Department of Cardiology, University Hospital Besançon, 25000 Besançon, France.
EA3920, University of Burgundy Franche-Comté, 25000 Besançon, France.
Int J Environ Res Public Health. 2022 Jan 4;19(1):517. doi: 10.3390/ijerph19010517.
The meaning of place and home for community dwellers and nursing home residents remains unclear. We explored the relationship between older people and their "life territory", to propose a working definition of this concept, which could be used to orient policy decisions. Individual, semi-structured interviews were performed with older people, nursing home staff, and representatives of local institutions/elected officials in four European countries (France, Belgium, Germany, Italy). Interviews were transcribed and analysed using thematic analysis. In total, 54 interviews were performed. Five main themes emerged: (i) working definition of "your life territory" (a multidimensional concept covering individual and collective aspects); (ii) importance of the built environment (e.g., public transport, sidewalks, benches, access ramps); (iii) interactions between nursing homes and the outside community (specifically the need to maintain interactions with the local community); (iv) a sense of integration (dependent on social contacts, seniority in the area, perceived self-utility); and (v) the use of new technologies (to promote integration, social contacts and access to culture). This study found that the "life territory" of older people is a multidimensional concept, centred around five main domains, which together contribute to integrating older people into the fibre of their community.
对于社区居民和养老院居民来说，地方和家的意义仍然不清楚。我们探讨了老年人与其“生活领域”之间的关系，旨在提出该概念的工作定义，以便为决策提供参考。在四个欧洲国家（法国、比利时、德国、意大利）中，我们对老年人、养老院工作人员和地方机构/民选官员的代表进行了个体、半结构化访谈。采用主题分析对访谈内容进行了转录和分析。共进行了 54 次访谈。出现了五个主要主题：（一）“你的生活领域”的工作定义（一个涵盖个人和集体方面的多维概念）；（二）对建筑环境的重视（例如，公共交通、人行道、长凳、无障碍坡道）；（三）养老院与外部社区之间的互动（特别是需要保持与当地社区的互动）；（四）融入感（取决于社会联系、在该地区的资历、自我效用感）；（五）新技术的使用（以促进融入、社会联系和文化接触）。本研究发现，老年人的“生活领域”是一个多维概念，围绕着五个主要领域展开，这些领域共同有助于将老年人融入社区生活。
