Department of Nursing, Tan Tock Seng Hospital, 11 Tan Tock Seng, Singapore; Alice Lee Centre of Nursing Studies, National University of Singapore, Singapore.
Department of Nursing, Tan Tock Seng Hospital, 11 Tan Tock Seng, Singapore.
Geriatr Nurs. 2020 May-Jun;41(3):297-304. doi: 10.1016/j.gerinurse.2019.11.009. Epub 2019 Nov 29.
Participation in functional self-care can delay functional decline during older adults' hospitalization.
To explore facilitators and barriers to older adults' participation in self-care during hospitalization, in an Asian setting.
Qualitative descriptive study using in-depth interviews, in a Singaporean hospital. Older adults were recruited using purposive sampling. Interviews were recorded and transcribed verbatim. Thematic analysis was used.
Data saturation was reached with 17 participants. Three themes were identified: patient factors, healthcare provision and hospital environment. Facilitators included: patients' positive mindset, nurses' encouragement, and age-friendly environment. Barriers included: patients' and nurses' attitudes towards functional self-care, patients' and nurses' fear of inpatient falls, healthcare-imposed restrictions. Patients' notion of a 'good patient' can either facilitate or hinder their self-care engagement.
This study offers insights from older adults in an Asian hospital setting. The findings can be used to develop strategies, care models, and facilities to promote functional self-care during hospitalization.
参与功能性自我护理可以延缓老年人住院期间的功能下降。
在亚洲环境中，探讨老年人在住院期间参与自我护理的促进因素和障碍。
采用定性描述性研究，对新加坡一家医院的老年人进行深入访谈。采用目的性抽样招募老年人。对访谈进行录音和逐字转录。采用主题分析。
17 名参与者达到了数据饱和。确定了三个主题：患者因素、医疗保健提供和医院环境。促进因素包括：患者的积极心态、护士的鼓励和对老年人友好的环境。障碍包括：患者和护士对功能性自我护理的态度、患者和护士对住院跌倒的恐惧、医疗保健的限制。患者对“好病人”的观念既可以促进也可以阻碍他们的自我护理参与。
本研究提供了亚洲医院环境中老年人的见解。研究结果可用于制定策略、护理模式和设施，以促进老年人在住院期间的功能性自我护理。
