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美好生活俱乐部对痴呆症患者和照护者的影响的定性评估。

A qualitative evaluation of the impact of a Good Life Club on people living with dementia and care partners.

机构信息

School of Health and Society, Institute of Dementia, 5292University of Salford, UK.

出版信息

Dementia (London). 2021 Oct;20(7):2478-2493. doi: 10.1177/1471301221998897. Epub 2021 Mar 20.

Abstract

BACKGROUND

Research suggests there is a lack of post-diagnostic support to enable people living with dementia to fulfil social and active lives throughout their dementia journey. Gardening has been found to have many benefits for people living with dementia. Although such research is important, most research frames people with dementia as passive recipients of stimulation. Research into the impact of a community-based gardening group, where people living with dementia are active in the development of an outdoor space, is underdeveloped. Knowledge about the impact of participating in such groups is also sparse. The Good Life Club (GLC) was co-developed and evaluated to respond to these gaps.

OBJECTIVES

The primary aim of this article is to present the findings regarding the impact of attending the GLC on the self-reported well-being for people living with dementia and care partners.

METHODS

Qualitative data were collected via 22 semi-structured interviews. Fourteen interviews were conducted before the GLC and eight after the GLC. Thematic analysis was used to analyse data. Dementia Care Mapping data were collected to supplement the interview data.

FINDINGS

Four key themes were identified. The first was that participants considered having active participation in social life to be a key aspect of living a good life. The second was that the way that the GLC was set up and delivered gave the participants ownership of the GLC and within this they felt able to contribute. The third was the importance of social connectedness and peer support to the well-being of both people living with dementia and care partners. Fourth, positive mood and well-being was directly experienced through gardening.

CONCLUSIONS

The combination of long-term investment of time and energy to the GLC, ongoing friendships and in-session autonomy act as key ingredients in creating a group that is relaxed, full of humour and highly valued.

摘要

背景

研究表明,缺乏诊断后的支持,使患有痴呆症的人在整个痴呆症病程中无法过上社交和积极的生活。园艺已被发现对患有痴呆症的人有许多好处。尽管此类研究很重要,但大多数研究将痴呆症患者视为被动接受刺激的对象。关于社区园艺小组的影响的研究,在这种小组中,患有痴呆症的人积极参与开发户外空间,还不够发达。关于参与此类小组的影响的知识也很匮乏。“美好生活俱乐部”(GLC)是共同开发和评估的,以应对这些差距。

目的

本文的主要目的是介绍参加 GLC 对患有痴呆症的人和护理人员的自我报告幸福感的影响的研究结果。

方法

通过 22 次半结构化访谈收集定性数据。在 GLC 之前进行了 14 次访谈,之后进行了 8 次访谈。使用主题分析对数据进行分析。收集痴呆症护理映射数据以补充访谈数据。

结果

确定了四个主要主题。第一个是参与者认为积极参与社交生活是过上美好生活的关键方面。第二个是 GLC 的设置和交付方式赋予了参与者对 GLC 的所有权,并且他们觉得自己能够为此做出贡献。第三个是社交联系和同伴支持对痴呆症患者和护理人员的幸福感的重要性。第四,通过园艺直接体验到积极的情绪和幸福感。

结论

对 GLC 的长期投入时间和精力、持续的友谊和会议期间的自主权是创造一个轻松、充满幽默和高度重视的小组的关键因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad3/8564258/febc6a6f37e2/10.1177_1471301221998897-fig1.jpg

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