“除了家人,没人能做得一样好”:大流行期间长期护理院居民和家庭对用餐时间意义的理解。

"Nobody But a Family Member Can Do It Quite the Same Way": Understanding the Meaning of Mealtimes to Residents and Families in Long-Term Care Homes During the Pandemic.

机构信息

Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.

Schlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, Ontario, Canada.

出版信息

Gerontologist. 2024 Jun 1;64(6). doi: 10.1093/geront/gnad168.

Abstract

BACKGROUND AND OBJECTIVES

Meals in long-term care (LTC) are essential to residents not only for nutrition and their physical well-being but also for their social interactions supporting resident quality of life. This study aims to understand the mealtime experiences of residents and family care partners during the coronavirus 2019 disease (COVID-19) pandemic when restrictions were put in place in LTC and retirement homes.

RESEARCH DESIGN AND METHODS

Interpretive description analysis of qualitative interviews in LTC and retirement homes, with 17 family care partners and 4 residents. Convenience and snowball sampling was used to recruit participants for telephone interviews.

RESULTS

Three themes were generated. Compromised mealtimes mean compromising community-meals were seen by participants as a key social and community-building event of the home; they reported this loss of community with pandemic restrictions. Participants noted that family care partners are indispensable at meals for social, psychological, and physical support. The dangers of eating alone spoke to the social isolation reported by participants that occurred during the pandemic and the risks they described of eating alone.

DISCUSSION AND IMPLICATIONS

This study confirms the importance of mealtimes in LTC and retirement homes to community building and extends our understanding of the importance of family inclusion at meals and why eating alone, as happened during COVID-19, was so detrimental to residents. Effort needs to be made to value this communal activity for the well-being of residents.

摘要

背景与目的

长期护理(LTC)中的膳食对居民至关重要,不仅是为了营养和身体健康,也是为了支持居民生活质量的社交互动。本研究旨在了解在 LTC 和退休之家实施限制措施时,居民和家庭护理伙伴在 2019 年冠状病毒病(COVID-19)大流行期间的用餐体验。

研究设计和方法

对 LTC 和退休之家的定性访谈进行解释性描述分析,参与者包括 17 名家庭护理伙伴和 4 名居民。采用方便和滚雪球抽样法招募参与者进行电话访谈。

结果

产生了三个主题。受影响的用餐时间意味着参与者认为团体餐是家庭的重要社交和社区建设活动;他们报告说,由于大流行限制,失去了这种社区感。参与者指出,家庭护理伙伴在社交、心理和身体支持方面对用餐至关重要。独自用餐的危险反映了参与者在大流行期间报告的社交孤立以及他们描述的独自用餐的风险。

讨论与意义

本研究证实了 LTC 和退休之家用餐时间对社区建设的重要性,并扩展了我们对家庭在用餐时参与的重要性以及为什么像 COVID-19 期间那样独自用餐对居民如此不利的理解。需要努力重视这一公共活动,以促进居民的福祉。

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