School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
Int J Qual Stud Health Well-being. 2011 Mar 14;6(1). doi: 10.3402/qhw.v6i1.5753.
Community-based day care that provides rehabilitation (DCR) targets elderly people with physical disabilities. The goal of these programmes is mainly to improve physical ability in order to enable participants to remain in their ordinary homes. Knowledge of the outcomes of DCR is limited as well as knowledge of what it is that makes a difference for the individual. The aim of this study was to describe what changes in everyday life elderly persons experienced after discharge from a community-based day care rehabilitation centre and to give possible explanations for these changes. Fifteen elderly people were interviewed after that they had been discharged from DCR. A narrative approach was used for analysing the interview data. Four case stories constitute the findings, each of them with unique descriptions of changes in everyday life as well as possible explanations for these changes. The first case story described resumption of daily activities that made the days more eventful and meaningful. The second described how everyday life became an arena for exercising, which create confidence for the future. The third described how an increased sense of certainty and security in the movements led to an increased appetite for life. Finally, the fourth case story described both the stay at the DCR centre and the promise of a new period there as uplifting that made the days easier. Concerning possible explanations for these changes, the findings indicate that it was a combination of several events that together contributed to the changes. Examples were physical training, counselling about how to live in an active and healthy lifestyle, and socialisation with other patients in formal as well as in informal sessions.
社区日间康复护理（DCR）以身体残疾的老年人为服务对象，旨在通过改善身体机能，帮助患者维持日常生活，使其尽可能留在自己家中。目前，DCR 的效果和影响因素尚不明确。本研究旨在描述社区日间康复护理中心出院后的老年人日常生活中发生的变化，并对这些变化的原因进行探讨。15 名老年人在出院后接受了访谈。采用叙述性方法对访谈数据进行分析。四个案例故事构成了研究结果，每个案例故事都描述了日常生活中的独特变化及其原因。第一个案例故事描述了日常生活活动的恢复，使日子更加充实有意义。第二个案例故事描述了日常生活如何成为锻炼的舞台，为未来树立信心。第三个案例故事描述了运动中确定性和安全感的增加如何提高对生活的渴望。最后一个案例故事描述了 DCR 中心的停留和对新的活动期的期待如何带来振奋，使日子变得更加轻松。关于这些变化的原因，研究结果表明，是多种因素共同作用导致了变化。这些因素包括身体训练、如何积极健康生活的咨询，以及与其他患者在正式和非正式场合的社交。
