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从家庭住所到其他生活安排的转变:智障成年人及其家庭成员的经历。

The Transition From Family Home to Alternative Living Arrangements: Experiences of Adults With Intellectual Disabilities and Their Family Members.

作者信息

Walker Ruth, Belperio Irene, Bigby Christine, Wiesel Ilan, Rillotta Fiona, Hutchinson Claire

机构信息

College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.

Living With Disability Research Centre, La Trobe University, Melbourne, Australia.

出版信息

J Appl Res Intellect Disabil. 2025 Mar;38(2):e70047. doi: 10.1111/jar.70047.

DOI:10.1111/jar.70047
PMID:40183308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11969629/
Abstract

BACKGROUND

It is well documented that many adults with intellectual disabilities live with ageing parents, often without concrete plans for transitioning to alternative living arrangements. Little is known about transition experiences once they occur. This study explores the experiences of adults with intellectual disabilities and their family members of this transition through a relational lens.

METHOD

Semi-structured interviews were conducted with 25 people: 8 adults with intellectual disabilities, 13 parents, and 4 siblings.

RESULTS

Three themes were constructed from the data: 'Gaining independence and letting go', 'negotiating unfamiliar relationships' and 'social inclusion and making new connections.'

CONCLUSION

Adults with intellectual disabilities discussed numerous benefits associated with moving out of the family home, including increased autonomy and opportunities for new relationships. Family members also described benefits of the transition, but some grappled with needing to 'let go' whilst at the same time retaining some degree of control over their family members' lives.

摘要

背景

有充分记录表明,许多成年智障人士与年迈的父母生活在一起,通常没有向其他生活安排过渡的具体计划。对于过渡一旦发生后的经历,人们了解甚少。本研究通过关系视角探讨了成年智障人士及其家庭成员在这一过渡过程中的经历。

方法

对25人进行了半结构化访谈:8名成年智障人士、13名父母和4名兄弟姐妹。

结果

从数据中构建了三个主题:“获得独立与放手”、“协商陌生关系”和“社会包容与建立新联系”。

结论

成年智障人士讨论了搬离家庭住所带来的诸多好处,包括自主性增强和建立新关系的机会。家庭成员也描述了过渡的好处,但一些人在需要“放手”的同时,还要在一定程度上保留对其家庭成员生活的控制权,为此而纠结。

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本文引用的文献

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Parental strategies that support adults with intellectual disabilities to explore decision preferences, constraints and consequences.支持成年智障人士探索决策偏好、限制因素和后果的家长策略。
J Intellect Dev Disabil. 2022 Jun;47(2):165-176. doi: 10.3109/13668250.2021.1954481. Epub 2021 Aug 4.
2
The experiences of parents arranging the move of their young adult offspring with intellectual disabilities to 24-hour residential settings; a continuing puzzle.父母安排其患有智力残疾的成年子女搬到24小时居住环境的经历:一个持续的难题。
J Intellect Dev Disabil. 2024 Sep;49(3):298-310. doi: 10.3109/13668250.2023.2254942. Epub 2023 Dec 22.
3
Whose voice is it anyway? Adults with intellectual disabilities and future planning: A scoping review of qualitative studies.到底是谁的声音?成年智障人士与未来规划:定性研究的范围综述
J Intellect Dev Disabil. 2024 Jun;49(2):215-228. doi: 10.3109/13668250.2023.2293334. Epub 2024 Jan 23.
4
'Moving on' for Adults With a Learning Disability and Their Families: A Constructivist Grounded Theory Study.学习障碍成年人及其家庭的“向前看”:建构主义扎根理论研究。
Qual Health Res. 2024 Sep;34(11):1053-1068. doi: 10.1177/10497323241232360. Epub 2024 Mar 4.
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Improving the transition process to independent living for adolescents with profound intellectual disabilities. Experiences of parents and employees.改善智障青少年向独立生活过渡的过程。父母和员工的经验。
BMC Health Serv Res. 2020 Dec 9;20(1):1133. doi: 10.1186/s12913-020-05976-y.
6
Approaches to and outcomes of future planning for family carers of adults with an intellectual disability: A systematic review.为成年智障人士家庭照顾者进行未来规划的方法与结果:一项系统综述。
J Appl Res Intellect Disabil. 2020 Nov;33(6):1221-1233. doi: 10.1111/jar.12742. Epub 2020 May 20.
7
"I don't care anymore if she wants to cry through the whole conversation, because it needs to be addressed": Adult siblings' experiences of the dynamics of future care planning for brothers and sisters with a developmental disability.“如果她想在整个谈话过程中哭泣,我再也不在乎了,因为这件事需要解决”:成年兄弟姐妹对为有发育障碍的兄弟姐妹进行未来护理规划动态过程的经历。
J Appl Res Intellect Disabil. 2020 Sep;33(5):950-961. doi: 10.1111/jar.12716. Epub 2020 Feb 25.
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Family experiences of personalised accommodation and support for people with intellectual disability.有智力障碍者的个性化住宿和支持的家庭体验。
J Intellect Disabil. 2021 Dec;25(4):476-489. doi: 10.1177/1744629520905207. Epub 2020 Feb 17.
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The experience of mothers supporting self-determination of adult sons and daughters with intellectual disability.母亲支持智障成年子女自主决策的体验。
J Appl Res Intellect Disabil. 2020 May;33(3):373-385. doi: 10.1111/jar.12680. Epub 2019 Dec 28.
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Qual Health Res. 2019 Sep;29(11):1595-1610. doi: 10.1177/1049732319845344. Epub 2019 May 8.