Wood Stacey, Stephens Mary
Psychology Department, University of Colorado, Colorado Springs, 80933-7150, USA.
Gerontologist. 2003 Oct;43(5):753-7. doi: 10.1093/geront/43.5.753.
The purpose of this study was to examine the decision-making abilities of residents in assisted living regarding abuse and neglect.
Twenty-seven residents in assisted living facilities were recruited for this descriptive study. Participants were administered an interview to assess baseline knowledge of support services, including ombudsman programs. They were next asked to watch videotaped scenarios of common types of elder abuse (physical, verbal, fiduciary, neglect) and asked to identify abusive situations. Finally, the participants were asked to develop a plan of action if they were to experience similar situations.
The results suggested poor awareness of available elder support services (M = 25%). Residents performed fairly well in the simple identification of the abusive situations (54%), but had difficulty generating acceptable strategies for handling abusive situations. Approximately 25% had no suggestion, 50% reported they would consult a family member, and 25% had nonspecific suggestions (e.g., talk to staff about problem).
The results of this study suggest that residents of assisted living facilities are poorly informed about protective services and uncertain about options if care were not optimal. Further work with larger samples is needed to confirm these results.
本研究旨在考察辅助生活机构中居民对于虐待和忽视问题的决策能力。
本描述性研究招募了27名辅助生活机构的居民。参与者接受了访谈，以评估其对包括监察员项目在内的支持服务的基线知识。接下来，他们被要求观看常见类型的老年人虐待（身体虐待、言语虐待、信托虐待、忽视）的录像场景，并识别虐待情况。最后，要求参与者制定一个如果他们遇到类似情况的行动计划。
结果表明，居民对现有的老年人支持服务的认知度较低（M = 25%）。居民在简单识别虐待情况方面表现相当不错（54%），但在制定可接受的应对虐待情况的策略方面存在困难。约25%的人没有建议，50%的人表示会咨询家庭成员，25%的人有非特定的建议（如与工作人员谈论问题）。
本研究结果表明，辅助生活机构的居民对保护服务了解不足，并且如果护理不理想，他们对选择方案也不确定。需要用更大的样本进行进一步研究以证实这些结果。
