Saarnio Lotta, Boström Anne-Marie, Gustavsson Petter, Hedman Ragnhild, Öhlén Joakim
Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
Department of Health Care Sciences, Ersta sköndal University College, Stockholm, Sweden.
Int J Older People Nurs. 2018 Mar;13(1). doi: 10.1111/opn.12165. Epub 2017 Aug 25.
The aim of the study was to illuminate how meanings of at-homeness are temporally and spatially shaped by older people with severe illness.
At-homeness can be understood as a feeling of being metaphorically at-home while experiencing well-being. The research field of at-homeness among older people with severe illness is under researched and knowledge about how at-homeness is shaped by time and place is limited.
Narrative interviews were conducted in Sweden with a total of twenty men and women who were aged 85 years or over and affected by severe illness. The narrative interviews were analysed based on a phenomenological hermeneutical method.
Meanings of at-homeness that were shaped temporally and spatially were interpreted, where time and place were shaped individually by other aspects and also interwoven. Two main inter-related themes were constructed: shaping at-homeness through relying on a familiar place and shaping at-homeness through continuous balancing between the past, present and future.
At-homeness is temporally and spatially shaped in two ways: through a process over time, or momentarily, where older people's earlier experiences and expectations are interwoven with their experiences of place and the people around them. The results of this study would be applicable to similar societal contexts. For future research, it is important to continue to study how at-homeness can be promoted for severely ill older people, in specific situations and over time.
本研究旨在阐明患有严重疾病的老年人如何在时间和空间上塑造居家感的意义。
居家感可以理解为在体验幸福感时一种隐喻性的在家的感觉。针对患有严重疾病的老年人的居家感这一研究领域尚未得到充分研究,关于居家感如何受时间和地点影响的知识也很有限。
在瑞典对20名年龄在85岁及以上且患有严重疾病的男性和女性进行了叙事访谈。基于现象学诠释学方法对叙事访谈进行了分析。
诠释了在时间和空间上塑造的居家感的意义,其中时间和地点分别由其他方面塑造且相互交织。构建了两个主要的相互关联的主题:通过依赖熟悉的地方塑造居家感,以及通过在过去、现在和未来之间持续平衡塑造居家感。
居家感在时间和空间上通过两种方式塑造:随着时间的推移,或者在某个瞬间,老年人早期的经历和期望与他们对地点和周围人的体验相互交织。本研究结果适用于类似的社会背景。对于未来的研究,继续研究在特定情况下以及随着时间的推移如何促进患有严重疾病的老年人的居家感非常重要。