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集体家庭中智障老年人的选择与控制权

Choice and control for people ageing with intellectual disability in group homes.

作者信息

Kåhlin Ida, Kjellberg Anette, Hagberg Jan-Erik

机构信息

a National Institute for the Study of Ageing and Later Life (NISAL), Department of Social and Welfare Studies , Linköping University , Norrköping , Sweden ;

b Faculty of Health Sciences, Department of Social and Welfare Studies , Linköping University , Norrköping , Sweden.

出版信息

Scand J Occup Ther. 2016;23(2):127-37. doi: 10.3109/11038128.2015.1095235. Epub 2015 Oct 9.

Abstract

BACKGROUND

Many people ageing with intellectual disabilities (ID) age in place in group homes. Participation is a central concept in support and service to people with ID, but age is often a determining factor for participation among this group. Choice and control are dimensions of participation.

AIM

The aim of this article is to explore how choice and control in the everyday life of people ageing with ID is expressed and performed in the group home's semi-private spaces.

MATERIAL AND METHODS

Participant observations and interviews with residents and staff were conducted in four different group homes in Sweden that had older residents.

RESULTS

Four categories were found that can be understood as aspects of choice and control in the group home's semi-private spaces in the everyday life of people ageing with ID. These categories included aspects such as space and object, time and routines, privacy, and a person-centred approach.

CONCLUSION AND SIGNIFICANCE

People ageing with ID are vulnerable when it comes to maintaining choice and control in various situations in the home's semi-private spaces. It is argued that occupational therapists should include this occupational arena in their evaluations and interventions for people ageing with ID.

摘要

背景

许多患有智力残疾的老年人在集体家庭中安度晚年。参与是为智力残疾者提供支持和服务的核心概念,但年龄往往是该群体参与度的一个决定因素。选择和控制权是参与的维度。

目的

本文旨在探讨患有智力残疾的老年人在集体家庭的半私密空间中,其日常生活中的选择和控制权是如何体现和实施的。

材料与方法

在瑞典的四个不同集体家庭中,对老年居民和工作人员进行了参与观察和访谈。

结果

发现了四类情况,可被理解为患有智力残疾的老年人在集体家庭半私密空间的日常生活中选择和控制权的体现。这些类别包括空间与物品、时间与日常活动、隐私以及以人为本的方法等方面。

结论与意义

患有智力残疾的老年人在家庭半私密空间的各种情况下维持选择和控制权时较为脆弱。有人认为,职业治疗师在对患有智力残疾的老年人进行评估和干预时,应将这个职业领域纳入其中。

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