Gerontology Institute, Georgia State University, Atlanta, USA.
Byrdine F. Lewis School of Nursing and Health Professions, Georgia State University, Atlanta, USA.
J Gerontol B Psychol Sci Soc Sci. 2021 Sep 13;76(8):1664-1672. doi: 10.1093/geronb/gbab016.
Assisted living (AL) residents often manage multiple chronic conditions, functional and/or cognitive decline along with their individual needs and preferences for a full life. Although residents participate in their own care, little is known about their self-care activities and how to support them. This analysis focuses on residents' self-care and theorizing the dynamic, socially embedded process of negotiating self-care.
We analyze data from a grounded theory study informed by the Convoys of Care model. Participants included 50 focal residents and 169 paid and unpaid convoy members in eight AL homes; each resident convoy was followed up for 2 years. Data collection included participant observation, interviews, and resident record review.
To the extent possible, most AL residents were involved in self-care related to activities of daily living, health promotion, and social, emotional, and mental well-being. Residents and care partners engaged in a dynamic process of limiting and promoting self-care activities. Multiple factors influenced self-care, including residents' past self-care behaviors, caregiver fear and availability, and the availability of services and supports.
Strategies for promoting self-care must involve residents and care partners and include convoy education in collaborative goal-setting, prioritizing care that supports the goals, and putting resources in place to support goal achievement.
辅助生活（AL）居民通常患有多种慢性疾病，存在功能和/或认知能力下降，同时还需要满足个人对充实生活的需求和偏好。尽管居民参与到自身的护理中，但对于他们的自我护理活动以及如何为他们提供支持知之甚少。本分析重点关注居民的自我护理，并对协商自我护理的动态、社会嵌入过程进行理论化。
我们分析了一项扎根理论研究的数据，该研究受到关怀队伍模型的启发。参与者包括 8 个辅助生活住宅中的 50 名重点居民和 169 名有偿和无偿护理人员；每个居民护理队伍都进行了为期 2 年的跟踪调查。数据收集包括参与者观察、访谈和居民记录审查。
在可能的范围内，大多数辅助生活居民都参与了与日常生活活动、健康促进以及社会、情感和心理健康相关的自我护理。居民和护理伙伴参与了一个动态的自我护理活动限制和促进过程。多个因素影响自我护理，包括居民过去的自我护理行为、护理人员的恐惧和可用性，以及服务和支持的可用性。
促进自我护理的策略必须涉及居民和护理伙伴，并包括在协作目标设定中对护理队伍进行教育，优先考虑支持目标的护理，并为实现目标提供资源。
