Zamanzadeh Vahid, Rahmani Azad, Pakpour Vahid, Chenoweth Lynnette Lorraine, Mohammadi Eesa
Medical-Surgical Nursing, Nursing & Midwifery Faculty of Tabriz University of Medical Sciences, Tabriz, East Azerbaijan Province, Iran.
Medical-Surgical Department, Nursing & Midwifery Faculty of Tabriz University of Medical Sciences, Tabriz, East Azerbaijan Province, Iran.
Int J Older People Nurs. 2017 Jun;12(2). doi: 10.1111/opn.12130. Epub 2016 Oct 6.
The study explored the psychosocial effects of transitioning from home to an aged care home for older Iranian people.
Moving from one's own home to a communal aged care home is challenging for older people and may give rise to numerous psychosocial responses. The extent and intensity of such changes have rarely been explored in Middle Eastern countries.
Data were collected through purposive sampling by in-depth semi-structured interviews with 20 participants (17 people living in aged care homes and three formal caregivers). All the interviews were recorded and typed, and conventional qualitative content analysis was used, eliciting common themes.
There were four common themes: communication isolation, resource change, monotone institutional life and negative emotional response. Participants lost their previous support systems when transitioning to an aged care home and were not able to establish new ones. Routine care was provided by formal caregivers with little attention to individual needs, and minimal support was given to help maintain the older person's independence. These losses gave rise to negative emotions in some of the participants, depending on their previous lifestyle and accommodation arrangements.
The extent and intensity of psychosocial changes occurring in most of the participants following their transition to an aged care home indicates the need for a review of Iranian aged care services.
To assist older Iranian people adapt more readily when making the transition to aged care home and to meet their unique psychosocial needs, a family-centred approach to service delivery is recommended.
本研究探讨了伊朗老年人从家中过渡到养老院所产生的社会心理影响。
对于老年人来说，从自己家中搬到集体养老院是一项挑战，可能会引发众多社会心理反应。在中东国家，这种变化的程度和强度鲜有研究。
通过目的抽样法，对20名参与者（17名住在养老院的老人和3名正式护理人员）进行深入的半结构化访谈来收集数据。所有访谈都进行了录音和文字整理，并采用传统的定性内容分析法得出共同主题。
出现了四个共同主题：沟通隔离、资源变化、单调的机构生活和负面情绪反应。参与者在过渡到养老院时失去了以前的支持系统，且无法建立新的支持系统。日常护理由正式护理人员提供，很少关注个人需求，在帮助老年人维持独立方面提供的支持也很少。这些损失在一些参与者中引发了负面情绪，具体取决于他们以前的生活方式和居住安排。
大多数参与者过渡到养老院后发生的社会心理变化的程度和强度表明，伊朗的养老服务需要重新审视。
为了帮助伊朗老年人在过渡到养老院时更容易适应，并满足他们独特的社会心理需求，建议采用以家庭为中心的服务提供方式。
