[1]罗迪,王俊,柏若男,等.养老机构老年人社会活动参与障碍因素的质性研究[J].军事护理,2022,39(11):25-28.[doi:10.3969/j.issn.2097-1826.2022.11.007]
　LUO Di,WANG Jun,BAI Ruonan,et al.Barriers to Social Activity Participation among the Elderly Living in Care Institutions: A Qualitative Study[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(11):25-28.[doi:10.3969/j.issn.2097-1826.2022.11.007]
点击复制

养老机构老年人社会活动参与障碍因素的质性研究
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年11期
页码:
25-28
栏目:
老年护理专栏
出版日期:
2022-11-15

文章信息/Info

Title:
Barriers to Social Activity Participation among the Elderly Living in Care Institutions: A Qualitative Study
文章编号:
2097-1826(2022)11-0025-04
作者:
罗迪1; 王俊1; 柏若男1; 喻秀丽2; 肖明朝3; 赵庆华1
(1.重庆医科大学附属第一医院 护理部，重庆400016; 2.重庆医科大学附属第一医院 青杠老年护养中心; 3.重庆医科大学附属第一医院 泌尿外科)
Author(s):
LUO Di1; WANG Jun1; BAI Ruonan1; YU Xiuli2; XIAO Mingzhao3; ZHAO Qinghua1
(1.Nursing Department,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China; 2.Qinggang Senior Care Center,The First Affiliated Hospital of Chongqing Medical University; 3.Department of Urological Surgery,The First Affiliated Hospital of Chongqing Medical University)
关键词:
社会参与;  养老机构;  老年人;  质性研究
Keywords:
social participation;  elderly care institution;  the elderly;  qualitative research
分类号:
R473.2
DOI:
10.3969/j.issn.2097-1826.2022.11.007
文献标志码:
A
摘要:
目的 探讨养老机构老年人社会活动参与障碍因素，为制定干预措施提供依据。方法 采用质性研究，于2021年4-8月经目的抽样选取重庆市两所养老机构的11名老年人为研究对象，通过半结构式访谈收集资料，以国际功能、残疾和健康分类为框架，定向内容分析法进行分析。结果 养老机构老年人参与障碍可归纳为3个主题，6个亚主题:环境因素(居住环境流动限制，区域活动差异)，个人因素(身体功能障碍，保持原有习惯)，活动因素(活动组织者的能力，活动资源不足)。结论 养老机构老年人社会活动参与有待拓展、参与过程存在阻碍; 养老机构应重视机构老人的社会活动参与情况，开展个性化干预，促进活动参与。
Abstract:
Objective To explore the barriers to social activity participation among the elderly living in care institutions, so as to provide references for developing intervention measures.Methods A qualitative study was conducted and purposive sampling was used to select 11 senior citizens from two care institutions in Chongqing City from April to August, 2021.Semi-structured interviews were adopted to collect data.The International Classification of Functioning, Disability, and Health was used as a framework to conduct directed content analysis.Results Barriers to participation among the elderly living in care institutions could be categorized into 3 themes and 6 sub-themes: environmental factor(mobility restrictions in residential settings, activity differences in diverse regions), personal factor(physical dysfunction, maintaining old habits), and activity factor(activity organizers' competence, insufficient activity resources).Conclusions Social activity participation of the elderly living in care institutions needs to be explored and there are barriers to the process of participation.Elderly care institutions should pay attention to the social activity participation of the elderly and carry out individualized interventions to promote activity participation.

参考文献/References:

[1] 邱红,魏雅鑫.我国老年人参与社会活动及影响因素分析[J].人口学刊,2020,42(5):73-82.
[2] LEVASSEUR M,RICHARD L,GAUVIN L,et al.Inventory and analysis of definitions of social participation found in the aging literature:proposed taxonomy of social activities[J].Soc Sci Med,2010,71(12):2141-2149.
[3] FENG Z,CRAMM J M,NIEBOER A P.Social participation is an important health behavior for health and quality of life among chronically ill older Chinese people[J/OL].[2022-09-29].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444063/.DOI:10.1186/s12877-020-01713-6.
[4] XIE B,MA C.Effect of social participation on the development of physical frailty:do type,frequency and diversity matter?[J/OL].[2022-09-29].https://www.sciencedirect.com/science/article/pii/S0378512221001201.DOI:10.1016/j.maturitas.2021.06.015.
[5] SAITO M,AIDA J,KONDO N,et al.Reduced long-term care cost by social participation among older Japanese adults:a prospective follow-up study in Jages[J/OL].[2022-09-29].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475166/.DOI:10.1136/bmjopen-2018-024439.
[6] VANCAMPFORT D,HALLGREN M,SCHUCH F,et al.Sedentary behavior and depression among community-dwelling adults aged ≥50 years:results from the Irish longitudinal study on Ageing[J/OL].[2022-09-29].https://www.sciencedirect.com/science/article/pii/S0165032719323614.DOI:10.1016/j.jad.2019.11.066.
[7] 世界卫生组织.国际功能、残疾和健康分类[M].日内瓦:世界卫生组织,2001:18-44.
[8] 李铮,刘宇.护理学研究方法[M].北京:人民卫生出版社,2015:260-261.
[9] PAN H,DURY S,DUPPEN D,et al.Motivators and barriers to social participation in two Chinese long-term care institutions:a focus-group study[J/OL].[2022-09-29].https://www.sciencedirect.com/science/article/pii/S019745722200012X.DOI:10.1016/j.gerinurse.2022.01.004.
[10]DUPPEN D,LAMBOTTE D,DURY S,et al.Social participation in the daily lives of frail older adults:types of participation and influencing factors[J].J Gerontol B Psychol Sci Soc Sci,2020,75(9):2062-2071.
[11]王金水,许琪,方长春.谁最能从社会参与中受益?——社会参与对老年人精神健康的异质性影响分析[J].人口与发展,2021,27(4):121-130.
[12]贺丽芳,李小英,李春艳,等.养老机构护理人员人文关怀行为及老年人关怀需求的比较研究[J].解放军护理杂志,2019,36(10):36-39.
[13]PAN H P,DURY S P,DUPPEN D PHD R N,et al.Social participation in older adults after relocation to long-term care institutions in china:a qualitative study[J].J Community Health Nurs,2020,37(3):164-176.
[14]ZIRVES M,PFAFF H.Nursing home residents aged over 80-a cross-sectional analysis on which activity traits correlate to positive affect[J/OL].[2022-09-29].https://www.mdpi.com/1660-4601/17/24/9583.DOI:10.3390/ijerph17249583.
[15]TOMIOKA K,KURUMATANI N,HOSOI H.Association between the frequency and autonomy of social participation and self-rated health[J].Geriatr Gerontol Int,2017,17(12):2537-2544.
[16]SHRYOCK S K,MEEKS S.Activity,activity personalization,and well-being in nursing home residents with and without cognitive impairment:an integrative review[J].Clin Gerontol,2022,45(5):1058-1072.
[17]CHANG H T,CHEN H C,HSU N W,et al.Volunteering and self-reported health outcomes among older people living in the community:the Yilan study,Taiwan[J].Qual Life Res,2022,31(4):1157-1165.

相似文献/References:

[1]朱佳露,牟绍玉,黄雨萱,等.养老机构志愿者预立医疗照护计划培训内容的构建[J].军事护理,2021,38(07):25.[doi:10.3969/j.issn.1008-9993.2021.07.006]
　ZHU Jialu,MU Shaoyu,HUANG Yuxuan,et al.Construction of Content of Advance Care Planning Courese for Volunteers in Nursing Homes[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(11):25.[doi:10.3969/j.issn.1008-9993.2021.07.006]
[2]胡惠菊,郭雪琪,唐启群,等.养老机构老年人跌倒警觉度现状及其影响因素研究[J].军事护理,2021,38(11):17.[doi:10.3969/j.issn.1008-9993.2021.11.005]
　HU Huiju,GUO Xueqi,TANG Qiqun,et al.The Self-Awareness of Falls and Its Correlates among the Elderly in Nursing Home[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(11):17.[doi:10.3969/j.issn.1008-9993.2021.11.005]
[3]刘璟,肖明朝,侯春秀,等.养老机构老年人营养信息获取体验的质性研究[J].军事护理,2022,39(01):55.[doi:10.3969/j.issn.1008-9993.2022.01.014]
　LIU Jing,XIAO Mingzhao,HOU Chunxiu,et al.The Experience of Obtaining Nutrition Information among the Elderly in Pension Institutions: A Qualitative Research[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(11):55.[doi:10.3969/j.issn.1008-9993.2022.01.014]
[4]李凌云,王盼盼,焦佳伟,等.养老机构护理员照顾失能老人获益体验的质性研究[J].军事护理,2022,39(06):1.[doi:10.3969/j.issn.1008-9993.2022.06.001]
　LI Lingyun,WANG Panpan,JIAO Jiawei,et al.Qualitative Study on the Benefit Finding of Nursing Staff for the Disabled Elders in Nursing Homes[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(11):1.[doi:10.3969/j.issn.1008-9993.2022.06.001]
[5]罗园,邓雨茜,冉海烨,等.养老机构老年人跌倒风险评估的研究进展[J].军事护理,2022,39(09):81.[doi:10.3969/j.issn.1008-9993.2022.09.021]
[6]韩月华,李婷婷,安若楠,等.唐山市养老机构老年人痴呆恐惧现状及其影响因素分析[J].军事护理,2023,40(08):10.[doi:10.3969/j.issn.2097-1826.2023.08.003]
　HAN Yuehua,LI Tingting,AN Ruonan,et al.Current Status and Influencing Factors of Fear of Dementia of the Elderly in Tangshan Institutions Offering Services for the Elderly[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(11):10.[doi:10.3969/j.issn.2097-1826.2023.08.003]
[7]宋辛颖,李鑫鑫,张伟宏,等.养老机构2型糖尿病衰弱老年人久坐行为现状与影响因素研究[J].军事护理,2023,40(12):14.[doi:10.3969/j.issn.2097-1826.2023.12.004]
　SONG Xinying,LI Xinxin,ZHANG Weihong,et al.Status Quo and Influencing Factors of Sedentary Behavior of Frail Elders with Type 2 Diabetes Mellitus in Nursing Institutions[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(11):14.[doi:10.3969/j.issn.2097-1826.2023.12.004]

备注/Memo

备注/Memo:
【 收稿日期 】 2022-03-30 【 修回日期 】 2022-09-29
【 基金项目 】 国家重点研发计划(2020YFC20205900); 重庆医科大学智慧医学项目(教师)培育(ZHYX202019)
【 作者简介 】 罗迪，硕士，护师，从事老年护理研究
【 通信作者 】 肖明朝，电话:023-89012505
更新日期/Last Update: 2022-11-15