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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0955

Loneliness among long-term care facility residents in Taiwan: policy recommendations

LONELINESS AMONG LONG-TERM CARE FACILITY RESIDENTS IN TAIWAN: POLICY RECOMMENDATIONS

Reducing loneliness in long-term care facilities requires a relationship-centered care system in which residents feel heard and can build meaningful relationships, rather than simply increasing care capacity.

The aim is to examine the effects of cross-cultural communication, cross-cultural care, and relational care on loneliness, mental health, and social connectedness among long-term care facility residents, and to develop policy recommendations; the poster notes that although Taiwan's Long-Term Care 3.0 policy has been revised to address the needs of an aging society, it does not adequately address residents' needs for psychological and emotional support. The method is a scoping review conducted in accordance with PRISMA-ScR; CINAHL, Embase, and MEDLINE (via Ovid) were searched for the past 10 years (2016–2026), with the population defined as long-term care facility residents and foreign or migrant care workers; the concepts as cross-cultural communication, cross-cultural care, relational care, loneliness, psychological well-being, and social connectedness; and the context as residential long-term care facilities. During screening, 224 titles and abstracts were assessed, 12 full-text articles were reviewed, and 7 studies were included in the review. The findings indicate that disrupted relationships diminish the sense of belonging and autonomy, leading to loneliness and a need for emotional and physical support; informal interactions provided by migrant care workers, such as companionship, touch, singing, listening, and everyday conversation, were associated with lower rates of depression and anxiety diagnoses, less use of antidepressants and anxiolytics, and more hours of direct care. Language barriers, cultural differences, inadequate training, gaps in medical knowledge, and workplace discrimination were identified as major challenges for migrant care workers; task-oriented and medically focused care was reported to risk overlooking residents' emotional needs, while focusing solely on physical care could contribute to dehumanization and loss of autonomy. Cultural differences were noted to have both negative effects, such as creating communication barriers, and positive effects, such as offering new perspectives on individualized care and supporting residents' dignity, autonomy, and personal identity; cross-cultural training was reported to improve communication, relationship-building, and psychosocial care. Policy recommendations include integrating loneliness into care plans through a structured screening and intervention cycle (early identification, standardized assessment, targeted intervention, and ongoing reassessment), strengthening support for migrant care workers, transitioning from task-oriented care to relationship-centered care (RCC), and making cross-cultural communication a core component of workforce policy.

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