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“我们曾经有一个美丽的家……但我觉得在这里我更快乐”:居住式养老护理中的好生活或更好生活。

"We Had a Beautiful Home . . . But I Think I'm Happier Here": A Good or Better Life in Residential Aged Care.

机构信息

School of Psychology, Social Work and Social Policy, University of South Australia, Magill, Australia.

出版信息

Gerontologist. 2016 Oct;56(5):919-27. doi: 10.1093/geront/gnu169. Epub 2015 Feb 11.

DOI:10.1093/geront/gnu169
PMID:26035883
Abstract

PURPOSE OF THE STUDY

This qualitative study investigates residents' perspectives on whether a "good life" is possible for older people living in residential aged care (RAC) and offers insight into the services and support needed to sustain their good life.

DESIGN AND METHODS

Thirteen aged care residents (2 male, 11 female) ranging in age from 77 to 95 years, participated in semi-structured interviews in 2 RAC facilities in Adelaide, South Australia. Both facilities employed a model of aged care based on active aging and positive psychology principles called the partners in positive aging (PiPA) model.

RESULTS

Interpretative phenomenological analysis showed that residents' perception of a good life was centred on the service providers' ability to enhance their physical, social, and psychological well-being while allowing them to maintain their sense of identity. Counter-stereotypically, findings suggest that the aged care environment can provide older people who are physically frail but cognitively intact with a better life than when they were living in their own homes.

IMPLICATIONS

Psychological good life theory needs to be adapted and modified when considering the needs of cognitively intact older adults in residential care.

摘要

研究目的

本定性研究调查了居住在养老院(RAC)的老年人对“美好生活”是否可行的看法,并深入了解维持他们美好生活所需的服务和支持。

设计和方法

13 名年龄在 77 至 95 岁之间的养老院居民(2 名男性,11 名女性)参与了南澳大利亚阿德莱德的 2 家养老院的半结构化访谈。这两个设施都采用了一种基于积极老龄化和积极心理学原则的养老模式,称为积极老龄化伙伴(PiPA)模式。

结果

解释性现象学分析表明,居民对美好生活的看法集中在服务提供者增强他们的身体、社交和心理健康的能力上,同时让他们保持身份认同感。反刻板印象的是,研究结果表明,养老院的环境可以为身体虚弱但认知能力完好的老年人提供比他们自己在家时更好的生活。

影响

在考虑认知健全的老年人在养老院的需求时,需要对心理美好生活理论进行调整和修改。

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