Gallagher Louise P, Truglio-Londrigan Marie
Lienhard School of Nursing, Pace University, USA.
Clin Nurs Res. 2004 Feb;13(1):3-23; discussion 24-32. doi: 10.1177/1054773803259466.
The purpose of this inquiry was to determine older adults' perceptions of facilitators and barriers in their use of community support. A descriptive, exploratory design was used incorporating focus group methodology. Fifteen participants were recruited in two separate senior citizen housing complexes, 10 in one building and 5 in the second. All participants were 65 years of age and older, alert, oriented, and English speaking. Systematic content analysis of the focus groups revealed two general categories: knowledge and systems. Under each category, facilitators and barriers were identified. Knowledge facilitators included life experiences and learning from one another. A major knowledge barrier was lack of awareness. A system facilitator was caring connections. System barriers included complex connections, pseudoconnections, superficial connections, and cookie cutter connections. The data suggest the need for additional research to further clarify these facilitators and barriers. The information obtained from this research will be a beginning step in the development of supportive intervention strategies for assisting older adults as they live in their home communities.
本次调查的目的是确定老年人对使用社区支持时的促进因素和障碍的看法。采用了描述性探索性设计，并结合焦点小组方法。在两个独立的老年公民住宅小区招募了15名参与者，其中10名在一栋楼，5名在另一栋楼。所有参与者均为65岁及以上，思维敏捷、定向力正常且会说英语。对焦点小组的系统内容分析揭示了两个一般类别：知识和系统。在每个类别下，确定了促进因素和障碍。知识促进因素包括生活经历和相互学习。一个主要的知识障碍是缺乏认识。系统促进因素是关怀联系。系统障碍包括复杂联系、虚假联系、表面联系和千篇一律的联系。数据表明需要进行更多研究以进一步澄清这些促进因素和障碍。从这项研究中获得的信息将是制定支持性干预策略的第一步，以帮助老年人在其家乡社区生活。
