Fadayevatan Reza, Rahimi Majid, Abedi Heidarali
Department of Gerontology, Iranian Research Center of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Health Education and Promotion, Health Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
J Caring Sci. 2021 Aug 23;10(3):160-168. doi: 10.34172/jcs.2021.024. eCollection 2021 Aug.
The need and use of long-term care services for older people has increased with their rising population and there is little information about the state of serving in nursing homes. This study aimed to identify the caring process in Iranian nursing homes. This qualitative study was conducted in three Iranian nursing homes using grounded theory approach. The participants included 28 individuals (14 older people and 14 caregivers). The data were collected using unstructured interviews up to data saturation, and analyzed by constant comparative method. Fragmented care emerged as the core variable. The main factor for developing the core variable was 'experience-based caring'. Other factors included 'inappropriate structure for care' as contextual factors in the nursing homes environment and 'keeping instead of caring', 'dismal life', and 'up and down of the path' as strategies and consequences. The most common type of care was the routine and unplanned one with focusing on physical aspects. To improve a delivery care system for older people in nursing homes, proposing a care plan with focus on an integrated model of care in nursing homes, provision of instructions for treatment, as well as supervision and training caregivers to provide better care are necessary.
随着老年人口的增加，老年人对长期护理服务的需求和使用也在上升，而关于养老院服务状况的信息却很少。本研究旨在确定伊朗养老院的护理过程。这项定性研究采用扎根理论方法在伊朗的三家养老院进行。参与者包括28人（14名老年人和14名护理人员）。通过非结构化访谈收集数据直至数据饱和，并采用持续比较法进行分析。碎片化护理成为核心变量。核心变量形成的主要因素是“基于经验的护理”。其他因素包括养老院环境中的情境因素“不适当的护理结构”以及作为策略和后果的“维持而非护理”、“沉闷的生活”和“道路的起伏”。最常见的护理类型是常规和无计划的护理，侧重于身体方面。为改善养老院老年人的护理服务体系，有必要提出一个以养老院综合护理模式为重点的护理计划，提供治疗指导，以及监督和培训护理人员以提供更好的护理。
