Trecartin Shannon M, Cummings Sherry M
a Department of Social Work, Andrews University , Berrien Springs , MI , USA.
b College of Social Work, University of Tennessee Knoxville , Nashville , TN , USA.
J Gerontol Soc Work. 2018 Jul;61(5):567-582. doi: 10.1080/01634372.2018.1463339. Epub 2018 Apr 18.
Older adults with functional impairments are at risk of being excluded from participation in day-to-day life. This exclusion can have detrimental effects on psychological well-being. The physical home environment is a potential force for both enhancing and limiting participation for this population. This systematic review of literature examined relationships between the physical home environment, functional impairment, and psychological well-being among older adults who live in community settings. The Ecological Model of Aging served as the guiding framework for this review. Results suggest that knowledge of the relationships between these constructs is still in the early stages. While associational relationships are established, the nature of these relationships is clouded by the inconsistency of measurement across studies, as well as design challenges. Objective and subjective features of the physical home environment are linked to psychological well-being throughout the literature. A growing body of evidence demonstrates that personal competence serves as a moderator of those relationships.
功能受损的老年人面临被排除在日常生活参与之外的风险。这种排除会对心理健康产生不利影响。家庭物理环境对于这一人群的参与既有增强作用，也有限制作用。这项系统性文献综述考察了居住在社区环境中的老年人的家庭物理环境、功能受损与心理健康之间的关系。衰老生态模型作为本次综述的指导框架。结果表明，对这些构念之间关系的认识仍处于早期阶段。虽然建立了关联关系，但这些关系的性质因研究间测量的不一致以及设计挑战而变得模糊。家庭物理环境的客观和主观特征在整个文献中都与心理健康相关。越来越多的证据表明，个人能力在这些关系中起调节作用。
