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我的家就是我的健康所在:居家老年人的健康促进叙事

My home is where my health is: narratives on health promotion from older people living at home.

作者信息

Hugøy Therese, Falkenberg Helle K, Eilertsen Grethe, Skraastad Marit, Hansen Anette

机构信息

Faculty of Health and Social Sciences, University of South-Eastern Norway, Porsgrunn, Norway.

USN Research Group of Older Peoples' Health, University of South-Eastern Norway, Drammen, Norway.

出版信息

Int J Qual Stud Health Well-being. 2025 Dec;20(1):2518668. doi: 10.1080/17482631.2025.2518668. Epub 2025 Jun 15.

Abstract

PURPOSE

Many older people want to live at home for as long as possible, and the aging population is highlighting the importance of understanding what they require for their lives to be good. This study explored how older recipients of home care experience the meaning of home from a health-promoting perspective.

METHODS

Narrative interviews were conducted with 10 people aged 78-103 years living at home and receiving home care nursing. We conducted a thematic narrative analysis, and based on the results chose a salutogenic perspective to shed light on the health-promoting perspective.

RESULTS

The primary theme identified was "My home is where my health is." It reflects a compellation of the four subthemes emerging from the data: (1) my home promotes independence and autonomy, (2) my home promotes identity and self, (3) my home promotes being active, and (4) the support I receive is pivotal to promoting health and life at home. These themes are pivotal to health promotion and well-being in old age.

CONCLUSIONS

Living at home contributes to meaningfulness, manageability, comprehensibility, and a sense of coherence. This promotes health and well-being for older people living at home if they receive both formal and informal support.

摘要

目的

许多老年人希望尽可能长时间地居家生活,而人口老龄化凸显了了解他们对美好生活所需条件的重要性。本研究从促进健康的角度探讨了居家护理的老年接受者如何体验家的意义。

方法

对10名年龄在78 - 103岁、居家接受家庭护理的老人进行了叙事访谈。我们进行了主题叙事分析,并基于结果选择了一种健康生成视角来阐明促进健康的观点。

结果

确定的主要主题是“我的家就是我的健康所在之处”。它反映了从数据中浮现的四个子主题的集合:(1) 我的家促进独立和自主,(2) 我的家促进身份认同和自我认知,(3) 我的家促进积极活动,(4) 我获得的支持对于促进居家健康和生活至关重要。这些主题对于老年人的健康促进和幸福至关重要。

结论

居家生活有助于实现意义感、可管理性、可理解性和连贯感。如果获得正式和非正式的支持,这将促进居家老年人的健康和幸福。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d590/12168385/4d94e589040f/ZQHW_A_2518668_F0001_OC.jpg

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