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一项基于混合方法的研究,评估以远足为基础的社交团体对老年人生活质量的影响。

A mixed-methods study evaluating the impact of an excursion-based social group on quality of life of older adults.

机构信息

Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Macquarie, New South Wales, 2109, Australia.

St Vincent's Clinical School, University of New South Wales, Sydney, Australia.

出版信息

BMC Geriatr. 2021 Jun 10;21(1):356. doi: 10.1186/s12877-021-02295-7.

Abstract

BACKGROUND

Social isolation is an increasing concern for older adults who live in the community. Despite some availability of social support programs to address social isolation, their effectiveness is not routinely measured. This study aimed to evaluate an innovative excursion-based program offering unique social experiences to older adults receiving aged care services.

METHODS

This six-month before and after mixed-methods study evaluated the outcomes of an Australian excursion-based program which offered social and physical outings to bring older adults receiving aged care services into the wider community. The study combined two parts: Part 1 was a pre-post survey assessing the quality of life of older adults who received the excursion-based program for 6 months (n = 56; two time-points, analysed using signed rank test) and Part 2 involved qualitative in-depth, semi-structured interviews (n = 24 aged care staff, older adults and carers; analysed using thematic analysis).

RESULTS

Older adults experienced a significant increase in quality of life scores (p < 0.001) between baseline and 6 months. Interviews confirmed these observations and suggested that benefits of participation included increased opportunities for social participation, psychological wellbeing, physical function, and carer respite. Interviews also revealed being in a group setting, having tailored, convenient and accessible activities, alongside supportive staff were key drivers in improving the wellbeing of participants.

CONCLUSIONS

Participating in an excursion-based community program may improve wellbeing in older adults. Aging policy should focus on prioritizing initiatives that promote social connectivity with the wider community and assist in improving outcomes for older adults.

摘要

背景

社交孤立是社区中老年人日益关注的问题。尽管有一些提供社会支持计划来解决社交孤立问题,但它们的效果并没有得到常规衡量。本研究旨在评估一种创新的基于远足的计划,为接受老年护理服务的老年人提供独特的社交体验。

方法

这项为期六个月的混合方法研究评估了澳大利亚基于远足的计划的结果,该计划为将接受老年护理服务的老年人带入更广泛社区提供了社交和身体远足。该研究结合了两部分:第一部分是一项在接受远足计划 6 个月前后(n=56;两个时间点,使用符号秩检验分析)评估老年人生活质量的预-后调查,第二部分是涉及深度、半结构化访谈的定性研究(n=24 名老年护理工作人员、老年人和照顾者;使用主题分析分析)。

结果

老年人的生活质量评分在基线和 6 个月之间显著增加(p<0.001)。访谈证实了这些观察结果,并表明参与的好处包括增加了社交参与、心理健康、身体功能和照顾者休息的机会。访谈还表明,在团体环境中,有针对性的、方便的和可及的活动,以及支持性的工作人员,是提高参与者幸福感的关键因素。

结论

参加基于远足的社区计划可能会改善老年人的幸福感。老龄化政策应侧重于优先考虑促进与更广泛社区的社交联系的举措,并有助于改善老年人的结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a84/8194178/7b77fc23d5ac/12877_2021_2295_Fig1_HTML.jpg

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