Ellison Caroline, White Amy, Chapman Libby
Disability and Community Rehabilitation, Flinders University, Adelaide, SA, Australia.
J Intellect Dev Disabil. 2011 Sep;36(3):175-83. doi: 10.3109/13668250.2011.597377.
Most people with a disability want to remain living in their own home as they age. Without additional support, people with a disability may not be able to avoid moving into residential aged care, attending day programs, or becoming isolated from participation in the wider community. This study examined whether participants perceived access to community-based aged care supports assisted with avoiding receiving more institutional models of service as they age.
Qualitative research processes were used to explore the perceptions of 60 individuals with a disability aged 50 years and over, in relation to ageing and the value of community-based aged care.
Findings indicated that participants receiving community-based aged care supports reported benefits including opportunities to develop relationships, maintain daily living skills and participate in community activities.
Due to a lack of confidence in the availability of access to mainstream community-based aged care services, many participants felt vulnerable or unsure about their future and ability to remain living in their own home. Several participants commented that this meant that an undesired early relocation into residential aged care or congregate disability services appeared inevitable.
大多数残疾人士希望随着年龄增长继续住在自己家中。如果没有额外支持,残疾人士可能无法避免搬入老年护理机构、参加日间项目,或与更广泛的社区参与活动隔绝。本研究调查了参与者是否认为获得基于社区的老年护理支持有助于避免随着年龄增长而接受更多机构化服务模式。
采用定性研究方法,探讨60名年龄在50岁及以上的残疾人士对老龄化以及基于社区的老年护理价值的看法。
研究结果表明,接受基于社区的老年护理支持的参与者报告了诸多益处,包括发展人际关系、维持日常生活技能以及参与社区活动的机会。
由于对获得主流社区老年护理服务的可用性缺乏信心,许多参与者对自己的未来以及继续住在自己家中的能力感到脆弱或不确定。几位参与者表示,这意味着不可避免地会过早搬入老年护理机构或集中式残疾服务机构。