La Trobe University/Austin Health Clinical School of Nursing, La Trobe University, Melbourne, Australia; Department of Nursing, Umeå University, Umeå, Sweden.
Int J Older People Nurs. 2014 Dec;9(4):269-76. doi: 10.1111/opn.12030. Epub 2013 Apr 17.
Providing everyday activities is central to high quality residential aged care, but further research is needed on the association between activity participation, person-centred care and quality of life.
To explore the point-prevalence of participation in everyday activities for residents with dementia within a national sample of Swedish residential aged care units and to explore if residents participating in everyday activities lived in more person-centred units and/or had higher quality of life as compared to residents not participating in everyday activities.
A cross-sectional design was used to collect valid and reliable questionnaire data on activity participation, unit person-centredness and quality of life in a sample of residents in residential aged care (n = 1266).
Only 18% of residents participated in everyday activities such as making coffee, setting or clearing the table, cleaning or watering plants, 62% participated in outdoor walks, 27% participated in parlour games, and 14% and 13% participated in excursions and church visits, respectively. Those residents who had participated in everyday activities lived in more person-centred units, had significantly higher quality of life and higher cognitive scores as compared to those residents who had not participated in everyday activities.
Even though the prevalence of resident participation in everyday activities was low, resident participation was significantly associated with unit person-centredness and resident quality of life. It seems that everyday activities that are routine and commonplace to residential aged care can be potent nursing interventions for promoting resident quality of life.
提供日常活动是高质量的养老院护理的核心，但需要进一步研究活动参与、以人为主的护理和生活质量之间的关系。
在瑞典养老院的全国样本中，探索痴呆症居民日常活动参与的时点患病率，并探讨与不参与日常活动的居民相比，参与日常活动的居民是否生活在更以人为中心的单位，以及/或者生活质量更高。
采用横断面设计，在养老院居民样本中收集关于活动参与、单位以人为中心程度和生活质量的有效和可靠的问卷调查数据（n=1266）。
只有 18%的居民参与日常活动，如煮咖啡、摆桌或收拾桌子、清洁或浇水植物，62%的居民参与户外散步，27%的居民参与游戏，14%和 13%的居民分别参与短途旅行和教堂访问。与没有参与日常活动的居民相比，参与日常活动的居民生活在更以人为中心的单位，生活质量和认知评分显著更高。
尽管居民参与日常活动的比例较低，但居民的参与与单位以人为中心程度和居民的生活质量显著相关。似乎日常活动是养老院护理的常规和常见活动，可以成为促进居民生活质量的有力护理干预措施。
