Wulff Ines, Kölzsch Marita, Kalinowski Sonja, Kopke Kirsten, Fischer Thomas, Kreutz Reinhold, Dräger Dagmar
Institute of Medical Sociology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Institutes of Clinical Pharmacology and Toxicology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Nurs Health Sci. 2013 Jun;15(2):186-93. doi: 10.1111/nhs.12016. Epub 2012 Dec 4.
Recognizing the ageing of populations and expected increase in prevalence of dementia, the necessity of research involving persons with dementia is widely agreed upon. Autonomy is key to nursing home residents' well-being and quality of life, but this phenomenon has not been thoroughly assessed from the residents' perspective. The aim of this cross-sectional study was to investigate perceived autonomy of nursing home residents. Data on 560 randomly selected residents in 40 nursing homes in two German federal states were generated by face-to-face interviews, psychological and physical assessments, analysis of nursing records, and acquisition of institutional parameters. This paper reports on a subsample (n = 179) that met screening requirements, including subjects with and without mild cognitive impairment (Mini Mental Status Examination score 30-18), who completed the Hertz Perceived Enactment of Autonomy Scale (HPEAS). The mean score of HPEAS was 101.1 ± 14.5 (range 54-122). In our population, Cronbach's alpha was 0.89. Scores in HPEAS were not related to demographical factors but positively associated with increasing self-efficacy and absence of pain. The novel findings contribute to an understanding of autonomy from the residents' perspective.
认识到人口老龄化以及痴呆症患病率预计会上升，涉及痴呆症患者的研究的必要性已得到广泛认可。自主性是养老院居民幸福感和生活质量的关键，但这一现象尚未从居民的角度进行全面评估。这项横断面研究的目的是调查养老院居民的自主性认知。通过面对面访谈、心理和身体评估、护理记录分析以及机构参数获取，收集了德国两个联邦州40所养老院中560名随机抽取居民的数据。本文报告了一个符合筛选要求的子样本（n = 179），包括有和没有轻度认知障碍（简易精神状态检查表得分30 - 18）的受试者，他们完成了赫兹自主性感知量表（HPEAS）。HPEAS的平均得分是101.1 ± 14.5（范围54 - 122）。在我们的研究人群中，克朗巴哈系数为0.89。HPEAS得分与人口统计学因素无关，但与自我效能感的提高和无疼痛呈正相关。这些新发现有助于从居民的角度理解自主性。
