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远离家乡还是回到家乡?在瑞典的一个具有文化特征的养老院里生活的伊朗痴呆症患者的经历。

Away from Home or Returned Home? What Iranian Participants with Dementia Experience while Living in a Culturally Profiled Nursing Home in Sweden.

机构信息

Department of Health, Medicine and Caring Sciences, Linköpings University, 601 74, Norrköping, Sweden.

出版信息

J Cross Cult Gerontol. 2023 Dec;38(4):343-370. doi: 10.1007/s10823-023-09490-6. Epub 2023 Nov 23.

Abstract

This study explores Iranian immigrants with dementia living in a culturally profiled Swedish nursing home and what it means to be at "home." The meaning given to a place, in general, is understood to be generated and formed by experiences, expectations, hopes, and chains of events, and its significance can change over time. Life changes will mainly affect the understanding of what constitutes "home." Such a concept can be challenging to define, especially amongst some immigrant populations and those with dementia, for whom parameters change and choice can be limited. This qualitative research study is based on ethnographic fieldwork following ten participants. The data was analyzed, and three main categories that contribute to understanding "home" as part of the delivery of care to elderly immigrants with dementia, namely "a place to escape to", "a place to be", and "a place to live", were identified. The findings show that living in a culturally profiled nursing home in Sweden gave residents a feeling of self-rule, although the institution did have its codes and rules. Considering the feeling of home, none of the participants felt at home; instead, they stated that the culturally profiled nursing home was merely a place to live. Factors that strengthened their independence were the ability to speak the language they were familiar with and receiving medical help without relying on their children.

摘要

本研究探讨了居住在具有文化特色的瑞典养老院的伊朗痴呆症移民,以及“家”的含义。一般来说,一个地方的意义被理解为由经历、期望、希望和事件链产生和形成的,其意义随着时间的推移而变化。生活的变化将主要影响对构成“家”的理解。对于一些移民群体和痴呆症患者来说,这样的概念可能难以定义,因为他们的参数会发生变化,选择也会受到限制。本定性研究基于对十名参与者的民族志实地考察。对数据进行了分析,确定了有助于理解“家”作为向老年痴呆症移民提供护理的一部分的三个主要类别,即“逃避的地方”、“存在的地方”和“生活的地方”。研究结果表明,尽管机构有其规定和规则,但居住在瑞典具有文化特色的养老院让居民感到自治。考虑到家的感觉,没有一个参与者感到宾至如归,相反,他们说这家具有文化特色的养老院只是一个居住的地方。能够说他们熟悉的语言并在不依赖子女的情况下获得医疗帮助,这些因素增强了他们的独立性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b71/10689522/cd7eee89c641/10823_2023_9490_Fig1_HTML.jpg

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