老年患者的孤獨感：評估與治療

Loneliness in Elderly Patients: Evaluation and Management

張哲瑞(Jerry Che-Jui Chang) ； 陳晶瑩(Chin-Ying Chen)

《台灣老年醫學暨老年學會雜誌》 16卷1期 (2021/02) Pp. 1-13

https://doi.org/10.29461/TGGa.202102_16(1).0001

摘要

孤獨感（Loneliness）在老年族群盛行率約佔三分之一。尤其2019新型冠狀病毒大流行，造成社交距離與隔離措施，更使孤獨易感族群受到重大影響。研究證據發現，孤獨感在生理或心理層面皆有實質傷害。針對孤獨感的篩檢，目前尚未有一致共識，但數種評估量表可使用於臨床診斷與追蹤。孤獨感包括社交孤獨（social loneliness）、情感孤獨（emotional loneliness）或混合型。治療策略其一為改善生活品質，提高對社會關係缺乏的滿意度；其二為以促進社交連結的團體活動為主。

關鍵字

孤獨感 ； 社交孤立 ； 社交支持

並列摘要

About one-third of elderly people reported loneliness. The social distancing and quarantine measures implemented against the 2019 Coronavirus disease (COVID-19) pandemic in particular have drastically affected the elderly group more susceptible to loneliness. Research evidence has shown that loneliness has substantial negative impact on both physical and psychological well-being. While there is no consensus on screening for loneliness, several assessment tools have been used for clinical diagnosis and follow-up. The subtypes of loneliness include social loneliness, emotional loneliness, and social-cum-emotional loneliness. Current treatment strategy focuses on improving life quality and satisfaction of people suffering from the absence of social relationships and promoting their social connections by group activities.

並列關鍵字

Loneliness ； social isolation ； social support