Thurman Whitney, Harrison Tracie C, Blozis Shelley A, Dionne-Vahalik Michelle, Mead Sharilyn
Res Gerontol Nurs. 2017 Jul 1;10(4):162-170. doi: 10.3928/19404921-20170621-03.
Nursing homes are the major provider of intermediate and long-term care outside of the hospital setting to individuals whose capacity for self-care is limited due to physical or cognitive impairments. Yet, despite their need for assistance, residents of nursing homes want to control their lives, set their routines, and do enjoyable things. The extent to which residents can maintain autonomy and dignity is important. The current study suggests an environmental gerontological framework, rooted in a capabilities approach, that can be used to consider environmental impact on quality of life in nursing homes. Using a cross-sectional survey of nursing home residents in Texas, environmental factors that might predict residents' quality of life as well as possible interactions of environmental factors and residents' characteristics that might predict well-being were examined. Environmental orientation and perception of social activities were important predictors of residents' quality of life, but geographic location and facility size were not important predictors. [Res Gerontol Nurs. 2017; 10(4):162-170.].
疗养院是医院环境之外为因身体或认知障碍而自理能力受限的个人提供中长期护理的主要机构。然而，尽管疗养院居民需要帮助，但他们仍希望掌控自己的生活、安排日常事务并做一些有趣的事情。居民能够维持自主性和尊严的程度至关重要。当前的研究提出了一个基于能力方法的环境老年学框架，可用于考量环境对疗养院生活质量的影响。通过对得克萨斯州疗养院居民进行横断面调查，研究了可能预测居民生活质量的环境因素以及可能预测幸福感的环境因素与居民特征之间的相互作用。环境导向和对社交活动的认知是居民生活质量的重要预测因素，但地理位置和设施规模并非重要的预测因素。[《老年护理研究》。2017年；10(4):162 - 170。]
