为患有生命受限疾病的老年人营造居家感：一项来自养老院的参与观察研究
Enabling At-Homeness for Older People With Life-Limiting Conditions: A Participant Observation Study From Nursing Homes.
作者信息
Saarnio Lotta, Boström Anne-Marie, Hedman Ragnhild, Gustavsson Petter, Öhlén Joakim
机构信息
University of Borås, Borås, Sweden.
Karolinska Institutet, Stockholm, Sweden.
出版信息
Glob Qual Nurs Res. 2019 Oct 22;6:2333393619881636. doi: 10.1177/2333393619881636. eCollection 2019 Jan-Dec.
At-homeness, as an aspect of well-being, can be experienced despite living with life-limiting conditions and needs for a palliative approach to care. In nursing homes, older residents with life-limiting conditions face losses and changes which could influence their experience of at-homeness. The aim of this study was to explore how nursing staff enable at-homeness for residents with life-limiting conditions. Interpretive description was employed as the design using data from participant observations and formal and informal interviews related to nursing care situations. The strategies found to be used to enable at-homeness comprising nursing staff presenting themselves as reliable, respecting the resident's integrity, being responsive to the resident's needs, collaborating with the resident in decision-making, and through nurturing comforting relationships. The result on how to enable at-homeness could be used as strategies for a person-centered palliative approach in the care for residents in nursing homes.
归属感作为幸福感的一个方面，即使生活在有生命限制的状况下且需要姑息治疗，也能够被体验到。在养老院中，患有生命限制疾病的老年居民面临着可能影响其归属感体验的丧失和变化。本研究的目的是探讨护理人员如何为患有生命限制疾病的居民营造归属感。采用解释性描述作为设计方法，使用来自参与观察以及与护理情况相关的正式和非正式访谈的数据。发现用于营造归属感的策略包括护理人员展现出可靠、尊重居民的尊严、响应居民的需求、在决策中与居民合作，以及通过培养慰藉关系。关于如何营造归属感的结果可作为在养老院护理居民时以人为主的姑息治疗方法的策略。
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