College of Nursing, Kyungnam College of Information and Technology, Busan 47011, Korea.
College of Nursing, Seoul National University, Seoul 03080, Korea.
Int J Environ Res Public Health. 2021 Jan 19;18(2):825. doi: 10.3390/ijerph18020825.
The number of elderly people living alone worldwide is increasing, and the responsibility of the state in this context is emerging. This study aimed to develop a community-based integrated service (CBIS) model of health and social care for older adults living alone. The model was designed based on a literature review of previous community care models and per older adults' health and daily life needs. Thereafter, feedback on the integrated model was taken from older adults living alone by conducting a survey ( = 1023) and focus group interviews, after which the opinions of the Public type Health Management Promotion Council were considered and content validity was confirmed. The model, comprising eight healthcare services and five social care services, was tested on 22 older adults for two weeks to assess its feasibility and preliminary efficiency. Each service included screening, assessment, providing service, evaluation, and quit. Participants rated their overall satisfaction with the services as 9 out of 10. Care navigators reported feeling comforted and discovered their own sense of being while providing the services. We believe that the CBIS model may foster independence among community-dwelling older adults living alone, thereby improving their quality of life through "aging in place".
全球独居老人的数量正在增加,国家在这方面的责任也在显现。本研究旨在为独居老年人开发一种基于社区的健康和社会关怀综合服务(CBIS)模式。该模式是基于对以往社区护理模式和老年人健康和日常生活需求的文献回顾而设计的。此后,通过对 1023 名独居老年人进行调查和焦点小组访谈,收集了对综合模式的反馈意见,之后考虑了公共卫生管理促进委员会的意见并确认了内容的有效性。该模式包括八项医疗保健服务和五项社会关怀服务,对 22 名老年人进行了为期两周的测试,以评估其可行性和初步效率。每项服务都包括筛查、评估、提供服务、评估和退出。参与者对服务的整体满意度评为 10 分中的 9 分。护理导航员在提供服务时表示感到安慰,并发现了自己的存在意义。我们相信,CBIS 模式可以促进社区居住的独居老年人的独立,从而通过“就地养老”提高他们的生活质量。