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《Health & place》2019
Ageing in place raises pressing questions about medication practices at home. Understanding how medication practices are integrated into older adults’ domestic settings requires an interest in where activities linked to medication take place and why. This study aimed to describe the medication practices and spatial dimensions of medication management for home-dwelling older adults after hospital discharge, using a qualitative research design. Semi-structured interviews were carried out with ten older adults aged 65 years old or more and discharged home from hospital, together with nine informal caregivers. Thematic content analysis identified two main themes dealing with the spatial dimensions of medication management in this specific context: the process of integrating medication changes into routines and familiar spaces, and the individual and collective management of medication changes linked to a renegotiation of the boundaries between public and private spaces. 相似文献
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Rosemary Cant 《Australian Occupational Therapy Journal》1993,40(3):113-121
Newer policies of community care for those with disabilities have resulted in the home becoming the usual site of care. Policy makers must now give attention to the needs of those at home giving this care. This article explores the constraints on sociability opportunities of 73 mothers who were caring for children with disabilities. These opportunities are often built into leisure pursuits for women without caring responsibilities. However, choice of out-of-house leisure activity was circumscribed for the mothers in this study and their reported leisure activities revolved around home and neighbourhood. Even these sites offered limited scope for sociability because of the way in which caring affected domestic space and because of the characteristics of the modern Australian suburb. It is argued in this paper that personal time and personal domestic space are needed by care-givers so their sociability needs can be fulfilled. An understanding of the constraints imposed by use of the home as a place of care may make possible the planning of a rearrangement of domestic space to increase sociability opportunities for carers. 相似文献
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目的 对隔代抚养与老年人心理健康关系进行meta分析。 方法 检索PubMed、Embase、the Cochrane Library、Web of Science、中国知网、万方、维普等中英文数据库,收集关于隔代抚养对老年人心理健康影响的相关文献,检索时限为自建库起至2021年5月。对纳入文献进行质量评价及数据整理。所有数据均采用RevMan 5.4软件进行meta分析。结果 最终纳入20篇文献,总样本量69 974例。Meta分析结果显示:在认知功能(SMD = 0.32, 95%CI:0.28~0.36, P<0.001)、生活满意度(SMD = 0.06, 95%CI:0.04~0.09, P<0.001)及自评健康(SMD = 0.08, 95%CI:0.02~0.14, P = 0.010)评估中,隔代抚养组评估结果优于非隔代抚养组,呈正相关且有统计学差异;在抑郁状况(SMD = - 0.04, 95%CI: - 0.09~0.01, P = 0.150)评估中,隔代抚养组评估结果劣于非隔代抚养组,呈负相关且有统计学差异。亚组分析结果显示:与非隔代抚养组相比,国外隔代抚养组(SMD = 0.27, 95%CI:0.15~0.39, P<0.001);国内隔代抚养组(SMD = - 0.07, 95%CI: - 0.09~ - 0.05, P<0.001)老年人抑郁状况差异具有统计学意义。祖父抚养组与祖母抚养组(SMD = - 0.32, 95%CI: - 0.40~ - 0.24, P<0.001);城镇抚养组与农村抚养组(SMD = - 0.23, 95%CI: - 0.30~ - 0.17, P<0.001)抑郁状况差异具有统计学意义。结论 隔代抚养对老年人的认知功能、生活满意度及自评健康有维持和促进作用。国家、性别及地域是隔代抚养老年人抑郁状况的重要影响因素。 相似文献
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