A qualitative study on the experience and needs of dignity-conserving care for the disabled elderly people in nursing homes
10.3761/j.issn.0254-1769.2023.24.009
- VernacularTitle:养老机构失能老年人尊严照护体验及需求的质性研究
- Author:
Lingshan CHEN
1
;
Cuizhen SHEN
;
Qianyin ZHU
;
Tingyu MU
Author Information
1. 310051 杭州市 浙江中医药大学护理学院
- Keywords:
Dignity;
Nursing Home;
Disability;
Aged;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2023;58(24):3004-3011
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aimed to explore the experience and needs of dignity-conserving care of disabled elderly people in nursing homes,and to provide a basis for formulating a quality evaluation system for dignity-conserving care.Methods This descriptive qualitative study,involving a semi-structured in-depth interview of 13 disabled elderly people based on purposive sampling,was conducted from August to November 2022 at a nursing home in Hangzhou.Based on the harmony nursing theory,the directional content analysis method was performed in order to summarize and extract themes from the interview texts.Results The dignity-conserving care experience and needs of disabled elderly people were extracted and classified into 5 themes,including physical safety(physical health maintenance,privacy protection,hygiene and image maintenance),psychological health(psychological counseling,psychological support),social communication(well communication environment,harmonious way of communication),spiritual culture(self-realization,respect for faith),needs of dignity-conserving care(individualized health needs,activity participation needs,dignified communication needs,spiritual needs of respecting the elderly).Conclusion When conducting the dignity-conserving care,nursing homes should pay attention to the physical health of the disabled elderly,actively maintain the image and privacy of the disabled elderly people,pay attention to the needs of psychological health,provide psychological counseling and support,strengthen the construction of barrier-free environments and cultural environments,build mutual respect way of communication,fully respect the religious beliefs of disabled elderly people,promote the realization of self-value of disabled elderly people,broaden the channels of personalized service and activity participation,strengthen the interaction of the dignity and spirit of the respect for the elderly of nursing homes,comprehensively improve the quality of dignity-conserving care in nursing homes.