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健康促进计划:瑞典一个对痴呆症友好的当地社区。

Health promotion initiative: A dementia-friendly local community in Sweden.

机构信息

4566Department of Nursing, School of Health and Welfare, 4161Jönköping University, Jönkoping, Sweden.

Division of Nursing Science and Reproductive Health, Department of Health, Medicine and Caring Sciences, The Faculty of Medicine and Health Sciences, 4566Linköping University, Sweden; 531597Ersta Sköndal Bräcke University College, Stockholm, Sweden.

出版信息

Dementia (London). 2021 Aug;20(6):1971-1987. doi: 10.1177/1471301220977736. Epub 2020 Dec 8.

Abstract

Dementia is a great public health concern worldwide. Despite this, little is known from a health-promoting perspective about dementia in general as a public health issue, in dialog with people living with dementia, applicable at individual, group, and societal levels with regard to policies and practice. This study therefore aims to explore the experiences related to living with dementia in the local community by advancing a health-promoting perspective. Semi-structured individual and group interviews were conducted with participants ( = 22) with lived, professional, and personal experiences of dementia living in a medium-sized municipality in Sweden. Transcripts were analyzed by thematic analysis. Four themes emerged: health promotion through knowledge and public awareness, health promotion through opportunities to be active, health promotion through meaningful meeting places, and health promotion through improvements in the welfare system. We found that more knowledge and public awareness about dementia are needed to advance a health-promoting perspective and increase the prominence of dementia as a public health issue. Further research and policy need to focus more on how professionals in dementia care practice could be involved in promoting health and well-being for people with dementia.

摘要

痴呆症是全球范围内一个重大的公共卫生关注点。尽管如此,从促进健康的角度来看,人们对痴呆症作为一个公共卫生问题知之甚少,特别是在与痴呆症患者进行对话时,以及在个人、群体和社会层面上涉及政策和实践时。因此,本研究旨在通过推进促进健康的视角,探讨当地社区中与痴呆症相关的生活体验。采用半结构化的个人和小组访谈,对居住在瑞典一个中等规模城市、具有痴呆症生活经历、专业经历和个人经历的参与者(n=22)进行了访谈。对访谈记录进行了主题分析。得出了四个主题:通过知识和公众意识促进健康、通过积极参与的机会促进健康、通过有意义的聚会场所促进健康、通过改善福利制度促进健康。我们发现,需要更多的关于痴呆症的知识和公众意识来推进促进健康的视角,并提高痴呆症作为一个公共卫生问题的重要性。进一步的研究和政策需要更加关注痴呆症护理专业人员如何参与促进痴呆症患者的健康和福祉。

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