Jensen Barbara, Cohen-Mansfield Jiska
Research Institute on Aging, Hebrew Home of Greater Washington, Rockville, Maryland, USA.
Geriatr Nurs. 2006 Jul-Aug;27(4):244-51. doi: 10.1016/j.gerinurse.2006.06.002.
This article compares the self-care routines of nursing home residents with those customarily practiced when individuals were able to care for themselves. Participants were 20 nursing home residents, their spouses, and nursing assistants. Self-care routines were assessed using the Self-maintenance Habits and Preferences in Elderly (SHAPE) questionnaire. More items change than remain the same. Items most likely to change are those dealing with timing or duration. Routines become more simplified after admission and reflect the increased frailty of residents. Self-care becomes more important overall. Spouses are unable to indicate whether current and past self-care practices are the same slightly over half of the time, but nursing assistants are almost totally lacking in the knowledge of previous self-care routines. Knowledge of changes in self-care routines can be used to guide interventions to bring past and current practices into greater concordance.
本文比较了养老院居民的自我护理日常与他们在能够自理时的常规做法。参与者包括20名养老院居民、他们的配偶和护理助理。使用老年人自我维持习惯和偏好（SHAPE）问卷评估自我护理日常。变化的项目比保持不变的项目更多。最有可能改变的项目是那些与时间安排或时长有关的项目。入院后日常变得更加简化，反映出居民身体更加虚弱。总体而言，自我护理变得更加重要。配偶在略超过一半的情况下无法表明当前和过去的自我护理做法是否相同，但护理助理几乎完全不了解以前的自我护理日常。了解自我护理日常的变化可用于指导干预措施，使过去和当前的做法更加一致。
