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养老院居民参与日常活动及其与养老院蓬勃发展的关联。

Residents' engagement in everyday activities and its association with thriving in nursing homes.

作者信息

Björk Sabine, Lindkvist Marie, Wimo Anders, Juthberg Christina, Bergland Ådel, Edvardsson David

机构信息

Department of Nursing, Umeå University, Sweden.

Department of Statistics, Umeå School of Business and Economics, Umeå University, Sweden.

出版信息

J Adv Nurs. 2017 Aug;73(8):1884-1895. doi: 10.1111/jan.13275. Epub 2017 Mar 2.

DOI:10.1111/jan.13275
PMID:28229474
Abstract

AIM

To describe the prevalence of everyday activity engagement for older people in nursing homes and the extent to which engagement in everyday activities is associated with thriving.

BACKGROUND

Research into residents' engagement in everyday activities in nursing homes has focused primarily on associations with quality of life and prevention and management of neuropsychiatric symptoms. However, the mere absence of symptoms does not necessarily guarantee experiences of well-being. The concept of thriving encapsulates and explores experiences of well-being in relation to the place where a person lives.

DESIGN

A cross-sectional survey.

METHOD

A national survey of 172 Swedish nursing homes (2013-2014). Resident (n = 4831) symptoms, activities and thriving were assessed by staff using a study survey based on established questionnaires. Descriptive statistics, simple and multiple linear regression, and linear stepwise multiple regression were performed.

RESULTS

The most commonly occurring everyday activities were receiving hugs and physical touch, talking to relatives/friends and receiving visitors, having conversation with staff not related to care and grooming. The least commonly occurring everyday activities were going to the cinema, participating in an educational program, visiting a restaurant and doing everyday chores. Positive associations were found between activity engagement and thriving, where engagement in an activity program, dressing nicely and spending time with someone the resident likes had the strongest positive association with resident thriving.

CONCLUSIONS

Engagement in everyday activities can support personhood and thriving and can be conceptualized and implemented as nursing interventions to enable residents to thrive in nursing homes.

摘要

目的

描述养老院老年人日常活动参与情况的普遍性,以及日常活动参与与蓬勃生活之间的关联程度。

背景

对养老院居民日常活动参与情况的研究主要集中在与生活质量以及神经精神症状的预防和管理之间的关联。然而,仅仅没有症状并不一定能保证有幸福感。蓬勃生活的概念涵盖并探索了与一个人居住场所相关的幸福感体验。

设计

横断面调查。

方法

对瑞典172家养老院进行全国性调查(2013 - 2014年)。工作人员使用基于既定问卷的研究调查问卷对居民(n = 4831)的症状、活动和蓬勃生活情况进行评估。进行了描述性统计、简单和多元线性回归以及线性逐步多元回归分析。

结果

最常出现的日常活动是接受拥抱和身体接触、与亲属/朋友交谈和接待访客、与非护理和照料人员的工作人员交谈。最不常出现的日常活动是去看电影、参加教育项目、去餐馆就餐和做日常琐事。在活动参与和蓬勃生活之间发现了正相关,其中参与活动项目、穿着得体以及与居民喜欢的人共度时光与居民蓬勃生活的正相关最强。

结论

参与日常活动可以支持个体人格和蓬勃生活,并且可以被概念化并实施为护理干预措施,以使居民在养老院中蓬勃生活。

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