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丹麦养老院社会干预措施的实施和潜力的定性研究。

Qualitative Study of the Implementation and Potential of a Social Intervention at Nursing Homes in Denmark.

机构信息

Center for Healthy Aging, Section for Health Services Research, Department of Public Health, University of Copenhagen, 1014 Copenhagen, Denmark.

出版信息

Int J Environ Res Public Health. 2021 Feb 12;18(4):1808. doi: 10.3390/ijerph18041808.

DOI:10.3390/ijerph18041808
PMID:33673281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7918481/
Abstract

(1) Background: The effect of social relations on health and wellbeing is well documented. However, knowledge about social interventions specifically in nursing homes and their potential for health and wellbeing is inadequate. In this qualitative study, we explore the implementation of a social intervention entitled Tell Stories for Life implemented in Danish nursing homes. (2) Methods: Through a qualitative multi-perspective longitudinal approach, nursing home residents and employees were interviewed from May-December 2016 (N = 14). The authors made participatory observations and took field notes. (3) Results: The intervention did not appear to establish or strengthen social relations between nursing home residents. However, nursing home residents enjoyed participating, narrating and having someone listen to their stories. The identity of nursing home residents and their relationships to nursing home employees facilitating the intervention appeared to be strengthened. Barriers were related to lack of support from management, nursing home employees' educational backgrounds and experiences, and nursing home residents' cognitive ability. (4) Conclusions: This study found that the Tell Stories for Life intervention did not appear to strengthen and establish social relations among nursing home residents. However, we found that there might be potential for strengthening residents' sense of identity and the relation between residents and nursing home employees.

摘要

(1) 背景:社会关系对健康和幸福的影响已得到充分证实。然而,关于护理院中社会干预措施及其对健康和幸福的潜在影响的知识还不够充分。在这项定性研究中,我们探讨了名为“Tell Stories for Life”的社会干预措施在丹麦护理院中实施的情况。(2) 方法:通过定性多视角纵向方法,于 2016 年 5 月至 12 月对护理院居民和员工进行了访谈(N=14)。作者进行了参与式观察并做了现场记录。(3) 结果:该干预措施似乎并未在护理院居民之间建立或加强社会关系。然而,护理院居民喜欢参与、讲述并有人倾听他们的故事。护理院居民的身份以及他们与护理院员工的关系似乎得到了加强。障碍与管理层缺乏支持、护理院员工的教育背景和经验以及护理院居民的认知能力有关。(4) 结论:本研究发现,“Tell Stories for Life”干预措施似乎并未在护理院居民之间建立和加强社会关系。然而,我们发现,该干预措施可能有潜力增强居民的身份认同感以及居民与护理院员工之间的关系。

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本文引用的文献

1
Resident and staff perspectives of person-centered climate in nursing homes: a cross-sectional study.居民和工作人员对养老院以患者为中心的护理环境的看法:一项横断面研究。
BMC Geriatr. 2019 Oct 29;19(1):292. doi: 10.1186/s12877-019-1313-x.
2
Social Interventions Targeting Social Relations Among Older People at Nursing Homes: A Qualitative Synthesized Systematic Review.针对养老院老年人社会关系的社会干预措施:一项定性综合系统评价
Inquiry. 2019 Jan-Dec;56:46958018823929. doi: 10.1177/0046958018823929.
3
The association between loneliness and health - a survey-based study among middle-aged and older adults in Denmark.孤独感与健康的关联——丹麦中老年人群体的一项基于调查的研究。
Aging Ment Health. 2018 Oct;22(10):1338-1343. doi: 10.1080/13607863.2017.1348480. Epub 2017 Jul 7.
4
A life less lonely: the state of the art in interventions to reduce loneliness in people with mental health problems.少些孤独的生活:减少有心理健康问题者孤独感的干预措施的最新进展
Soc Psychiatry Psychiatr Epidemiol. 2017 Jun;52(6):627-638. doi: 10.1007/s00127-017-1392-y. Epub 2017 May 20.
5
Social capital interventions targeting older people and their impact on health: a systematic review.针对老年人的社会资本干预措施及其对健康的影响:一项系统综述。
J Epidemiol Community Health. 2017 Jul;71(7):663-672. doi: 10.1136/jech-2016-208131. Epub 2016 Nov 10.
6
Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions.预防老年人的社会隔离和孤独感:健康促进干预措施的系统评价
Nurs Older People. 2005 Mar 1;17(1):40. doi: 10.7748/nop.17.1.40.s11.
7
How the perspectives of nursing assistants and frail elderly residents on their daily interaction in nursing homes affect their interaction: a qualitative study.护理助理与养老院体弱老年居民对他们日常互动的看法如何影响其互动:一项定性研究。
BMC Geriatr. 2016 Jan 14;16:13. doi: 10.1186/s12877-016-0186-5.
8
Systematic review of interventions addressing social isolation and depression in aged care clients.针对老年护理客户社交隔离和抑郁问题的干预措施的系统评价。
Qual Life Res. 2016 Jun;25(6):1395-407. doi: 10.1007/s11136-015-1197-y. Epub 2015 Dec 8.
9
Loneliness and social isolation as risk factors for mortality: a meta-analytic review.孤独感和社会隔离作为死亡风险因素:一项荟萃分析综述。
Perspect Psychol Sci. 2015 Mar;10(2):227-37. doi: 10.1177/1745691614568352.
10
Making sense of implementation theories, models and frameworks.理解实施理论、模型和框架。
Implement Sci. 2015 Apr 21;10:53. doi: 10.1186/s13012-015-0242-0.