Sacco-Peterson Maryanne, Borell Lena
Department of Neurotec, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.
Scand J Caring Sci. 2004 Dec;18(4):376-86. doi: 10.1111/j.1471-6712.2004.00292.x.
Self-care has great significance in individuals' lives because it has been shown to support one's health and well-being in old age. This qualitative study of daily life in a nursing home ward employed an ethnographic design to observe routines and daily activities in the ward. Narrative interviews with the residents and staff were also conducted in order to learn about the environmental experience. The aim was to generate a deeper understanding about how the physical and socio-cultural environments and residents' cultural beliefs influenced participation in their own personal-care activities. The findings demonstrate how the physical and socio-cultural environment in the nursing home actually required older residents to overcome greater physical and cognitive challenges to maintain their participation, autonomy, and dignity in toileting, bathing, and dressing than would have been expected had the resident been living at home.
自我护理在个人生活中具有重要意义，因为研究表明它有助于老年人的健康和幸福。这项关于养老院病房日常生活的定性研究采用了人种志设计，以观察病房中的日常惯例和活动。此外，还对居民和工作人员进行了叙事访谈，以了解他们的环境体验。目的是更深入地了解物理和社会文化环境以及居民的文化信仰如何影响他们参与个人护理活动。研究结果表明，与居家生活相比，养老院的物理和社会文化环境实际上要求老年居民在如厕、洗澡和穿衣时克服更大的身体和认知挑战，以维持他们的参与度、自主性和尊严。
