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老年人对预防性家访期间所获支持与建议之益处的体验。

Older person's experiences of benefits gained from the support and advice given during preventive home visits.

作者信息

Nivestam Anna, Petersson Pia, Westergren Albert, Haak Maria

机构信息

Department of Nursing and Health Sciences, Kristianstad University, Kristianstad, Sweden.

Department of Health Sciences, Lund University, Lund, Sweden.

出版信息

Scand J Caring Sci. 2021 Dec;35(4):1096-1103. doi: 10.1111/scs.12923. Epub 2020 Oct 30.

Abstract

BACKGROUND

Life expectancy is increasing all over the world. To be able to support this positive development, health interventions focusing on promotion and prevention are crucial. Preventive home visits represent one example of a health intervention which addresses both promotion through a supportive dialogue and prevention by giving advice. However, to give support and advice that older persons experience as beneficial, there is a need for more research.

AIM

The aim of this study was to explore older person's experiences of the benefits gained from the support and advice given during the preventive home visit.

METHOD

Individual semi-structured interviews were conducted with 13 older persons, median age 77 years old, living at home, who had received a preventive home visit. The interviews were analysed with content analysis.

FINDINGS

The overarching theme Becoming empowered and recognised as a person was experienced as the major benefit of the support and advice given during the preventive home visit. The support and advice generated conditions for the person to become empowered, by contributing to a feeling of control and preparedness for the future. Furthermore, the support and advice given contributed to a feeling of becoming recognised as a person, as an outcome of the supportive dialogue and the assessment of their health, behaviour and their surrounding environment.

CONCLUSION

The support and advice given during the preventive home visit were experienced as person-centred, and conditions for becoming empowered were created. In order to create a positive outcome from the support and advice given during the preventive home visit, it seems important to focus on providing both a supportive dialogue and a structured assessment.

摘要

背景

世界各地的预期寿命都在增加。为了支持这一积极发展,专注于促进和预防的健康干预措施至关重要。预防性家访是一种健康干预措施的例子,它通过支持性对话促进健康,并通过提供建议进行预防。然而,为了提供老年人认为有益的支持和建议,还需要更多的研究。

目的

本研究的目的是探讨老年人对预防性家访期间所提供的支持和建议所带来益处的体验。

方法

对13名在家居住且接受过预防性家访的老年人进行了个体半结构化访谈,他们的年龄中位数为77岁。采用内容分析法对访谈进行分析。

结果

总体主题“获得力量并被认可为人”被视为预防性家访期间所提供的支持和建议的主要益处。这些支持和建议为个人获得力量创造了条件,有助于产生对未来的掌控感和准备感。此外,所提供的支持和建议有助于产生被认可为人的感觉,这是支持性对话以及对他们的健康、行为和周围环境进行评估的结果。

结论

预防性家访期间所提供的支持和建议被认为是以个人为中心的,并创造了获得力量的条件。为了使预防性家访期间所提供的支持和建议产生积极效果,关注提供支持性对话和结构化评估似乎很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd1/9292410/b849745f95cf/SCS-35-1096-g001.jpg

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