'Doing with …' rather than 'doing for …' older adults: rationale and content of the 'Stay Active at Home' programme.

'Doing with …' rather than 'doing for …' older adults: rationale and content of the 'Stay Active at Home' programme.
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DOI:
10.1177/0269215517698733
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发表时间:
2017-11
影响因子:
3
通讯作者:
Kempen GI
Kempen GI
中科院分区:
医学2区
文献类型:
--
作者:
Metzelthin SF;Zijlstra GA;van Rossum E;de Man-van Ginkel JM;Resnick B;Lewin G;Parsons M;Kempen GI

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由于年龄、事故或患病时间的增加,向居住在社区的老年人提供家庭护理服务。传统上,这些服务侧重于为老年人做事情,而不是与他们一起做事情;尽管从康复的角度来看,重要的是帮助老年人达到并保持其最高水平的功能。因此,需要重新定位家庭护理服务,从治疗疾病和制造依赖转向专注于能力和机会并最大限度地提高独立性。为了在家庭护理专业人员中实现这一行为改变,制定了“在家中保持活跃”计划。本文的目的是利用TIDIER(干预描述和复制模板)核对表,详细说明“在家中保持活跃”方案的基本原理和内容。“留在家中”是一项全面的培训计划,旨在为家居护理专业人员(即社区护士和家务支援工作者)提供所需的知识、态度、技能以及社会和组织上的支持,以便从更具康复能力的角度提供家居日常服务。更具体地说,家庭护理专业人员应提供以目标为导向、全面和以人为中心的服务,重点是支持老年人保持、获得或恢复从事身体和日常活动的能力,以便他们能够尽可能独立地管理自己的日常生活。
Owing to increasing age, accidents or periods of illness, home care services are provided to community-dwelling older adults. Traditionally, these services focus on doing things for older adults rather than with them; though from a rehabilitative perspective, it is important to assist older adults to attain and maintain their highest level of functioning. Consequently, a re-orientation of home care services is required away from treating disease and creating dependency towards focusing on capabilities and opportunities and maximising independence. To achieve this behavioural change in home care professionals, the ‘Stay Active at Home’ programme was developed. The aim of this article is to give a detailed description of the rationale and content of the ‘Stay Active at Home’ programme by making use of the TIDieR (Template for Intervention Description and Replication) Checklist. ‘Stay Active at Home’ is a comprehensive training programme that aims to equip home care professionals (i.e. community nurses and domestic support workers) with the necessary knowledge, attitude, skills and social and organisational support to deliver day-to-day services at home from a more rehabilitative perspective. More specifically, home care professionals are expected to deliver goal-oriented, holistic and person-centred services focusing on supporting older adults to maintain, gain or restore their competences to engage in physical and daily activities so that they can manage their everyday life as independently as possible.
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