Van Malderen Lien, De Vriendt Patricia, Mets Tony, Gorus Ellen
Research Foundation Flanders (FWO-Vlaanderen), Brussels, Belgium ; Gerontology Department, Frailty in Ageing Research Group, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium.
Gerontology Department, Frailty in Ageing Research Group, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium ; Arteveldehogeschool, Voetweg 66, 9000 Ghent, Belgium.
Eur J Ageing. 2016;13(3):219-230. doi: 10.1007/s10433-016-0374-3. Epub 2016 Apr 15.
Nursing homes should support residents' quality of life (QoL). It remains vague, however, how these facilities can create a QoL enhancing environment. Active ageing (AA) is a useful framework in this context, since it provides a multidimensional set of determinants that enhance QoL. This study examined the current status of AA in nursing homes in Flanders, Belgium. A sample of 383 randomly recruited residents was surveyed on the subjective importance and experienced reality of the AA determinants as well as on QoL. Based on descriptive analyses, residents appeared to have a positive QoL and a moderately positive appraisal of the extent to which nursing homes provide a multidimensional environment to enhance their QoL. Multivariate analyses showed that residents' nursing home active ageing (NHAA) experience was positively related to their QoL and explained 20 % of its variance. Specifically, psychological factors and participation related positively to QoL. Demographic variables showed no relationships with QoL, while educational level related negatively to the NHAA experience. Currently, in Flanders, nursing homes are on their way to working according to the AA vision, but further efforts are still needed.
养老院应支持居民的生活质量（QoL）。然而，这些机构如何营造一个提升生活质量的环境仍不明确。在这种背景下，积极老龄化（AA）是一个有用的框架，因为它提供了一系列提升生活质量的多维度决定因素。本研究调查了比利时弗拉芒地区养老院中积极老龄化的现状。对383名随机招募的居民样本进行了调查，内容涉及积极老龄化决定因素的主观重要性和实际体验以及生活质量。基于描述性分析，居民的生活质量似乎良好，对养老院为提升其生活质量而提供多维度环境的程度评价为中等偏积极。多变量分析表明，居民在养老院的积极老龄化（NHAA）体验与他们的生活质量呈正相关，并解释了其20%的方差。具体而言，心理因素和参与度与生活质量呈正相关。人口统计学变量与生活质量无关联，而教育水平与积极老龄化体验呈负相关。目前，在弗拉芒地区，养老院正在朝着按照积极老龄化理念开展工作的方向发展，但仍需进一步努力。
