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加拿大就地养老模式对社区居住老年人在新冠疫情期间保持身体距离体验的影响

The Impact of a Canadian Model of Aging in Place on Community Dwelling Older Adults' Experience of Physical Distancing during the COVID-19 Pandemic.

作者信息

Garcia Diaz Laura, Durocher Evelyne, McAiney Carrie, Richardson Julie, Letts Lori

机构信息

School of Rehabilitation Science, Faculty of Health Sciences, Institute for Applied Health Sciences Building, McMaster University, 1400 Main Street West, Hamilton, ON Canada.

School of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON Canada.

出版信息

Ageing Int. 2022 Sep 28:1-25. doi: 10.1007/s12126-022-09509-2.

Abstract

Naturally occurring retirement communities (NORCs) are unplanned communities with a high proportion of residents aged 65 years and older. Oasis is a Canadian aging in place model that combines health and supportive community services for adults aged 65 years and older within NORCs. The aims of this study were to explore how physical distancing restrictions during the COVID-19 pandemic impacted older adults living in a NORC (Oasis members) and to investigate whether Oasis served as a context for social connection and well-being during the COVID-19 pandemic. An interpretive description methodology guided this study. Semi-structured interviews were conducted with nine Oasis members (aged 66-77 years) and two Oasis site coordinators. The Oasis members also completed a social network mapping activity guided by the hierarchical mapping technique. Three overarching themes related to the impact of physical distancing on Oasis members during the COVID-19 pandemic were identified: (1) unintended consequences of physical distancing restrictions on participants' wellbeing; (2) face-to-face interactions are important for social connection; and (3) family, friend, healthcare provider, and community support mitigated the impact of physical distancing restrictions during the COVID-19 pandemic. In addition, two of Oasis' core pillars were found to support participants: strengthening social connectivity and connection to pre-existing community services. Findings illustrate that community programs like Oasis acted as a source of resilience during the COVID-19 pandemic and advance our understanding of the impact of aging in place models on community dwelling older adults' experience of the COVID-19 pandemic.

摘要

自然形成的退休社区(NORCs)是指那些未经过规划、65岁及以上居民比例较高的社区。绿洲计划是加拿大的一种就地养老模式,它为NORCs中65岁及以上的成年人提供健康和支持性社区服务。本研究的目的是探讨在新冠疫情期间实施的物理距离限制措施对居住在NORC中的老年人(绿洲计划成员)产生了怎样的影响,并调查在新冠疫情期间绿洲计划是否为社交联系和幸福感提供了一个背景环境。本研究采用解释性描述方法。对9名绿洲计划成员(年龄在66 - 77岁之间)和2名绿洲计划现场协调员进行了半结构化访谈。绿洲计划成员还完成了一项由分层映射技术指导的社交网络映射活动。研究确定了与新冠疫情期间物理距离对绿洲计划成员的影响相关的三个总体主题:(1)物理距离限制对参与者幸福感产生的意外后果;(2)面对面互动对于社交联系很重要;(3)家庭、朋友、医疗保健提供者和社区支持减轻了新冠疫情期间物理距离限制的影响。此外,还发现绿洲计划的两个核心支柱对参与者起到了支持作用:加强社交联系以及与现有社区服务的联系。研究结果表明,像绿洲计划这样的社区项目在新冠疫情期间起到了恢复力来源的作用,并增进了我们对就地养老模式对居住在社区中的老年人应对新冠疫情体验的影响的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb7/9516521/35ed2d70d655/12126_2022_9509_Fig1_HTML.jpg

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