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养老院中的尊严:一项关于老年人经历的质性描述性研究。

Dignity in nursing homes: A qualitative descriptive study of older adults' experiences.

作者信息

Liu Yujia, Wang Yanjie, Li Xueying, Ma Li, Li Xiaohan

机构信息

China Medical University.

Liaoning University of Traditional Chinese Medicine.

出版信息

Nurs Ethics. 2025 Jun;32(4):1060-1072. doi: 10.1177/09697330241305554. Epub 2024 Dec 22.

Abstract

BackgroundWith the deepening trend of global aging, the issue of dignity of older adults has received widespread attention. The research on the dignity of older adults in nursing homes in China has only just begun, and it is necessary to further explore the dignity experience of older adults in nursing homes.Research ObjectiveTo investigate the thematic features of dignity experiences of older adults residing in nursing homes in mainland China. Furthermore, it may serve as a starting point for further research that formulates intervention strategies.Research DesignThis is a qualitative descriptive study. Twenty older adults living in one of two private nursing homes between September and November 2022 were selected as participants. For each patient, we conducted semi-structured interviews, from which we extracted and assessed information using qualitative content analysis method. SRQR reporting guidelines were used.Ethical considerations'Ethical considerations' with information regarding ethical review, informed consent process and confidentiality.ResultsFive themes and eight subthemes emerged from the transcripts: (1) self-esteem (sense of self-worth and becoming a burden), (2) perceived value to society (being respected and belonging), (3) interpersonal relationships (relationships with others and respectful behavior toward others), (4) autonomy (control of daily life and participation in decision-making), and (5) acceptance and adaptation.ConclusionDignity in older adults can be preserved by realizing self-worth, relieving the burden of self-perceived, promoting belonging, strengthening social ties, enhancing autonomy, and engaging in activities.

摘要

背景

随着全球老龄化趋势的不断加深,老年人的尊严问题受到了广泛关注。中国养老院老年人尊严的研究刚刚起步,有必要进一步探索养老院老年人的尊严体验。

研究目的

调查中国大陆养老院老年人尊严体验的主题特征。此外,它可以作为进一步研究制定干预策略的起点。

研究设计

这是一项定性描述性研究。选取2022年9月至11月期间居住在两家私立养老院之一的20名老年人作为研究对象。对每位患者进行半结构化访谈,并采用定性内容分析法提取和评估信息。采用SRQR报告指南。

伦理考量

“伦理考量”包含有关伦理审查、知情同意过程和保密的信息。

结果

从访谈记录中提炼出五个主题和八个子主题

(1)自尊(自我价值感与成为负担),(2)对社会的感知价值(被尊重与归属感),(3)人际关系(与他人的关系以及对他人的尊重行为),(4)自主性(日常生活的掌控与参与决策),以及(5)接纳与适应。

结论

通过实现自我价值、减轻自我认知负担、促进归属感、加强社会联系、增强自主性以及参与活动,可以维护老年人的尊严。

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