PDF(Pubmed)
Abstract：
BACKGROUND: Nurse-led preventive home visiting programmes can improve health-related outcomes in community-dwelling older adults, but they have not proven to be cost-effective. Home visiting programmes led by nursing students could be a viable alternative. However, we do not know how community-dwelling older adults with chronic multimorbidity experience home visiting programmes in which nursing students carry out health promotion activities. The aim of the study is to understand how community-dwelling older adults with chronic multimorbidity experience a home visiting programme led by nursing students.
METHODS: A qualitative study based on Gadamer\'s hermeneutics. Thirty-one community-dwelling older adults with chronic multimorbidity were interviewed in-depth. Fleming\'s method for conducting hermeneutic, Gadamerian-based studies was followed and ATLAS.ti software was used for data analysis.
RESULTS: Two main themes were generated: (1) \'The empowering experience of a personalised health-promoting intervention\', and (2) \'The emancipatory effect of going beyond standardised self-care education\'.
CONCLUSIONS: The home visiting programme contributed to the community-dwelling older adults feeling more empowered to engage in health-promoting self-care behaviours. It also improved the older adults\' sense of autonomy and self-efficacy, while reducing their loneliness and addressing some perceived shortcomings of the healthcare system.
CONCLUSIONS: Older adults participating in a home visiting programme led by nursing students feel empowered to implement self-care behaviours, which has a positive impact on their perceived health status. Nurse leaders and nursing regulatory bodies could collaborate with nursing faculties to integrate preventive home visiting programmes led by nursing students into the services offered to community-dwelling older adults with chronic multimorbidity.
METHODS: A qualitative study based on Gadamer\'s hermeneutics. Thirty-one community-dwelling older adults with chronic multimorbidity were interviewed in-depth. Fleming\'s method for conducting hermeneutic, Gadamerian-based studies was followed and ATLAS.ti software was used for data analysis.
RESULTS: Two main themes were generated: (1) \'The empowering experience of a personalised health-promoting intervention\', and (2) \'The emancipatory effect of going beyond standardised self-care education\'.
CONCLUSIONS: The home visiting programme contributed to the community-dwelling older adults feeling more empowered to engage in health-promoting self-care behaviours. It also improved the older adults\' sense of autonomy and self-efficacy, while reducing their loneliness and addressing some perceived shortcomings of the healthcare system.
CONCLUSIONS: Older adults participating in a home visiting programme led by nursing students feel empowered to implement self-care behaviours, which has a positive impact on their perceived health status. Nurse leaders and nursing regulatory bodies could collaborate with nursing faculties to integrate preventive home visiting programmes led by nursing students into the services offered to community-dwelling older adults with chronic multimorbidity.
摘要：
背景：护士主导的预防性家访计划可以改善社区老年人的健康相关结果，但是它们没有被证明具有成本效益。由护理专业学生领导的家庭访问计划可能是一个可行的选择。然而,我们不知道居住在社区的患有慢性多重性疾病的老年人如何体验家庭访问计划，在这些计划中，护理学生开展健康促进活动。该研究的目的是了解社区居住的患有慢性多重性疾病的老年人如何经历由护理专业学生领导的家庭访问计划。
方法：基于伽达默尔解释学的定性研究。对31名居住在社区的患有慢性多重性疾病的老年人进行了深入采访。弗莱明进行解释学的方法，随后进行了基于伽达美尔的研究和ATLAS。使用ti软件进行数据分析。
结果：产生了两个主要主题：（1）“个性化健康促进干预的授权体验”，和(2)“超越标准化自我保健教育的解放效应”。
结论：家访计划有助于社区居住的老年人感到更有能力从事促进健康的自我保健行为。它还提高了老年人的自主性和自我效能感，同时减少他们的孤独感并解决医疗保健系统的一些缺点。
结论：参加由护生领导的家庭访问计划的老年人感到有能力实施自我护理行为，这对他们感知的健康状况有积极影响。护士领导和护理监管机构可以与护理学院合作，将护理学生领导的预防性家访计划纳入向患有慢性多重性疾病的社区居住老年人提供的服务。
方法：基于伽达默尔解释学的定性研究。对31名居住在社区的患有慢性多重性疾病的老年人进行了深入采访。弗莱明进行解释学的方法，随后进行了基于伽达美尔的研究和ATLAS。使用ti软件进行数据分析。
结果：产生了两个主要主题：（1）“个性化健康促进干预的授权体验”，和(2)“超越标准化自我保健教育的解放效应”。
结论：家访计划有助于社区居住的老年人感到更有能力从事促进健康的自我保健行为。它还提高了老年人的自主性和自我效能感，同时减少他们的孤独感并解决医疗保健系统的一些缺点。
结论：参加由护生领导的家庭访问计划的老年人感到有能力实施自我护理行为，这对他们感知的健康状况有积极影响。护士领导和护理监管机构可以与护理学院合作，将护理学生领导的预防性家访计划纳入向患有慢性多重性疾病的社区居住老年人提供的服务。
