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独立生活:通过定性综合研究探索居住在与年龄相关和长期住房中的视障人士的经历

Living Independently: Exploring the Experiences of Visually Impaired People Living in Age-Related and Lifetime Housing Through Qualitative Synthesis.

作者信息

Rooney Clíona, Hadjri Karim, Faith Verity, Rooney Máirin, McAllister Keith, Craig Cathy

机构信息

1 School of Planning Architecture and Civil Engineering, Queen's University Belfast, Belfast, UK.

2 Current address: Maynooth University Social Science Institute (MUSSI), Maynooth University, Kildare, Ireland.

出版信息

HERD. 2018 Apr;11(2):56-71. doi: 10.1177/1937586717696699. Epub 2017 Mar 22.

Abstract

OBJECTIVES

The aim of this study is to gain a deeper understanding of the experiences of visually impaired older people living independently at home.

BACKGROUND

As populations are aging globally, there is now an increase in the prevalence of visual impairment. That means for ongoing and future aging-in-place strategies that seek to enable older people to remain independent for longer, more attention needs to be given to the needs of those with visual impairment. As people develop visual impairment, they use adaptive strategies including modifying long-term homes or relocating to more suitable accommodation. In the United Kingdom, aging-in-place strategies include employing statutory lifetime home standards (LTHS) in the home or relocating to sheltered housing to live independently with support available if required.

METHODS

To get a better understanding of the needs of the visually impaired in the home, 12 interviews with six visually impaired occupants of LTHS homes and six from sheltered accommodation were analyzed separately using interpretative phenomenological analysis. Secondly, qualitative synthesis was used to further analyze themes generated from both samples before interview results were conceptualized in two superordinate concepts, namely, "negotiating priorities" and "understanding visual impairment."

RESULTS

Participants from both groups had similar needs and were willing to compromise by living with some negative features. Those who coped well with moving utilized various resources.

CONCLUSIONS

These findings will shed more understanding on providing good quality housing for those with visual impairment wanting to live either independently or within healthcare home environments.

摘要

目的

本研究旨在更深入地了解在家中独立生活的视力受损老年人的经历。

背景

随着全球人口老龄化,视力障碍的患病率目前正在上升。这意味着对于旨在使老年人能够更长时间保持独立的现行和未来就地养老策略,需要更多地关注视力受损者的需求。随着人们出现视力障碍,他们会采用适应性策略,包括改造长期居住的房屋或搬迁到更合适的住所。在英国,就地养老策略包括在家庭中采用法定终身住房标准(LTHS),或搬迁到庇护性住房,以便在需要时获得支持的情况下独立生活。

方法

为了更好地了解视力受损者在家中的需求,分别对12名居住在LTHS房屋中的视力受损者和6名居住在庇护性住房中的视力受损者进行了访谈,并使用解释性现象学分析对访谈结果进行了单独分析。其次,在将访谈结果归纳为两个上位概念,即“协商优先事项”和“理解视力障碍”之前,使用定性综合法进一步分析了两个样本中产生的主题。

结果

两组参与者都有相似的需求,并且愿意接受一些负面特征来做出妥协。那些很好地应对搬迁的人利用了各种资源。

结论

这些发现将有助于更深入地了解为那些希望独立生活或在医疗家庭环境中生活的视力受损者提供优质住房的情况。

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