城市地区成人日托中心残疾老年人的经历：一项多地点案例研究。
Experiences of Disabled Older Adults in Urban Area Adult Day Care Centers: A Multisite Case Study.
作者信息
Naruse Takashi, Hatsushi Masakazu, Tsuchiya-Ito Rumiko, Kobayashi Masayuki, Kato Junichi
机构信息
Division of Care Innovation, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Japan.
Hakononakanohako, General Incorporated Association, Tokyo, Japan.
出版信息
Gerontol Geriatr Med. 2023 Feb 17;9:23337214231156304. doi: 10.1177/23337214231156304. eCollection 2023 Jan-Dec.
This study described clients' experiences within adult day care (ADC) and its related impacts. A multisite case study was conducted with 26 older adults from six ADCs in Tokyo, with interviews and field observations conducted between November 2020 and July 2022. The transcribed interviews and field notes were analyzed qualitatively. Three categories pertaining to context ("guilt and resignation to the current living conditions," "desire for social connection despite frustrating limitations," and "supported life based on weekly ADC routine") and four categories about the experiences within ADC ("savoring disability- and age-friendly conversations," "feeling happy about something new and positive," "challenges for changes in self-image," and "discomfort with others and the waste of time") were extracted. Clients' increased vulnerability due to disabilities and COVID-19 affected their experiences. ADCs provide a safe place for interaction, and their use must be encouraged to develop a disability- and age-friendly society.
本研究描述了成人日托服务（ADC）中客户的经历及其相关影响。对东京六个成人日托中心的26名老年人进行了多地点案例研究，在2020年11月至2022年7月期间进行了访谈和实地观察。对转录的访谈和实地记录进行了定性分析。提取了与背景相关的三个类别（“对当前生活状况的内疚和顺从”、“尽管有令人沮丧的限制但渴望社会联系”以及“基于每周成人日托服务常规的受支持生活”）和关于成人日托服务内经历的四个类别（“享受对残疾和老年人友好的对话”、“对新的积极事物感到高兴”、“自我形象改变面临的挑战”以及“与他人相处不适和时间浪费”）。客户因残疾和新冠疫情而增加的脆弱性影响了他们的经历。成人日托中心提供了一个安全的互动场所，必须鼓励使用这些场所来建设一个对残疾人和老年人友好的社会。
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