养老机构失能老人自立行为影响因素的质性研究
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Influencing factors of self-reliance behaviors of disabled older adults in nursing homes:a qualitative research
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    目的 探讨影响养老机构失能老人自立行为的因素,为制订自立提升策略提供参考。 方法 采用目的抽样选取养老机构的9名失能老人和12名工作人员进行半结构式深入访谈,采用内容分析法分析资料。 结果 归纳出4个主题和7个子主题:个人特质(促进、阻碍自立行为的特质),认知偏差(照护服务即“伺候”、照护者即“保姆或佣人”),益处感知(增强身心功能、获得积极心理体验、获得护理员的关心),自我效能感。 结论 养老机构失能老人的自立行为受到多种因素影响,可通过纠正老人的认知偏差、引导其及早发现自立行为的益处、培养自立习惯提升自我效能感,调动失能老人自立的积极性。

    Abstract:

    Objective To explore factors influencing self-reliance behaviors of disabled older adults in nursing homes, and to provide a basis for formulating self-reliance promotion strategies. Methods A total of 9 disabled older adults and 12 staff members from nursing homes were selected for semi-structured in-depth interviews using purposive sampling method. Content analysis was performed for interview data. Results Four themes and seven sub-themes were identified, including personal traits (traits that promote or hinder self-reliant behaviors), cognitive biases (viewing caregiving as a servant job, viewing caregivers as sitters or maids), perceived benefits (having enhanced physical and psychological functioning, attaining positive psychological experience, winning caregiver′s concern), and self-efficacy. Conclusion Many factors can affect self-reliance behaviors of disabled older adults in nursing homes. Nursing staff can improve older adults′ sense of self-efficacy by correcting their cognitive bias, guiding them to discover the benefits of self-reliance as early as possible, and by forging self-reliance habits, in an effort to mobilize their enthusiasm for self-reliance.

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王二娇,肖树芹,白玺,刘雪.养老机构失能老人自立行为影响因素的质性研究[J].护理学杂志,2023,28(7):106-109

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  • 收稿日期:2022-11-15
  • 最后修改日期:2022-12-29
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  • 在线发布日期: 2023-12-29