Being occupied: supporting "meaningful activity' in care homes for older people in England
Being occupied: supporting "meaningful activity' in care homes for older people in England
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DOI：
10.1017/s0144686x17000678
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发表时间：
2018-11-01
期刊：
影响因子：
2.5
通讯作者：
Welch, Elizabeth
中科院分区：
文献类型：
--
作者：
Smith, Nick;Towers, Ann-Marie;Welch, Elizabeth
有意义的活动对晚年生活的好处是有据可查的。研究表明，忙碌对身心健康和生活质量都有好处。研究还表明，运动可能对住在养老院的人有益，包括患有痴呆症的人。本文介绍了一项研究的结果，该研究使用成人社会护理结果工具包（ASCOT）来衡量位于英格兰东南部的六家养老院的生活质量。该研究发现，与之前的研究一样，养老院居民的一天的特点是缺乏活动。通过观察、访谈和焦点小组对这些养老院的居民和工作人员，本文试图理解为什么养老院的居民不从事有意义的活动。我们不认为这些低水平的活动是衰老过程的自然组成部分，也不认为它们可以用居民选择的概念来解释。相反，调查结果指出，资金不足和养老院的工作实践是更实质性的解释。这些解释为如何解决低水平参与有意义的活动和改善居民生活质量的讨论提供了信息。
The benefits of meaningful activity in later life are well documented. Studies show that being occupied contributes to both physical and mental health as well as quality of life. Research also suggests that activity may be beneficial to people residing in care homes, including people living with dementia. This paper presents findings from a study which used the Adult Social Care Outcomes Toolkit (ASCOT) to measure quality of life in six care homes located in the south-east of England. The study found, like previous ones, that care home residents' days were characterised by a lack of activity. Drawing on observations, interviews and focus groups with residents and staff from these homes, this paper attempts to understand why care home residents do not engage in meaningful activities. We reject the idea that these low levels of activity are a natural part of the ageing process or that they can be explained by notions of resident choice. Instead, the findings point to both insufficient funding and working practices within care homes as more substantive explanations. These explanations inform a discussion of how the low levels of engagement in meaningful activity could be addressed and residents' quality of life improved.