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向养老院生活的转变:计划性入院与非计划性入院的比较

The transition to nursing home life: a comparison of planned and unplanned admissions.

作者信息

Wilson S A

机构信息

Marquette University College of Nursing, Milwaukee, WI 53201-1881, USA.

出版信息

J Adv Nurs. 1997 Nov;26(5):864-71. doi: 10.1046/j.1365-2648.1997.00636.x.

DOI:10.1046/j.1365-2648.1997.00636.x
PMID:9372389
Abstract

The percentage of elderly people in nursing homes increases with age from 7% for adults aged 75-84 years to 20% for those over 85 years old. Limited research has been done with elderly people whose admission to a nursing home was planned or unplanned. This study addressed: what are the initial experiences of elderly people in making the transition to nursing home life when the admission was planned or unplanned? A grounded theory approach using constant comparative methods was used to discover the process and patterns of transition to nursing home life. Data were collected 24 hours after admission and every other day for 2 weeks, and 1 month post-admission using in-depth semistructured interviews and field notes. Data analysis demonstrated that the transition to nursing home life occurred in three phases: overwhelmed, adjustment and initial acceptance phase. The phases of adjustment are discussed along with interventions to assist older adults in making this transition.

摘要

养老院中老年人的比例随年龄增长而增加,75 - 84岁的成年人中这一比例为7%,85岁以上的老人中则为20%。针对养老院入住计划为计划性或非计划性的老年人所开展的研究有限。本研究探讨的问题是:当养老院入住为计划性或非计划性时,老年人向养老院生活过渡的最初体验是什么?采用持续比较法的扎根理论方法被用于发现向养老院生活过渡的过程和模式。在入院24小时后、之后两周每隔一天以及入院1个月后,通过深入的半结构化访谈和现场记录来收集数据。数据分析表明,向养老院生活的过渡分为三个阶段:不知所措、调整和初步接受阶段。文中讨论了调整阶段以及协助老年人进行这一过渡的干预措施。

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