The Needs of Older People in Sheltered Housing: A Comparison of Inner City and New Town Areas
The Needs of Older People in Sheltered Housing: A Comparison of Inner City and New Town Areas
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DOI：
10.1300/j081v19n02_07
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发表时间：
2005-01-01
影响因子：
--
通讯作者：
Orrell, Martin
中科院分区：
文献类型：
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作者：
Field, Elizabeth;Walker, Mike;Orrell, Martin
目的。在英国，收容所通常被视为介于独立社区生活和长期护理之间的中途之家，但人们对其居民的健康和需求知之甚少。这项研究的目的是比较两个不同地区入住养老院的老年人的需求。设计和方法。来自三个市中心庇护住房计划(N=51)和三个新市镇计划(N=87)的居民接受了坎伯韦尔老年人拐杖需求评估的访问。他们还被问及他们的社交网络、健康状况、服务使用情况以及入住避难所的原因。采用多阶段环评程序(MEAP)和典狱长访谈法对各单位的设施、政策和物理布局进行评价。138名居民中有75名(54%)有一种或多种未得到满足的需求，但这两个地区的未得到满足的需求数量没有区别。未得到满足的需求在活动受限、精神健康问题或社交网络有限的人中更为常见。市中心居民的身心健康较差，但更多地利用当地资源，并认为他们的安置比新城居民更成功。长者住屋单位应灵活处理，以应付不同的需要，并善用居民的优势和资源。在新城地区，那些社交网络受限的人可能有更高的未得到满足的需求，因为他们更难获得公共交通等社区资源。那些在市中心地区的人没有得到满足的需求较少，因为他们更容易获得社区资源，如交通工具。避难所需要更好地利用当地社区资源，以帮助防止居民感到孤立。(C)2005年，由Haworth Press，Inc.保留所有权利。]
Purpose. Sheltered accommodation in the UK is commonly seen as a half-way house between independent community living and long-term care but little is known about the health and needs of its residents. The purpose of this study was to compare the needs of older people living in sheltered housing in two contrasting areas.Design and Methods. Residents from three inner city sheltered housing schemes (N = 51) and three new town schemes (N = 87) were interviewed using the Camberwell Assessment of Need for the Elderly CANE). They were also asked about their social networks, health, service use, and reasons for moving into sheltered housing. Each unit's facilities, policies, and physical layout were evaluated using the Multiphasic Environmental Assessment Procedure (MEAP) and warden interview.Results. Seventy-five out of 138 (54%) residents had one or more unmet needs, but number of unmet needs did not differ between the two areas. Unmet needs were more common in people with activity limitation, mental health problems, or limited social networks. Inner-city residents had poorer mental and physical health but used local resources more and viewed their placement as more successful than those in the new town.Implications. Sheltered housing units should be flexible to meet the variety of needs, and also utilise the strengths and resources of residents. In the new town area those with restricted social networks may have had higher unmet needs because of poorer access to community resources such as public transport. Those in the inner city area had less unmet needs because they had better access to community resources, such as transport. Sheltered accommodation needs to have better access to local community resources to help prevent residents feeling isolated. (C) 2005 by The Haworth Press, Inc. All rights reserved.]