Johansson Anette, Ernsth Bravell Marie, Karlsson Ann Britt, Fristedt Sofi
Health Care Administration, Jönköping Municipality Jönköping Sweden.
School of Health and Welfare Jönköping University Jönköping Sweden.
Health Sci Rep. 2021 Mar 4;4(1):e249. doi: 10.1002/hsr2.249. eCollection 2021 Mar.
Home rehabilitation is an increasing service in many countries due to the aging population. The body of knowledge in home rehabilitation is growing but results are inconsistent, and there is still lack of knowledge from user perspectives to guide practice and home rehabilitation programs. The purpose of this study was to explore valuable aspects of home rehabilitation experienced by older adults.
Fourteen older persons (nine older adults and five next of kins) were interviewed about their experiences of receiving rehabilitation in their homes. Nine de-identified interviews were analyzed as secondary data and with qualitative content analysis.
A familiar home environment, inclusive collaboration, and the mastering of everyday life were aspects of value for older adults in home rehabilitation. Creating a tailor-made rehabilitation together with competent staff, building trust, and providing a sense of security in their homes were also considered valuable.
When using the home as an arena for rehabilitation and collaboration, interventions can be planned based on the older adult's unique conditions and the knowledge and skills of the multidisciplinary team, including the older adult and their next of kin. A valuable home rehabilitation can then be achieved that creates motivation, which in the long term probably also generates desired effects for the older adult. More research is needed on older adult's experiences of content in home rehabilitation programs so that practice develops in accordance with citizens' needs, individual resources, and relationships.
由于人口老龄化,家庭康复在许多国家已成为一项日益增长的服务。家庭康复方面的知识体系正在不断发展,但结果并不一致,并且从用户角度来看,仍缺乏指导实践和家庭康复计划的知识。本研究的目的是探索老年人在家庭康复中所体验到的有价值的方面。
对14名老年人(9名老年人和5名近亲)进行了访谈,询问他们在家中接受康复治疗的经历。对9份经过身份识别处理的访谈记录作为二手数据进行了定性内容分析。
熟悉的家庭环境、包容性的协作以及对日常生活的掌控是家庭康复中对老年人有价值的方面。与专业工作人员共同制定量身定制的康复方案、建立信任以及在家中提供安全感也被认为是有价值的。
当将家庭作为康复和协作的场所时,可以根据老年人的独特情况以及多学科团队(包括老年人及其近亲)的知识和技能来规划干预措施。这样就可以实现有价值的家庭康复,激发老年人的积极性,从长远来看,这可能也会为老年人带来预期的效果。需要对老年人在家庭康复计划内容方面的经历进行更多研究,以便实践能够根据公民的需求、个人资源和关系得到发展。