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考虑家庭环境和未来规划:老年人和有老年亲属的个体观点的定性探索。

Considering the home environment and planning for the future: A qualitative exploration of the views of older adults and individuals with older relatives.

机构信息

Flinders Health and Medical Research Institute, Flinders University, Adelaide, Australia.

Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.

出版信息

Scand J Occup Ther. 2023 Oct;30(7):1167-1179. doi: 10.1080/11038128.2023.2192027. Epub 2023 Mar 27.

Abstract

BACKGROUND

Successful ageing-in-place is dependent on the design and features of the home. In some cases, home modifications or relocation may be required. Accessible, affordable, age-friendly housing for older adults is required to encourage forward planning.

AIMS/OBJECTIVES: To understand the views of middle and older aged adults and individuals with older relatives, about home safety, ageing in place and housing accessibility.

MATERIAL AND METHODS

A qualitative descriptive approach, using reflexive thematic analysis was used. Data were gathered through semi-structured interviews with 16 participants, comprising eight middle- older aged people and eight individuals with older relatives.

RESULTS

Seven themes were identified. Most participants accepted the ageing process and could recognise home environment hazards and potential future housing needs. Others were determined to remain independent at home and resistant to making future changes until necessary. Participants were interested in obtaining more information about how to improve home safety or services to support ageing-in-place.

CONCLUSION

Most older adults are open to conversations about planning for ageing-in-place and would like further information on home safety and home modifications. Educational forums and tools (such as flyers or checklists) which assist older people to plan future housing needs are recommended.

SIGNIFICANCE

Many older people are living in homes that present hazards and limited accessibility as they age. Earlier planning could lead to home modifications which will improve the capacity to age in place. Action to provide earlier education is needed as the population ages and suitable housing for older people is limited.Key points for occupational therapyDecision-making around home safety among the ageing population can be compromised by lack of awareness, inadequate access to information and the sudden onset of age-related changes.An education guide or tool to support forward planning and housing decisions may improve early awareness among the ageing population.

摘要

背景

成功的居家养老取决于家庭的设计和特点。在某些情况下,可能需要进行房屋改造或搬迁。需要为老年人提供无障碍、负担得起、适合年龄的住房,以鼓励提前规划。

目的/目标:了解中年和老年成年人以及有老年亲属的个人对家庭安全、就地养老和住房无障碍的看法。

材料和方法

采用反思性主题分析的定性描述方法。通过对 16 名参与者(包括 8 名中年和老年成年人以及 8 名有老年亲属的个人)进行半结构化访谈收集数据。

结果

确定了七个主题。大多数参与者接受了衰老过程,可以识别家庭环境中的危险和潜在的未来住房需求。其他人则决心在家中保持独立,并且不愿意在必要之前进行未来的改变。参与者对获取有关如何提高家庭安全性或支持就地养老的服务的更多信息感兴趣。

结论

大多数老年人愿意就规划就地养老进行对话,并希望获得更多有关家庭安全和房屋改造的信息。建议提供教育论坛和工具(例如传单或清单),以帮助老年人规划未来的住房需求。

意义

许多老年人居住的房屋存在危险和有限的无障碍性,因为他们随着年龄的增长而老化。早期规划可以导致房屋改造,从而提高就地养老的能力。随着人口老龄化和适合老年人的住房有限,需要采取行动提供早期教育。

关键词

职业治疗;人口老龄化;家庭安全;就地养老;住房决策

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