Patomella Ann-Helen, Sandman Per-Olof, Bergland Ådel, Edvardsson David
Division of Occupational Therapy, Department of Neurobiology, Health Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Department of Nursing, Umeå University, Sweden.
J Adv Nurs. 2016 Sep;72(9):2153-61. doi: 10.1111/jan.12991. Epub 2016 May 4.
To describe what characterizes residents with higher levels compared with those with lower levels of thriving in nursing homes using the Thriving of Older People Assessment Scale.
Thriving is conceptualized as people's experiences of well-being in relation to the environment where they live. Thriving has the potential to emphasize health-promotion and positive experiences in nursing home residents in addition to current focus on illness and symptoms.
Cross-sectional design.
Data from a total sample of 191 residents in a large Swedish nursing home facility were separated into two groups; rated as having high and low thriving based on a median split of thriving total score for each participating resident. The characteristics of residents with higher and lower levels of thriving were compared using bivariate analyses to investigate differences. Data were collected in 2013.
Residents with higher levels of thriving had shorter length of stay at the facility, higher functioning in Activities of Daily Living and less cognitive impairment, lower frequency of behavioural and psychological symptoms and higher assessed quality of life. The ability to walk and possibilities to spend time outdoors were higher among those with higher levels of thriving.
Nursing home residents who experience thriving have a higher level of functioning in activities of daily living, a higher quality of life and are less physically and cognitively impaired.
使用老年人蓬勃发展评估量表描述与养老院中蓬勃发展水平较低的居民相比，蓬勃发展水平较高的居民的特征。
蓬勃发展被概念化为人们在其居住环境中与幸福感相关的体验。除了当前对疾病和症状的关注外，蓬勃发展还有助于强调养老院居民的健康促进和积极体验。
横断面设计。
来自瑞典一家大型养老院设施的191名居民的总样本数据被分为两组；根据每位参与居民蓬勃发展总分的中位数划分，分为蓬勃发展水平高和低两组。使用双变量分析比较蓬勃发展水平高和低的居民的特征，以调查差异。数据于2013年收集。
蓬勃发展水平较高的居民在该设施的住院时间较短，日常生活活动功能较高，认知障碍较少，行为和心理症状出现频率较低，生活质量评估较高。蓬勃发展水平较高的居民行走能力和户外活动时间更多。
体验到蓬勃发展的养老院居民在日常生活活动中功能水平更高，生活质量更高，身体和认知障碍更少。
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