acceptance Date September 11, 2024
Published in Issue Year 2024 Volume: 18 Issue: 4

Cite

Vancouver Alagöz E, Yanık V. FACTORS AFFECTING THE LEVEL OF LONELINESS AMONG ELDERLY RECEIVING HOME CARE SERVICES. TJFMPC. 2024;18(4):456-65.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.