Philippi M, Luderer C, Altenhöner T
Fachbereich Sozialwesen, Fachhochschule Bielefeld, Bielefeld, Deutschland,
Z Gerontol Geriatr. 2015 Jun;48(4):346-53. doi: 10.1007/s00391-014-0803-x. Epub 2014 Aug 12.
Despite the well-known link between social support and health as well as quality of life only a few scientifically meaningful studies have been carried out to actively promote social support. In the +P Project (post-hospital lay support for patients) elderly people in need of support after a stay in hospital are accompanied in their daily life by volunteers. The qualitative research part in the study evaluates conditions which led to the adoption of the support by the volunteers and how the elderly people experienced this companionship.
The analysis followed the grounded theory method. In a theoretical sampling nine accompanied people were identified and participated in narrative interviews regarding their experience of the voluntary support.
In addition to personality traits of the elderly and perceived seriousness of the project the interpersonal relationship was important for the adoption of the companionship. Key factors were the perceived similarity between the older people and their supporters as well as confidence in the volunteers and their skills. The support contributed to facilitating and enriching the daily life of the elderly and even friendships with the volunteers developed.
The results indicate that volunteers can help to compensate a lack of social support for the elderly. The results confirm theoretical models of coping with age and disease-related losses and models of social relations in old age. At the same time this study underpins political recommendations to strengthen community engagement to promote social networks for older people.
尽管社会支持与健康以及生活质量之间的联系广为人知,但仅有少数具有科学意义的研究致力于积极促进社会支持。在“+P项目”(患者出院后居家支持项目)中,住院后需要支持的老年人在日常生活中由志愿者陪伴。该研究的定性研究部分评估了促使志愿者提供支持的条件以及老年人对这种陪伴的体验。
分析采用扎根理论方法。通过理论抽样,确定了9名接受陪伴的老人,并就他们对志愿支持的体验进行了叙事访谈。
除了老年人的个性特征和对项目的认知严肃性外,人际关系对接受陪伴也很重要。关键因素包括老年人与支持者之间的感知相似性以及对志愿者及其技能的信任。这种支持有助于便利和丰富老年人的日常生活,甚至还发展起了与志愿者的友谊。
结果表明,志愿者有助于弥补老年人社会支持的不足。这些结果证实了应对与年龄和疾病相关损失的理论模型以及老年社会关系模型。同时,本研究为加强社区参与以促进老年人社交网络的政策建议提供了支持。