Holmgren Marianne, Ahlström Gerd
Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 117, SE-221 00 Lund, Sweden.
Int J Environ Res Public Health. 2025 Jan 16;22(1):115. doi: 10.3390/ijerph22010115.
Older adults with intellectual disabilities are not adequately prepared for ageing and show anxiety and uncertainty regarding the future. Therefore, the two-year educational intervention "Good Life in Old Age" was implemented to improve their understanding of ageing and enhance their well-being. This study aimed to explore the meaning of ageing during and after the intervention from the perspective of older adults with mild intellectual disability. The ethnographic design included participant observations, field notes, group interviews, and individual follow-up interviews with 20 adults aged 44-75 (mean 63.2) with intellectual disabilities. The main findings are expressed in four themes; Awareness of ageing with intellectual disabilities, Strengthened as a person through empowering community, Awareness of vulnerability as an older adult, and The educational intervention as a resource to manage vulnerability. The education programme created a social network for healthy ageing with an atmosphere of mutual support fostering greater mental strength and self-confidence. Individual retirement plans should be created to foster socialisation, involving adapted activities and conversations about bereavement and death. There is a need to disseminate and continue developing promising education programmes for older adults with intellectual disabilities to reduce their anxiety about retirement and loneliness and facilitate healthy ageing.
患有智力残疾的老年人对老龄化准备不足,对未来表现出焦虑和不确定。因此,实施了为期两年的“老年美好生活”教育干预措施,以提高他们对老龄化的认识并增进他们的幸福感。本研究旨在从轻度智力残疾老年人的角度探讨干预期间及之后老龄化的意义。人种志设计包括参与观察、实地记录、小组访谈以及对20名年龄在44 - 75岁(平均63.2岁)的智力残疾成年人进行的个人随访访谈。主要研究结果体现在四个主题中:对智力残疾老龄化的认识、通过赋权社区而个人得到强化、作为老年人对脆弱性的认识以及作为应对脆弱性资源的教育干预。该教育项目营造了相互支持的氛围,为健康老龄化创建了一个社交网络,增强了心理力量和自信心。应制定个人退休计划以促进社交,包括开展适应性活动以及关于丧亲和死亡的对话。有必要传播并持续开发针对智力残疾老年人的有前景的教育项目,以减少他们对退休和孤独的焦虑,并促进健康老龄化。