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长期护理机构中中国老年居民的感知赋权、社会支持和生活质量。

Perceived Empowerment, Social Support, and Quality of Life Among Chinese Older Residents in Long-Term Care Facilities.

机构信息

1 Fudan University, Shanghai, China.

2 Duke University School of Nursing, Durham, NC, USA.

出版信息

J Aging Health. 2018 Dec;30(10):1595-1619. doi: 10.1177/0898264318795724. Epub 2018 Sep 3.

Abstract

OBJECTIVE

This study examines how older residents' social support and perceived empowerment are associated with their quality of life (QOL) in long-term care (LTC) facilities in Shanghai, China, controlling for their health-related conditions, facility type, and other socio-demographic characteristics.

METHOD

Using a convenient sampling approach, we selected nine LTC facilities in Shanghai, China. We surveyed 515 older residents from these facilities.

RESULTS

Older participants in this study rate their QOL, social support, and perceived empowerment as moderate, and these variables are positively associated with their QOL. Older residents who live in government-owned and private-run LTC facilities are more likely to have a higher level of perceived QOL compared with those living in government-run facilities.

DISCUSSION

There is an urgent need to increase staff awareness and capacity to empower older residents, and to engage them in their care plan and delivery. LTC facilities could provide more opportunities for older residents' social networking within and outside LTC facilities. Improvement of older residents' QOL is critical in the future development of resident-centered care models in LTC facilities.

摘要

目的

本研究考察了在中国上海的长期护理(LTC)机构中,老年人的社会支持和感知赋权如何与其生活质量(QOL)相关,同时控制了他们的健康状况、设施类型和其他社会人口特征。

方法

本研究采用便利抽样方法,选取了中国上海的 9 家 LTC 机构。我们对这些机构中的 515 名老年人进行了调查。

结果

本研究中的老年参与者对他们的 QOL、社会支持和感知赋权的评价为中等水平,这些变量与他们的 QOL 呈正相关。与居住在政府运营的设施相比,居住在政府所有和私营运营的 LTC 设施中的老年人更有可能拥有更高水平的感知 QOL。

讨论

迫切需要提高工作人员的意识和赋权能力,让老年人参与他们的护理计划和实施。LTC 机构可以为老年人在 LTC 机构内外建立社交网络提供更多机会。提高老年人的 QOL 是未来在 LTC 机构中发展以居民为中心的护理模式的关键。

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