Investigation of the Effect of Perceived Social Exclusion on Hopelessness in Elderly Individuals with Chronic Disease
DOI:
https://doi.org/10.5281/zenodo.13765888Keywords:
Chronic illness, elderly, social exclusion, hopelessnessAbstract
Purpose: The research was conducted as a descriptive study to determine the relationship between the perceived social exclusion levels of individuals with chronic diseases in old age and the sense of hopelessness they feel.
Materials and Methods: The research was conducted between November 2022 and January 2023 with patients over the age of 65 who were treated for chronic diseases in the internal medicine intensive care clinic of a training and research hospital. The sample of the research includes a total of 147 individuals. Personal Information Form, Beck Hopelessness Scale (BHS), Social Exclusion Scale (SES) were used to collect data. Frequency, percentage, t test and ANOVA methods were used to evaluate the data obtained.
Results: It was determined that 53.1% of the elderly individuals participating in the study were male, 49.7% were married, 72.8% were primary school graduates, 53.7% had a medium income, and the average length of hospitalisation was 8.30 ± 5.32 days. The average BHS total score of the elderly was 3.80±3.164 and the SES total score average was 64.17 ± 17.903. In addition, it has been determined that especially elderly individuals, women, those with poor economic conditions, and the elderly cannot adapt to treatment, and that there is a significant relationship between the elderly living in institutions and social exclusion and hopelessness.
Conclusion: As a result of the study, it was determined that the level of social exclusion perceived by elderly individuals with chronic diseases was at a moderate level and they felt a moderate level of hopelessness. It was also determined that there was a significant relationship between the level of social exclusion and felt hopelessness.
References
REFERENCES
• Akdemir, N., Çınar, İ., & Görgülü, Ü. (2007). Perception of aging and ageism. Türk Geriatri Dergisi, 10(4),215-222.
• Apak, E., & Apak, H. (2020). Yaşlılarda sosyal dışlanma ölçeğinin geliştirilmesi: geçerlik ve güvenirlik çalışması. Kadim Akademi SBD, 4(1), 1-15.
• Bahar, A. (2005). Huzurevinde Yaşayan Yaşlıların Depresyon ve Anksiyete Düzeylerinin Belirlenmesi. Yüksek Lisans Tezi, Gaziantep Üniversitesi.
• Bahtiar, B., Sahar, J., Wiarsih, W. (2020). Meaning of life among elderly individuals with chronic diseases living with family: A qualitative study. Makara J Heal Res.,24(1),35–40.
• Beck, A. T., Weissman, A., Lester, D. & Trexler, L. (1974). The measurement ofpessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42(6), 861–865. https://doi.org/10.1037/h0037562
• Beck, CM., Rawlins, RP., Williams, SR. (1984). Mental Health Psychiatric Nursing A Holistic Life-Cycle Approach. The CY Mosby Company,449-511.
• Beğer, T., Yavuzer, H. (2012). Yaşlılık ve yaşlılık epidemiyolojisi. Klinik Gelişim, 3(25), 1-3.
• Biggs, A., Brough, P., & Drummond S. (2017). Lazarus and Folkman’s psychological stress and coping theory. The handbook of stress and health: A guide to research and practice, 349–364.
• Cilingiroğlu. N., Demirel, S. (2004). Aging and ageism. Turkish Journal of Geriatrics, 7(4), 225-230.
• Coşkun, M. (1998). Samsun İl Merkezinde Yaşayan Yaşlıların Sürekli Kaygı Düzeyleri ve Bazı Sosyoekonomik Etmenleri. Uzm.Tezi, Ondokuz Mayıs Üniversitesi.
• Deming, DJ. (2022). Four Facts about Human Capital. J Econ Perspect, 36(3),75–102.
• Durak, A. ve Palabıyıkoğlu, R. (1994). Beck Umutsuzluk Ölçeği Geçerlilik Çalışması. Kriz Dergisi, 2(2), 311-319
• Feng, Z., Jones, K., & Wang, W. (2015). An exploratory discrete-time multilevel analysis of the effect of social support on the survival of elderly people in China. Social Science & Medicine, 130,181–189.
• Frisch, NC., Frisch, LE. (2002) Psychiatric Mental Health Nursing understanding theclient as well as the condition. Second edition,44-49.
• Genç, Y., Dalkılıç, P. (2013). Yaşlıların sosyal dışlanma sendromu ve toplumsal beklentileri. International Journal of Social Science, 6(1), 461-482.
• Görgün, B. A. (2016). Yaşlılıkta sosyal dışlanmanın toplumsal boyutu. Yaşlılık Disiplinlerarası Yaklaşımlar, Sorunlar, Çözümler. Nobel Kitabevi, 105-126.
• Gum, AM., Shiovitz-Ezra, S., Ayalon, L. (2017). Longitudinal associations of hopelessness and loneliness in older adults: Results from the US health and retirement study. Int Psychogeriatrics, 29(9),1451–9.
• Hogg, MA., Abrams, D., Brewer, MB.(2017). Social identity: The role of self in group processes and intergroup relations. Group Process and Intergr Relations, 20(5),570–81.
• Huen, JMY., Ip, BYT., Ho, SMY., Yip, PSF. (2015). Hope and hopelessness: The role of hope in buffering the impact of hopelessness on suicidal ideation. PLoS One, 10(6),1–18.
• Karacan, I., Sennaroglu, B., Vayvay, O. (2020). Analysis of life expectancy across countries using a decision tree. East Mediterr Heal J,26(2),143–51.
• Kislaya, I., Santos, A.J. ve Gil, A.P. (2013). Co-occurrence of different types of violence in Portuguese elder adults. Comprehensive Psychiat.
• Maneze, D., Ramjan, L., DiGiacomo, M., Everett, B., Davidson, PM., Salamonson, Y. (2018). Negotiating health and chronic illness in Filipino-Australians: a qualitative study with implications for health promotion. Ethn Heal, 23(6),611–28.
• Niu, L., Jia, C., Ma, Z., Wang, G., Sun, B., Zhang, D., et al. (2020). Loneliness, hopelessness and suicide in later life: A case-control psychological autopsy study in rural China. Epidemiol Psychiatr Sci., 29(e119).
• Santrock, J. W. (2015). Yaşam boyu gelişim. Nobel Akademik Yayıncılık Eğitim Danışmanlık Tic. Limited Şti, 10-56.
• Sarin, K., Sethi, S., Nagar, I. (2016). Depression and Hopelessness in Institutionalized Elderly: A Societal Concern. Open J Depress,05(03),21–7.
• Savaşır, I., Şahin NH. (1997). Bilişsel Davranışçı Terapilerde Sık Kullanılan Ölçekler. Türk Psikologlar Derneği Yayınları, 23-39.
• Seber, G., Dilbaz, N., Kaptanoğlu, C. ve Tekin, D. (1993). Umutsuzluk Ölçeği: Geçerlilik ve Güvenirliliği. Kriz Dergisi, 1(3), 139-142.
• Sum, S., Saboor, M., & Sahaf R. (2015). Older People, Loneliness and Depression Feeling of Loneliness and Depression Among Older Adults With Higher Educational Achievements. Med Gazette/Medicinski Glas,20(56).
• Tan, J. J., Kraus, M. W., Carpenter, N. C., & Adler, N. E. (2020). The association between objective and subjective socioeconomic status and subjective well-being: A meta-analytic review. Psychological Bulletin, 146(11), 970.
• Tjernberg, J., Bökberg, C. (2020). Older persons’ thoughts about death and dying and their experiences of care in end-of-life: a qualitative study. BMC Nurs. 19(1),1–10.
• Townsend, M. C. (2016). Ruh Sağlığı ve Psikiyatri Hemşireliğinin Temelleri Kanıta Dayalı Uygulama Bakım Kavramları. Akademisyen Tıp Kitabevi ,717-750.
• Yılmaz, S., Calikoglu, EO., Kosan, Z. (2019). for an Uncommon Neurosurgical Emergency in a Developing Country. Niger J Clin Pract, 22,1070–7.
• Zhang, W., Liu, L., Tang, F., Dong, X. (2018). Social Engagement and Sense of Loneliness and Hopelessness: Findings From the PINE Study. Gerontol Geriatr Med. 4:233372141877818.
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