Autonomy among physically frail older people in nursing home settings: A study protocol for an intervention study

被引：7

作者：

Andresen M. ^{[1
]}

Puggaard L. ^{[2
]}

机构：

[1] University of Southern Denmark, Faculty of Health Sciences, Institute of Exercise and Biomechanics

来源：

BMC Geriatrics | / 8卷 / 1期

关键词：

Nursing Home; Nursing Home Resident; Individual Programme; Dine Room; Health Promotion Strategy;

D O I：

10.1186/1471-2318-8-32

中图分类号：

学科分类号：

摘要：

Background. Experiencing autonomy is recognised to promote health and well-being for all age groups. Perceived lack of control has been found to be detrimental to physical and mental health. There is a lack of evidence-based knowledge elucidating how frail older people in nursing home settings themselves perceive autonomy in daily life. Further, there are no studies on the extent to which this perception can be influenced positively by participating in an individually tailored programme based on residents' own wishes for daily activities. Methods and design. A total of 9 nursing homes and 55 participants aged 65 years or older were included in the study. All the participants were restricted in performing at least one P-ADL activity unassisted and had a Mini Mental State Examination-score above 16. Perceived autonomy was measured at baseline, after 12 weeks and after 24 weeks by The Autonomy Sub-dimension in the Measure of Actualisation of Potential test. Programmes were based on participants' individual assessment of their most important daily activities. Staff at all nursing homes who usually organize physical training, social or creative activities carried out individually tailored programmes using their usual methods and equipment. Participants in each nursing home were divided by lot into either a control group or an intervention group. The control groups received their usual care and treatment. Discussion. This study is designed to assess the status of perceived autonomy at baseline and to provide information about the effectiveness of individually tailored programmes according to perceptions of autonomy registered in institutionalised physically frail older people. This will add knowledge to assist response to present and future challenges in relation to health promotion initiatives for this group. Trial registration number. NCT00783055. © 2008 Andresen and Puggaard; licensee BioMed Central Ltd.

引用

共 33 条

[11]

Scott P.A., Valimaki M., Leini-Kilpi H., Dassen T., Autonomy, privacy and informed concent 3: Elderly care perspective, British Journal of Nursing, 12, 3, pp. 158-168, (2003)

[12]

Reinardy J.R., Autonomy, choice and decision-making: How nursing home social workers view their role, Social Work in Health Care, 29, 3, (1999)

[13]

Kane R.A., Caplan A.L., Urv-Wong E.K., Freeman I.C., Aroskar M.A., Finch M., Everyday matters in lives of nursing home residents: Wish for and perception of choice and control, J Am Geriatr Soc, 45, 9, pp. 1086-93, (1997)

[14]

Shawler C., Rowels G.D., High D.M., Analysis of key decision-making incidents in the life of a nursing home resident, The Gerontologist, 41, 5, pp. 612-22, (2001)

[15]

Legarth K.H., The most important activity and the reasons for that experience reported by a Danish population at age 75 years, Br J Occup Ther, 68, pp. 501-508, (2005)

[16]

Lysack C.L., Seipke H.L., Communicating the occupational self: A qualitative study of oldest-old American women, Scand J Occup Ther, 9, pp. 130-39, (2002)

[17]

Davies S., Laker S., Ellis L., Promoting autonomy and independence for older people within nursing practice: A literature review, Journal of Advanced Nursing, 26, pp. 408-417, (1997)

[18]

Agich G., Autonomy and Long Term Care, (1993)

[19]

Jackson J., Living a meaningful existence in old age, Occupational Science - The Evolving Discipline, (1996)

[20]

Johnson B.D., Stone G.L., Altmaier E.M., Berdahl L.D., The relationship of demographic factors, locus of control and self-efficacy to successful nursing home adjustment, Gerontologist, 38, 2, pp. 209-216, (1998)

← 1 2 3 4 →