Home: the place the older adult cannot imagine living without.

Home: the place the older adult cannot imagine living without.
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DOI:
10.1186/1471-2318-11-10
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发表时间:
2011-03-17
期刊:
影响因子:
4.1
通讯作者:
von Post I
von Post I
中科院分区:
医学2区
文献类型:
--
作者:
Gillsjö C;Schwartz-Barcott D;von Post I

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快速老龄化的人口越来越希望留在家里,卫生政策的变化,促进医疗保健从正式的地方,医院和机构转移到更非正式的设置一个人的家支持需要进一步的研究,是专门为了解老年人的家庭经验。然而,卫生保健提供者对老年人的家庭体验知之甚少。本研究的目的是了解家庭的经验,经验丰富的老年人生活在瑞典的农村社区。由冯·波斯特和埃里克松发展起来的、以伽达默尔的哲学诠释学为基础的诠释学解释被用来解释对六位老年人的采访。解释包括对研究人员的经验和偏见进行自我检查,并通过几次阅读将文本与读者结合起来,允许新的问题出现,融合视野,总结主要和次要主题,并允许新的理解出现。会上提出了两个主题和六个次主题。家被认为是老年人无法想象离开的地方,也是一个人可能被迫离开的地方。老年人的思想在众所周知的现在和所有舒适与未知的未来之间摇摆不定,未来充满了问题和恐惧,包括失去家园的潜在威胁。家已经成为生活本身不可或缺的一部分,也是老年人的一个亲密部分,当老年人失去家时,他们也失去了最接近他们心灵的地方,他们在家里的地方,可以保持他们的身份,完整性和生活方式。需要作出额外的努力,以了解老年人的家庭内的家庭保健的经验,以尽量减少干扰和最大限度地照顾。有必要更充分地探讨老年人在家中与卫生保健提供者的经验及其对老年人“在家”的感觉及其健康和整体福祉的影响。
Rapidly aging populations with an increased desire to remain at home and changes in health policy that promote the transfer of health care from formal places, as hospitals and institutions, to the more informal setting of one's home support the need for further research that is designed specifically to understand the experience of home among older adults. Yet, little is known among health care providers about the older adult's experience of home. The aim of this study was to understand the experience of home as experienced by older adults living in a rural community in Sweden. Hermeneutical interpretation, as developed by von Post and Eriksson and based on Gadamer's philosophical hermeneutics, was used to interpret interviews with six older adults. The interpretation included a self examination of the researcher's experiences and prejudices and proceeded through several readings which integrated the text with the reader, allowed new questions to emerge, fused the horizons, summarized main and sub-themes and allowed a new understanding to emerge. Two main and six sub-themes emerged. Home was experienced as the place the older adult could not imagine living without but also as the place one might be forced to leave. The older adult's thoughts vacillated between the well known present and all its comforts and the unknown future with all its questions and fears, including the underlying threat of loosing one's home. Home has become so integral to life itself and such an intimate part of the older adult's being that when older adults lose their home, they also loose the place closest to their heart, the place where they are at home and can maintain their identity, integrity and way of living. Additional effort needs to be made to understand the older adult's experience of home within home health care in order to minimize intrusion and maximize care. There is a need to more fully explore the older adult's experience with health care providers in the home and its impact on the older adult's sense of "being at home" and their health and overall well-being.
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