Continuity of activities and learning needs of elderly with physical disabilities

本研究是一项质的研究结果，旨在探讨肢体残障老年人活动的连续性和学习需求。本研究采用半结构式访谈方式，对50名参加老年保健机构(60+)的肢体残疾老年人进行访谈，以了解他们活动的连续性和学习需求。调查结果显示，肢体残疾老年人因机能能力、日常生活方式、自我效能感以及交通等身体障碍等方面的改变而中断从事的各项活动。但他们过去经历的活动，他们“喜欢”的活动，以及“对他们自己的生活有意义”的活动，都是由他们的支持者在他们的发现和帮助下继续并发起的。高度提到的肢体残疾老年人的学习需求是医学关注的领域：康复和促进健康。他们试图接受让他们依赖的现实。他们建立了一个重要的主题，他们想用自己的生活重建这个主题，那就是“不给周围的人制造麻烦”和“独立”。他们对与他人“交流”和对当时的家庭和周围人的“贡献”的学习需求也很强烈。但另一方面，许多肢体残疾的老年人却放弃了与同样健康的人交流的机会。除了特殊朋友以外的一代或一群人。这背后的原因是他们觉得“倾向于只关注自己消极的一面”。这项研究的概括性有限，主要是因为受访者的代表性，但评估肢体残疾老年人的每一项学习需求的重要性及其支持系统的必要性也不会被低估

This study presents the results of a qualitative study that explored the continuity of activities and learning needs of the elderly with physical disabilities. Semistructured interviews with 50 elderly with physical disabilities who participate in the geriatric health care institution (60+) were employed for exploring their continuity of activities and learning needs. According to the survey results, each activity engaged by the elderly with physical disabilities were discontinued because of the change of their functional ability, daily life style, sense of self-efficacy, and physical barriers such as transportations. But the activities they experienced in the past, activities they "liked" and activities with "meanings through their own life" were continued and initiated by their supporters with their discovery and assistance to them. The highly mentioned learning needs of elderly with physical disabilities were areas of medical concern : rehabilitation and health promotion. They were trying to come to terms with their reality which made them dependant. They built an important theme that they want to reconstruct with their life which is " not to make a trouble with people around them" and "to be independence." Also their learning needs for "communication" with others and "contribution" to then family and people around them were strong. But on the other hand, many elderly with physical disabilities were "gives up the opportunities" to communicate with healthy people with same. generation or group except special friends. The reason behind it is their feeling that "tend to focus only on negative aspects of their self." This study had generalizability limitations primarily because of the interviewee's representativeness, but the importance of assessing each learning need of the elderly with physical disabilities and the necessity of their support system would not be underestimated