Advances in Psychological Science ›› 2025, Vol. 33 ›› Issue (5): 766-779.doi: 10.3724/SP.J.1042.2025.0766
• Conceptual Framework • Previous Articles Next Articles
WU Lili(
), LI Ze, BI Tianyi, FU Rao
Received:2024-12-11
Online:2025-05-15
Published:2025-03-20
Contact:
WU Lili
E-mail:wulili@cup.edu.cn
CLC Number:
WU Lili, LI Ze, BI Tianyi, FU Rao. Identification and fulfillment of psychological support needs for disabled elderly: Dynamic optimization based on customized resource allocation[J]. Advances in Psychological Science, 2025, 33(5): 766-779.
| 数据收集 | 干预实验 | 数据分析 | ||
|---|---|---|---|---|
| 实验设计与分组 | 监控与反馈调整 | 效果评估与长期跟踪 | ||
| • 基于质性访谈设计心理需求量表 • 面对面或电话访谈对300名失能老人进行需求评估 • 每3个月通过量表测评记录需求变化, 用于长期跟踪和干预实验的效果分析 | • 分组: • 基线测量 • 对照组接受常规护理, 干预组接受个性化心理服务, 包括家庭访视(每两周一次)、心理咨询(每月一次)、社区支持小组活动(每月一次) | • 每次干预后, 服务人员记录干预日志, 记录内容、频次及老年人反应 • 每月召开反馈会议, 动态调整干预策略以提高效果 | • 干预结束后立即进行短期评估 • 在第6和第12个月进行长期随访。结合量表测评与质性访谈, 确保评估的全面性 | • 采用多层线性模型(HLM)评估干预效果的长期变化 • 采用结构方程模型(SEM)分析心理需求满足与心理健康之间的因果关系 • 采用社会网络分析(SNA)评估社区心理支持活动对社会支持网络的影响 |
| 数据收集 | 干预实验 | 数据分析 | ||
|---|---|---|---|---|
| 实验设计与分组 | 监控与反馈调整 | 效果评估与长期跟踪 | ||
| • 基于质性访谈设计心理需求量表 • 面对面或电话访谈对300名失能老人进行需求评估 • 每3个月通过量表测评记录需求变化, 用于长期跟踪和干预实验的效果分析 | • 分组: • 基线测量 • 对照组接受常规护理, 干预组接受个性化心理服务, 包括家庭访视(每两周一次)、心理咨询(每月一次)、社区支持小组活动(每月一次) | • 每次干预后, 服务人员记录干预日志, 记录内容、频次及老年人反应 • 每月召开反馈会议, 动态调整干预策略以提高效果 | • 干预结束后立即进行短期评估 • 在第6和第12个月进行长期随访。结合量表测评与质性访谈, 确保评估的全面性 | • 采用多层线性模型(HLM)评估干预效果的长期变化 • 采用结构方程模型(SEM)分析心理需求满足与心理健康之间的因果关系 • 采用社会网络分析(SNA)评估社区心理支持活动对社会支持网络的影响 |
| [1] | 白鸽. (2023). 健康老龄化背景下我国失能老人需要未满足状况及影响因素研究 [博士学位论文]. 四川大学, 成都. |
| [2] | 董红亚. (2020). 从孝文化到照护文化、敬老文化——构建适应老龄社会的新文化体系. 中州学刊, (9), 68-74. |
| [3] | 杜鹏, 孙鹃娟, 张文娟, 王雪辉. (2016). 中国老年人的养老需求及家庭和社会养老资源现状——基于2014年中国老年社会追踪调查的分析. 人口研究, 40(6), 49-61. |
| [4] | 侯冰. (2019). 老年人社区居家养老服务需求层次及其满足策略研究. 社会保障评论, 3(3), 147-159. |
| [5] |
李超平, 毛凯贤. (2018). 服务型领导影响工作繁荣的动态双向机制. 心理科学进展, 26(10), 1734-1748.
doi: 10.3724/SP.J.1042.2018.01734 |
| [6] | 刘玉玉, 林金蕾, 张倩, 于海萍, 邱大石. (2018). 养老机构老年人能力评估与分级服务需求探究. 护理研究, 32(7), 1150-1153. |
| [7] | 陆雪痕. (2018). 农村失能老人心理健康需求的分析与心理康复研究. 农村科学实验, (4), 87-87. |
| [8] |
王硕, 井坤娟. (2015). 养老机构老年人需求现状研究. 医学研究与教育, 32(5), 85-89.
doi: 10.3969/j.issn.1674-490X.2015.05.021 |
| [9] | 王玉环, 刘艳慧, 黄方超. (2011). 新疆石河子市失能老年人长期护理需求调查. 现代预防医学, 38(18), 3683-3686. |
| [10] |
张涵, 吴炳义, 董惠玲. (2015). 不同类型养老机构老年人医疗服务现状及需求调查. 中国全科医学, 18(15), 1786-1790.
doi: 10.3969/j.issn.1007-9572.2015.15.011 |
| [11] | 张晓先. (2015). 失能老人心理特征与情感需求分析及护理体会. 基层医学论坛, (S1), 121-122. |
| [12] | 周跚跚. (2015). 重庆地区失能老年人心理需求状况调查. 老龄科学研究, (2), 65-71. |
| [13] | Abulaiti, B., Zhang, X., Guan, T., Wang, M., Jia, S., & Wang, A. (2022). The dyadic care experiences of elderly individuals with disabilities and caregivers in the home setting from the perspective of family resilience: A qualitative study. Frontiers in Psychiatry, 13, Article 963101. |
| [14] | American Psychological Association, Working Group on the Older Adult. (1998). What practitioners should know about working with older adults. Professional Psychology: Research and Practice, 29(5), 413-427. |
| [15] | Cantor, M. H. (1989). Social care: Family and community support systems. The Annals of the American Academy of Political and Social Science, 503(1), 99-112. |
| [16] | Chen, Y. R. R., & Schulz, P. J. (2016). The effect of information communication technology interventions on reducing social isolation in the elderly: A systematic review. Journal of Medical Internet Research, 18(1), e18. |
| [17] | da Nova Valente, P. R. (2012). Action coordination and resource allocation against user profiles: Application to intelligent care in nursing homes. Technology Review, 45(3), 201-220. |
| [18] | Dubuc, N., Bonin, L., Tourigny, A., Mathieu, L., Couturier, Y., Tousignant, M., Corbin, C., Delli-Colli, N., & Raîche, M. (2013). Development of integrated care pathways: Toward a care management system to meet the needs of frail and disabled community-dwelling older people. International Journal of Integrated Care, 13(1), e024. |
| [19] | Fink, J., Kobsa, A., & Nill, A. (1998). Adaptable and adaptive information provision for all users, including disabled and elderly people. New Review of Hypermedia and Multimedia, 4(1), 93-110. |
| [20] | Fleming, P., McGilloway, S., Hernon, M., Furlong, M., O'Doherty, S., Keogh, F., & Stainton, T. (2019). Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed-methods systematic review. Campbell Systematic Reviews, 15(1-2), e1040. |
| [21] |
Gijzel, S. M. W., Whitson, H. E., van de Leemput, I. A., Scheffer, M., van Asselt, D., Rector, J. L., Olde Rikkert, M. G. M., & Melis, R. J. F. (2019). Resilience in clinical care: Getting a grip on the recovery potential of older adults. Journal of the American Geriatrics Society, 67(12), 2650-2657.
doi: 10.1111/jgs.16149 pmid: 31498881 |
| [22] | Glendinning, C., Mitchell, W., & Brooks, J. (2015). Ambiguity in practice? Carers' roles in personalised social care in England. Health & Social Care in the Community, 23(1), 23-32. |
| [23] |
Gobbens, R. J. J., Luijkx, K. G., & van Assen, M. A. L. M. (2013). Explaining quality of life of older people in the Netherlands using a multidimensional assessment of frailty. Quality of Life Research, 22(8), 2051-2061.
doi: 10.1007/s11136-012-0341-1 pmid: 23274572 |
| [24] | Grossman, B. R., & Webb, C. E. (2016). Family support in late life: A review of the literature on aging, disability, and family caregiving. Journal of Family Social Work, 19(4), 348-365. |
| [25] | Guan, T., Zhang, X., Jia, S., Wang, M., & Abulaiti, B. (2022). The dyadic care experiences of elderly individuals with disabilities and caregivers in the home setting from the perspective of family resilience: A qualitative study. Frontiers in Psychiatry, 13, Article 963101. |
| [26] | Guo, Q., & Chen, P. (2024). Construction and optimization of health behavior prediction model for the elderly in smart elderly care. arXiv preprint arXiv:2412.02062. |
| [27] |
Guo, X., Shen, H., Wen, Q., Liu, S., Yang, Y., & Zhang, H. (2023). Research on layout model and construction planning of aged care institutions for disabled elders in China: Based on Nanjing city data. BMC Geriatrics, 23, 237.
doi: 10.1186/s12877-023-03924-z pmid: 37081383 |
| [28] | Han, X., Zhou, X., Tan, B., Jiao, L., & Zhang, R. (2023). AI-based next-generation sensors for enhanced rehabilitation monitoring and analysis. Measurement, 223, 113758. |
| [29] | Han, Y., Zhang, L., & Fang, Y. (2022). Multidimensional disability evaluation and confirmatory analysis of older adults in a home-based community in China. Frontiers in Public Health, 10, Article 899303. |
| [30] | Hansen, T., & Slagsvold, B. (2013). The psychological effects of providing personal care to a partner: A multidimensional perspective. Health Psychology Research, 1(1), e12. |
| [31] | Hsu, H. C., & Tung, H. J. (2010). What makes you good and happy? Effects of internal and external resources to adaptation and psychological well-being for the disabled elderly in Taiwan. Aging & Mental Health, 14(7), 851-860. |
| [32] | Indu, P. V., Remadevi, S., Philip, S., & Mathew, T. (2018). A qualitative study on the mental health needs of elderly in Kerala, South India. Journal of Geriatric Mental Health, 5(2), 143-151. |
| [33] | Jiang, H., Xiao, S., Hu, H., & He, H. (2022). Study on the measurement and influencing factors of care service demand of disabled elderly in urban and rural China. International Journal of Environmental Research and Public Health, 19(17), 11112. |
| [34] | Kossack, P., & Unger, H. (2023, October). Emotion-aware Chatbots:Understanding, reacting and adapting to human emotions in text conversations. In International conference on autonomous systems (pp. 158-175). Cham: Springer Nature Switzerland. |
| [35] | Kumar, D., Rasania, S. K., & Das, R. (2019). Health care needs assessment of elderly with functional disability in Palam village of Delhi. International Journal of Community Medicine and Public Health, 6(9), 3943. |
| [36] | Lawton, M. P., & Gottesman, L. E. (1974). Psychological services to the elderly. American Psychologist, 29(9), 772-783. |
| [37] |
Lien, L. L., Steggell, C. D., & Iwarsson, S. (2015). Adaptive strategies and person-environment fit among functionally limited older adults aging in place: A mixed methods approach. International Journal of Environmental Research and Public Health, 12(9), 11954-11972.
doi: 10.3390/ijerph120911954 pmid: 26404352 |
| [38] | Lu, J., Liu, Y., Lv, T., & Meng, L. (2024). An emotional- aware mobile terminal accessibility-assisted recommendation system for the elderly based on haptic recognition. International Journal of Human-Computer Interaction, 40(22), 7593-7609. |
| [39] | Menghi, R., Papetti, A., & Germani, M. (2019). Product Service Platform to improve care systems for elderly living at home. Health Policy and Technology, 8(4), 390-401. |
| [40] | Momtaz, Y. A., Hamid, T. A., & Ibrahim, R. (2012). Unmet needs among disabled elderly Malaysians. Social Science & Medicine, 75(5), 859-863. |
| [41] | Muramatsu, N., Yin, H., & Hedeker, D. (2010). Functional declines, social support, and mental health in the elderly: Does living in a state supportive of home and community- based services make a difference? Social Science & Medicine, 70(7), 1050-1058. |
| [42] | Nyman, S. R., & Szymczynska, P. (2016). Meaningful activities for improving the well-being of people with dementia: Beyond mere pleasure to meeting fundamental psychological needs. Perspectives in Public Health, 136(2), 99-107. |
| [43] | Pareigis, S. (2023, October). Algorithmic foundations of reinforcement learning. In International conference on autonomous systems (pp. 1-27). Cham: Springer Nature Switzerland. |
| [44] |
Peek, S. T. M., Luijkx, K. G., Vrijhoef, H. J. M., Nieboer, M. E., Aarts, S., van der Voort, C. S., … Wouters, E. J. M. (2019). Understanding changes and stability in the long-term use of technologies by seniors who are aging in place: A dynamical framework. BMC Geriatrics, 19(1), 236.
doi: 10.1186/s12877-019-1241-9 pmid: 31462214 |
| [45] | Qin, Y., Yao, X., Ma, Q., Salvador, J. T., & Pang, L. (2023). Needs and influence factors of medical-nursing-pension of disabled elderly. Medicine, 102(38), e35189. |
| [46] | Quail, J. M., Wolfson, C., & Lippman, A. (2011). Unmet need and psychological distress predict emergency department visits in community-dwelling elderly women: A prospective cohort study. BMC Geriatrics, 11(1), 86. |
| [47] | Ryan, R. M., & La Guardia, J. G. (2000). What is being optimized? Self-determination theory and basic psychological needs. Journal of Personality and Social Psychology, 85(2), 145-172. |
| [48] |
Schepens, H. R., Van Puyenbroeck, J., & Maes, B. (2019). How to improve the quality of life of elderly people with intellectual disability: A systematic literature review of support strategies. Journal of Applied Research in Intellectual Disabilities, 32(3), 483-521.
doi: 10.1111/jar.12559 pmid: 30575226 |
| [49] |
Schulz, R., & Heckhausen, J. (1996). A life span model of successful aging. American Psychologist, 51(7), 702-714.
pmid: 8694390 |
| [50] | Shi, J., Hua, W., Tang, D., & Xu, K. (2021). A study on supply-demand satisfaction of community-based senior care combined with the psychological perception of the elderly. Healthcare, 9(6), Article 643. |
| [51] | Tang, Q., Yuan, M., Wu, W., Wu, H., Wang, C., Chen, G., … Lu, J. (2022). Health status and individual care needs of disabled elderly at home in different types of care. International Journal of Environmental Research and Public Health, 19(18), 11371. |
| [52] | Turcotte, P. L., Larivière, N., Desrosiers, J., Voyer, P., Champoux, N., Carbonneau, H., … Levasseur, M. (2015). Participation needs of older adults having disabilities and receiving home care: Met needs mainly concern daily activities, while unmet needs mostly involve social activities. BMC Geriatrics, 15(1), 95. |
| [53] | Vansteenkiste, M., & Ryan, R. M. (2013). On psychological growth and vulnerability: Basic psychological need satisfaction and need frustration as a unifying principle. Journal of Psychotherapy Integration, 23(3), 263-280. |
| [54] | Vansteenkiste, M., Ryan, R. M., & Soenens, B. (2020). Basic psychological need theory: Advancements, critical themes, and future directions. Motivation and Emotion, 44(1), 1-31. |
| [55] |
Verbrugge, L. M., Reoma, J. M., & Gruber-Baldini, A. L. (1994). Short-term dynamics of disability and well-being. Journal of Health and Social Behavior, 35(2), 97-117.
pmid: 8064125 |
| [56] | Zhang, Y., Zhang, M., Hu, H., & He, X. (2022). Research on supply and demand of aged services resource allocation in China: A system dynamics model. Systems, 10(3), 59. |
| [57] | Zhao, Z., Arya, A., Orji, R., & Chan, G. (2020). Effects of a personalized fitness recommender system using gamification and continuous player modeling: System design and long-term validation study. JMIR Serious Games, 8(4), e19968. |
| [58] | Zhao, D., Sun, X., Shan, B., Yang, Z., Yang, J., Liu, H., … Hiroshi, Y. (2023). Research status of elderly-care robots and safe human-robot interaction methods. Frontiers in Neuroscience, 17, 1291682. |
| [1] | JIANG Danying, YANG Yunmei, LI Jing. Children's distributive justice in group context [J]. Advances in Psychological Science, 2022, 30(9): 2004-2019. |
| [2] | YANG Jianfeng, GUO Xiaohong, MING Xiaodong. The decision-making process of offering help in the workplace [J]. Advances in Psychological Science, 2022, 30(1): 15-31. |
| [3] | CHENG Nanhua, LI Zhanxing, ZHU Liqi. Children’s understanding of social power and its relationship with social behavior [J]. Advances in Psychological Science, 2018, 26(2): 283-293. |
| [4] | YAN Yu;ZHANG Qian. The Too-Much-of-a-Good-Thing Effect: Review and Discussion on Negative Effects of Organizational Citizenship Behavior [J]. Advances in Psychological Science, 2014, 22(5): 834-844. |
| Viewed | ||||||
|
Full text |
|
|||||
|
Abstract |
|
|||||