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“就地养老”的概念发展:混合模型的应用

Concept development of "Aging in place": Application of hybrid model.

作者信息

Barati Farzaneh, Khoddam Homeira, Modanloo Mahnaz

机构信息

Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.

Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.

出版信息

J Family Med Prim Care. 2022 Nov;11(11):6646-6653. doi: 10.4103/jfmpc.jfmpc_2150_21. Epub 2022 Dec 16.

Abstract

There are various methods and services which help elders protect their independency and ability and take care. Like aging in place (AIP), that is a home and community-based model. Despite its importance, this concept is still ambiguous and there is no comprehensive definition for it. This study aims to clarify and conceptualize the meaning of AIP and to develop a context-based definition. In this qualitative study, the concept was developed using a hybrid model during three theoretical phases, fieldwork and final analysis. In the theoretical phase, 30 selected articles, following a systematic search in Web of sciences-Scopus-PubMed databases using the keywords "Aging in place", "Aging at home" and "Aging in community", during 2000-2019 were screened and analyzed. After providing the working definition, the fieldwork phase directed qualitative content analysis was performed on interviews conducted with seven eligible elderly. Finally, in the final phase, after comparing the findings of the previous two phases, the final definition was presented. The results of the hybrid model extracted and identified various definitions of AIP and attributes, antecedent and consequences of AIP. attributes included; independency, belonging to the place, maintaining network, living in one's own home and community, safety, comfort, non-institutionalization, first preference, and life routines continuity. Antecedents included; health, physical environment, financial ability, socialization, information support, technology, AIP antecedent prediction, community services and transportation. Finally, Consequences included; Individual acceptability and community acceptability. Also final definition was provided. If the AIP and its related factors are known and provided so that elders can stay in their homes, then they do not have to choose a nursing home and thus stay out of the community. As a result, following the AIP, both the elderly and community will be satisfied.

摘要

有多种方法和服务可帮助老年人保护其独立性和能力并得到照料。比如就地养老(AIP),这是一种基于家庭和社区的模式。尽管其很重要,但这一概念仍不明确,且尚无全面的定义。本研究旨在阐明并概念化就地养老的含义,并制定基于具体情境的定义。在这项定性研究中,该概念是在三个理论阶段、实地调查和最终分析期间使用混合模型形成的。在理论阶段,通过在科学网 - 斯高帕斯 - PubMed数据库中使用关键词“就地养老”“居家养老”和“社区养老”进行系统检索,筛选并分析了2000 - 2019年期间选定的30篇文章。在给出工作定义后,对七位符合条件的老年人进行的访谈进行了实地调查阶段的定向定性内容分析。最后,在最后阶段,在比较前两个阶段的结果后,给出了最终定义。混合模型的结果提取并确定了就地养老的各种定义、属性、前因和后果。属性包括:独立性、归属地、维持社交网络、在自己的家中和社区生活、安全、舒适、非机构化、首要选择以及生活日常的连续性。前因包括:健康、物理环境、经济能力、社交、信息支持、技术、就地养老前因预测、社区服务和交通。最后,后果包括:个人可接受性和社区可接受性。还给出了最终定义。如果了解并提供就地养老及其相关因素,以便老年人能够留在家中,那么他们就不必选择养老院,从而留在社区之外。结果,遵循就地养老模式,老年人和社区都会感到满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f75f/10041179/5924464e5af7/JFMPC-11-6646-g001.jpg

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