居家老年人的日常社区互动：一项定性研究。

Home-Dwelling Older Adults' Day-to-Day Community Interactions: A Qualitative Study.

作者信息

Perruchoud Elodie, von Gunten Armin, Ferreira Tiago, Queirós Alcina Matos, Verloo Henk

机构信息

Department of Nursing Sciences, School of Health Sciences, HES-SO Valais/Wallis, University of Applied Sciences and Arts Western Switzerland, Chemin de l'Agasse 5, CH-1950 Sion, Switzerland.

Service of Old Age Psychiatry, Department of Psychiatry, Lausanne University Hospital, Route de Cery 60, CH-1008 Lausanne, Switzerland.

出版信息

Geriatrics (Basel). 2022 Aug 12;7(4):82. doi: 10.3390/geriatrics7040082.

DOI:10.3390/geriatrics7040082

PMID:36005258

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9408690/

Abstract

BACKGROUND

Many home-dwelling older adults present abnormal behaviours related to dementia or to non-dementia cognitive impairment (e.g., agitation, anxiety, apathy, etc.). Because many older adults live at home alone or are able to hide any signs of abnormal behaviours from others, the non-healthcare workers who interact with older adults on a daily basis are key actors in detecting those behaviours and orienting older adults towards appropriate support services. To the best of our knowledge, no studies to date have explored the daily interactions experienced between older adults and the various non-healthcare workers whom they regularly encounter in the community. This work aimed to identify the non-healthcare workers who are regularly in direct contact with older adults during their day-to-day activities and then develop specific training for these workers on the subject of abnormal behaviours among the elderly.

METHODS

This qualitative and ethnographic study asked 21 home-dwelling older adults aged 65 years old or more to answer open-ended questions. Sixteen had no self-reported cognitive impairments, and five had a probable or diagnosed slight cognitive impairment or mild-to-moderate dementia. A thematic analysis of the data was carried out.

RESULTS

The non-healthcare workers who spent the most time with older adults with and without reported cognitive impairments were those working in cafés or tea rooms and leisure or activity centres.

CONCLUSIONS

In view of the significant amounts of contact between home-dwelling older adults and non-healthcare workers, it seems necessary and sensible to increase non-healthcare workers' knowledge about abnormal behaviours, especially by offering them training. The proactive detection and identification of older adults' abnormal behaviours by non-healthcare workers will ensure earlier care and reduce avoidable hospitalisations, institutionalisations and costs linked to geriatric healthcare.

摘要

背景

许多居家的老年人存在与痴呆症或非痴呆性认知障碍相关的异常行为（例如，躁动、焦虑、冷漠等）。由于许多老年人独自在家生活，或者能够向他人隐瞒任何异常行为的迹象，因此每天与老年人互动的非医护人员是发现这些行为并引导老年人获得适当支持服务的关键角色。据我们所知，迄今为止尚无研究探讨老年人与他们在社区中经常遇到的各类非医护人员之间的日常互动情况。这项工作旨在确定在日常活动中经常与老年人直接接触的非医护人员，然后针对这些工作人员开展关于老年人异常行为主题的特定培训。