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养老院中的生活乐趣:一项关于挪威养老院中老年人生活乐趣本质构成要素的定性研究。

Joy of life in nursing homes: A qualitative study of what constitutes the essence of Joy of life in elderly individuals living in Norwegian nursing homes.

作者信息

Rinnan Eva, André Beate, Drageset Jorunn, Garåsen Helge, Espnes Geir Arild, Haugan Gørill

机构信息

Faculty of Medicine and Health Science, Department of Public Health and Nursing, NTNU Norwegian University of Science and Technology, Trondheim, Norway.

Chief Executive Office, Trondheim Municipality, Trondheim, Norway.

出版信息

Scand J Caring Sci. 2018 Dec;32(4):1468-1476. doi: 10.1111/scs.12598. Epub 2018 Aug 2.

Abstract

BACKGROUND

Finding new approaches to increase positive health and well-being of elderly individuals living in nursing homes (NH) is highly warranted. Several Norwegian municipalities have implemented the certification scheme framed 'Joy of Life Nursing Home' (JOLNH). JOLNH is based on a health-promoting perspective directing elderly individuals' resources. Through health promotion, preventive and social activities across generations, NH care promotes respect, well-being, health and cultural experiences among elderly individuals.

AIMS

The aims of this study were to explore the phenomenon of Joy of life (JOL) among elderly individuals living in NHs and to provide a deeper understanding of which dimensions constitute JOL in this population.

METHODS

The present study explored the JOL phenomenon using qualitative methodology. Data were collected between December 2015 and May 2016 by individual qualitative research interviews of 29 elderly individuals who met the inclusion criteria. The informants were living in ten different NHs in two large municipalities in Norway. Prior approval was obtained from all regulatory institutions dealing with research issues and the management in both municipalities.

RESULTS

The results showed that (i) positive relations, (ii) a sense of belonging, (iii) sources of meaning, (iv) moments of feeling well, and (v) acceptance constituted the conceptualisation of the JOL phenomenon.

CONCLUSION

The dimensions constituting the JOL concept correspond to the concepts of well-being and flourishing. Knowledge of the JOL phenomenon may help professionals to target elderly individuals' health and well-being more precisely and thereby increase flourishing, JOL and well-being among them.

摘要

背景

寻找新方法以增进养老院老年人的积极健康和幸福感非常必要。挪威的几个市政当局实施了名为“生活乐趣养老院”(JOLNH)的认证计划。JOLNH基于促进健康的视角来引导老年人的资源。通过促进健康、跨代预防和社会活动,养老院护理促进了老年人之间的尊重、幸福、健康和文化体验。

目的

本研究的目的是探索养老院老年人生活乐趣(JOL)现象,并更深入地了解该人群中构成JOL的维度。

方法

本研究采用定性方法探索JOL现象。2015年12月至2016年5月期间,通过对29名符合纳入标准的老年人进行个人定性研究访谈收集数据。这些受访者居住在挪威两个大城市的十家不同养老院。已获得所有处理研究问题的监管机构以及两个市政当局管理层的事先批准。

结果

结果表明,(i)积极的人际关系,(ii)归属感,(iii)意义来源,(iv)感觉良好的时刻,以及(v)接纳构成了JOL现象的概念化。

结论

构成JOL概念的维度与幸福和蓬勃发展的概念相对应。了解JOL现象可能有助于专业人员更精确地关注老年人的健康和幸福,从而提高他们的蓬勃发展、JOL和幸福感。

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