Strøm Benedicte Sørensen, Engedal Knut, Rokstad Anne Marie
Faculty of Health Studies, VID Specialized University, Oslo, Norway.
Norwegian Advisory Unit for Aging and Health, Vestfold Hospital HF, Tønsberg, Norway.
Dement Geriatr Cogn Dis Extra. 2020 Jan 23;10(1):13-26. doi: 10.1159/000505396. eCollection 2020 Jan-Apr.
It has been reported that residents living in nursing homes are often inactive and lonely and are offered a limited number of activities. However, high engagement in activities has been reported to improve residents' quality of life and engagement in personalized activities can even reduce agitation and enhance positive mood. Information regarding occupational patterns and purpose in life is well established in Western countries. However, we know next to nothing about how people living in Indian nursing homes spend their days.
To explore the participation in everyday activities among older people in Indian nursing homes and the extent to which engagement in activities is associated with person-centred care.
The study was conducted in 6 nursing homes in India, comprising 147 residents. In all, 23 nursing staff took part and completed a 26-item questionnaire about resident activities based on the Multi-Dimensional Dementia Assessment Scale and the Person-Directed Care Questionnaire. Person-centredness was measured with the Person-Centred Care Assessment Tool.
We found low participation in everyday activities among the residents. Participation in religious activities was the most frequent, whereas the least used activities were excursions, participating in cultural activities, taking part in educational programmes, visiting a restaurant and going to the cinema. A significant positive association was found between person-centred care and participation in religious activities, engagement in an activity programme and physical activity.
The most frequently attended activity was religious activities. Person-centred care was associated with participation in religious activities, engagement in an activity programme, physical activity, spending time in the garden and playing and listening to music.
据报道，住在养老院的居民往往缺乏活动且感到孤独，可供他们参与的活动数量有限。然而，据报道，积极参与活动可改善居民的生活质量，参与个性化活动甚至可以减少躁动并提升积极情绪。在西方国家，关于职业模式和生活目的的信息已很完备。然而，对于住在印度养老院的人们如何度过他们的日子，我们几乎一无所知。
探讨印度养老院中老年人对日常活动的参与情况，以及活动参与度与以人为主的护理之间的关联程度。
该研究在印度的6家养老院进行，涉及147名居民。共有23名护理人员参与并完成了一份基于多维度痴呆评估量表和以人为本护理问卷的关于居民活动的26项问卷。使用以人为本护理评估工具来衡量以人为本的程度。
我们发现居民对日常活动的参与度较低。参与宗教活动最为频繁，而最少参与的活动是短途旅行、参加文化活动、参与教育项目、去餐馆就餐和看电影。在以人为本的护理与参与宗教活动、参与活动项目和体育活动之间发现了显著的正相关。
参与最频繁的活动是宗教活动。以人为本的护理与参与宗教活动、参与活动项目、体育活动、在花园里消磨时间以及玩耍和听音乐有关。
