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“在冲突中维持共生关系”:中国养老院失能老年人的生活质量——扎根理论研究。

"Maintaining symbiosis in conflict": the quality of life of disabled elderly individuals in Chinese elderly care institutions - a grounded theory study.

机构信息

School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Int J Qual Stud Health Well-being. 2024 Dec;19(1):2397845. doi: 10.1080/17482631.2024.2397845. Epub 2024 Sep 5.

DOI:10.1080/17482631.2024.2397845
PMID:39238149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11382692/
Abstract

BACKGROUND AND OBJECTIVES

Exploring the quality of life of disabled elderly individuals in eldercare facilities holds significant importance in the improvement of service quality, the allocation of eldercare resources, and the enhancement of the well-being of the elderly. This study, grounded in the subjective perspective of disabled elderly individuals, aims to investigate their quality of life within eldercare institutions.

RESEARCH DESIGN AND METHODS

A grounded theory approach was employed, involving semi-structured interviews with 35 participants.

RESULTS

Data analysis revealed that the quality of life of disabled elderly individuals in Chinese elderly care institutions is characterized by "maintaining symbiosis in conflict" and encompasses four dimensions: complex adaptation process, complexities in social interactions, physical pain and the lonely soul.

DISCUSSION AND IMPLICATIONS

Spending late years in elderly care institutions poses a trial and challenge for disabled elderly individuals, especially within a cultural environment that traditionally revolves around the "family" unit. In these institutions, disabled elderly individuals not only endure physical pain but also grapple with feelings of loneliness. They maintain the facade of family dignity by concealing true emotions, ensuring the harmonious and stable operation of the elderly care institution.Enhancing the quality of life for disabled elderly individuals requires not only an improvement in the service capabilities of elderly care institution staff but also collaborative efforts from policymakers and family members.

摘要

背景与目的

关注养老机构中失能老年人的生活质量,对于提升服务质量、优化养老资源配置以及提升老年人福祉具有重要意义。本研究从失能老年人的主观视角出发,旨在调查他们在养老机构中的生活质量。

研究设计与方法

采用扎根理论方法,对 35 名参与者进行了半结构化访谈。

结果

数据分析表明,中国养老机构中失能老年人的生活质量表现为“冲突中的共生”,包含四个维度:复杂的适应过程、社会互动的复杂性、身体疼痛和孤独的灵魂。

讨论与启示

在养老机构中度过晚年对失能老年人来说是一种考验和挑战,尤其是在传统上以“家庭”为单位的文化环境中。在这些机构中,失能老年人不仅承受着身体上的痛苦,还经历着孤独感。他们通过隐藏真实情感来维护家庭尊严的表象,确保养老机构的和谐稳定运行。提升失能老年人的生活质量不仅需要提高养老机构工作人员的服务能力,还需要政策制定者和家庭成员的共同努力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122f/11382692/a948fc44b038/ZQHW_A_2397845_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122f/11382692/a948fc44b038/ZQHW_A_2397845_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122f/11382692/a948fc44b038/ZQHW_A_2397845_F0001_B.jpg

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