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Lighting Effects on Older Adults’ Visual and Nonvisual Performance: A Systematic Review 灯光对老年人视觉和非视觉表现的影响:一项系统综述
Pub Date : 2019-02-14 DOI: 10.1080/02763893.2018.1562407
Xiaojie Lu, N. Park, S. Ahrentzen
Abstract Lighting plays an important role in daily life: It helps people perform daily activities independently and safely, and also benefits their health. This study assesses the research evidence of lighting’s impacts on older adults in four domains: (a) performance of activities of daily living and instrumental activities of daily living; (b) circadian rhythm; (c) fall prevention and postural stability; and (d) sleep quality. A comprehensive review of lighting studies on older adults’ visual and nonvisual performance was conducted using a modified PRISMA systematic review process. For the first domain, some older adults had difficulty in using the toilet, preparing meals, and doing laundry under lower illuminance. For the second domain, brighter and bluish lighting improved older adults’ circadian rhythm. For the third domain, low-intensity LED lighting affixed on door frames can help older adults maintain postural stability and prevent falling during nighttime movement. Finally, some studies concluded that receiving outdoor daylight during exercise was beneficial to older adults’ sleep quality. This study provides several methodological, theoretical, and collaborative suggestions for developing a more conclusive evidence base for lighting standards and strategies for older adults.
照明在日常生活中扮演着重要的角色:它帮助人们独立、安全地进行日常活动,也有益于人们的健康。本研究从四个方面评估了照明对老年人日常生活活动表现和日常生活工具性活动的影响;(b)昼夜节律;(c)防止跌倒和姿势稳定;(d)睡眠质量。采用改进的PRISMA系统评价过程,对照明对老年人视觉和非视觉表现的影响进行了综合评价。对于第一个领域,一些老年人在较低的照明下上厕所、做饭和洗衣服有困难。对于第二个领域,更亮和偏蓝的光线改善了老年人的昼夜节律。对于第三个领域,贴在门框上的低强度LED照明可以帮助老年人保持姿势稳定,防止夜间活动时摔倒。最后,一些研究得出结论,在锻炼时接受户外日光有益于老年人的睡眠质量。本研究提供了一些方法、理论和协作建议,为老年人的照明标准和策略提供更确凿的证据基础。
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引用次数: 19
‘The Older I Get, the Colder I Get’—Older People’s Perspectives on Coping in Cold Homes “我越老,我越冷”——老年人在寒冷的家中应对的观点
Pub Date : 2019-02-10 DOI: 10.1080/02763893.2019.1567642
C. Hughes, S. Natarajan
Abstract An average of 26,560 UK excess winter deaths occur in people 65+ years old each winter, of which 30% are attributed to cold homes. Cold homes are known to exacerbate health problems prevalent in the 65+ demographic. Through conducting interviews in homes occupied by 65+-year-olds known to be achieving less than the World Health Organization (WHO) minimum recommended temperature (18ºC), this article highlights their struggles in maintaining health and managing their homes, with instances of extreme and potentially dangerous methods to achieve thermal comfort identified. Fairer energy provision, better targeted financial aid, and improved support networks are necessary to alleviate current problems.
每年冬天,英国65岁以上的人平均有26560人在冬季死亡,其中30%归因于寒冷的房屋。众所周知,寒冷的家庭会加剧65岁以上人群普遍存在的健康问题。通过对已知温度低于世界卫生组织(WHO)最低建议温度(18ºC)的65岁以上老人所居住的家庭进行访谈,本文强调了他们在保持健康和管理家庭方面的斗争,并确定了实现热舒适的极端和潜在危险方法的实例。要缓解当前的问题,更公平的能源供应、更有针对性的财政援助和更完善的支持网络是必要的。
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引用次数: 10
Decisions About the “If,” “When,” and “How” of Moving Home: Can a Relocation Service Help? A Welsh Case Study 关于搬家的“如果”、“何时”和“如何”的决定:搬家服务能帮上忙吗?威尔士案例研究
Pub Date : 2019-02-10 DOI: 10.1080/02763893.2018.1561594
S. Hillcoat-Nallétamby, Alexandra V. Sardani
Abstract This small-scale, Welsh qualitative study explores how a new “moving on” service empowered older people to move voluntarily from their home to an extra-care facility. Eighteen older people were interviewed about their experiences of the service, which offered in-person, bespoke information, advice, financial, practical, brokerage, and emotional support about moving. Findings indicate three service use patterns: continuous, partial, and discontinued. It was instrumental in empowering clients to exercise decisional, executional, delegated, and/or consumer autonomies. Recommendations for future developments of a prototype “moving on” service include a multipartner approach and caseworker case management training modeled on social work practice.
摘要这项小规模的威尔士定性研究探讨了一项新的“继续前行”服务如何使老年人能够自愿从家中转移到额外的护理机构。18名老年人接受了关于他们的服务体验的采访,该服务提供了亲自定制的信息、建议、财务、实践、经纪和情感支持。调查结果表明有三种服务使用模式:持续、部分和中断。它有助于增强客户行使决策、执行、委托和/或消费者自主权。关于“继续前进”服务原型未来发展的建议包括多方参与的方法和以社会工作实践为模式的个案工作者案例管理培训。
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引用次数: 6
Advancing Program Theory for Licensed Assisted Living Services in Independent Housing 独立住宅持证辅助生活服务的发展计划理论
Pub Date : 2019-02-10 DOI: 10.1080/02763893.2018.1561593
E. Greenfield
Abstract Assisted living programs (ALPs) embed licensed assisted living services within independent housing. To advance nascent research on this type of housing plus services, this study aimed to develop empirically grounded program theory on the processes through which ALPs benefit residents within independent housing. Eighteen in-depth interviews were conducted with current and prospective consumers of an ALP in northern New Jersey, including residents and family caregivers. The setting for the ALP was a federally subsidized independent housing building, which had introduced the ALP approximately 1 year prior to the study. Themes emerging from an iterative coding process indicated the most valued aspects of the ALP’s service delivery, including the comprehensiveness of the service options, the flexible timing for their delivery, and the relational aspects of care. Participants further described the ways in which the structure of the ALP facilitated prevention, such as preventing the occurrence and escalation of adverse health events. The study concludes by presenting a program model that integrates these findings, which suggests that ALPs deliver care in ways that make long-term services and supports more accommodating and acceptable to consumers. This, in turn, can enhance their preventive value to facilitate aging in place among independent housing residents in clinical need of such supports.
摘要辅助生活计划(ALP)将许可的辅助生活服务嵌入独立住房中。为了推进对这类住房加服务的初步研究,本研究旨在发展基于经验的计划理论,研究ALP使独立住房内的居民受益的过程。对新泽西州北部ALP的现有和潜在消费者进行了18次深入采访,其中包括居民和家庭护理人员。ALP的设置是一座由联邦政府补贴的独立住房建筑,该建筑在研究前大约1年引入了ALP。迭代编码过程中出现的主题表明了ALP服务交付最有价值的方面,包括服务选项的全面性、交付的灵活时间以及护理的关系方面。参与者进一步描述了ALP结构促进预防的方式,例如预防不良健康事件的发生和升级。该研究最后提出了一个整合了这些发现的项目模型,该模型表明,ALP提供的护理方式使长期服务和支持更能为消费者所接受。这反过来又可以提高其预防价值,促进临床上需要此类支持的独立住房居民的就地老龄化。
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引用次数: 3
Activity Engagement in Residential Care Settings: Findings from the National Survey of Residential Care Facilities 居住护理环境中的活动参与:全国居住护理设施调查结果
Pub Date : 2019-01-26 DOI: 10.1080/02763893.2018.1534178
Manisha Sengupta, S. Zimmerman, L. Harris-Kojetin
Abstract Assisted living and similar residential care is an important source of care for elders, including those with dementia. Meaningful activities may help residents maintain function, improve self-esteem, and enhance quality of life. Using data from the 2010 National Survey of Residential Care Facilities, this study identifies the extent of resident engagement in different types of activities; examines the extent to which cognitive status, other resident characteristics, and residential care community characteristics relate to activity engagement; and, among cognitively impaired residents, assesses whether being in dementia-specific settings is associated with activity engagement. Compared with persons without cognitive impairment, those with severe cognitive impairment are less likely to go on outings (79% versus 36%) and talk with family and friends (85% versus 72%). Residents with mild to severe cognitive impairment have higher participation in leisure activities than other residents if they live in dementia-specific settings (73% higher) than those who do not.
摘要辅助生活和类似的住宿护理是老年人(包括痴呆症患者)的重要护理来源。有意义的活动可以帮助居民保持功能,提高自尊,提高生活质量。本研究利用2010年全国养老机构调查的数据,确定了居民参与不同类型活动的程度;考察认知状态、其他居民特征和寄宿护理社区特征与活动参与的关系程度;在认知受损的居民中,评估处于痴呆症特定环境中是否与活动参与有关。与没有认知障碍的人相比,患有严重认知障碍的人们不太可能外出(79%对36%),也不太可能与家人和朋友交谈(85%对72%)。如果生活在痴呆症特定环境中,轻度至重度认知障碍的居民比其他居民更容易参与休闲活动(高73%)。
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引用次数: 10
Intergenerational Housing: The Case of Humanitas Netherlands 代际住房:荷兰人道主义组织的案例
Pub Date : 2019-01-26 DOI: 10.1080/02763893.2018.1561592
M. Arentshorst, R. Kloet, A. Peine
Abstract We analyze a case study of an innovative intergenerational housing arrangement in the Netherlands as an example of how a local long-term elderly care practice evolved in response to contemporary challenges. Identified elements of the established local practice relate to the characteristics and strategies of an institutional entrepreneur and elements of the new practice that comes into being, in which reciprocity and mutual learning have a central place. These elements might benefit future elderly housing initiatives as well.
我们分析了荷兰一个创新的代际住房安排的案例研究,作为当地长期老年人护理实践如何应对当代挑战的一个例子。已建立的地方实践的确定要素与机构企业家的特征和战略以及正在形成的新实践的要素有关,其中互惠和相互学习具有中心地位。这些因素也可能有利于未来的老年人住房计划。
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引用次数: 16
The Continuation of Dwelling: Safety as a Situated Effect of Multi-Actor Interactions Within Extra-Care Housing in Sweden 住宅的延续:瑞典特护住房内多主体互动的安全效应
Pub Date : 2019-01-26 DOI: 10.1080/02763893.2018.1534181
Lina Berglund-Snodgrass, C. Nord
Abstract This article examines the space–time situatedness of residing within extra-care housing (ECH) in Sweden. EHC constitutes an example of ordinary housing but is often categorized, along with senior housing, as “in-between housing.” What differentiates the extra-care housing from the ordinary is an age limit for moving in, the provision of communal facilities, and the presence of staff at certain times each week. Two housings with different environmental and architectural conditions have been analyzed through spatial analyses, observations, and interviews with residents (n = 18). The article concludes that the two different assemblings enabled two very different possibilities for accessing “safe aging.” One offered opportunities for the continuation of identities which contributed to feelings of safety, and one demanded the reconstitution of identities for developing meaning in the new housing.
摘要本文考察了瑞典居住在额外护理住房(ECH)内的空间-时间情境。EHC是普通住房的一个例子,但通常与老年住房一起被归类为“中间住房”。额外护理住房与普通住房的区别在于入住的年龄限制、公共设施的提供以及每周特定时间有工作人员在场。通过空间分析、观察和对居民的访谈,分析了两个具有不同环境和建筑条件的住宅(n = 18) 。文章得出结论,这两种不同的组合为获得“安全老龄化”提供了两种截然不同的可能性。一种是提供了延续身份的机会,这有助于安全感,另一种是要求重建身份,以在新住房中发展意义。
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引用次数: 10
Exploration of the Research Circle Methodology for User Involvement in Research on Home and Health Dynamics in Old Age 老年家庭与健康动态研究中用户参与的研究圈方法探索
Pub Date : 2019-01-19 DOI: 10.1080/02763893.2018.1534176
Charlotte Löfqvist, E. Månsson Lexell, M. Nilsson, S. Iwarsson
Abstract The aim of this study was to explore the usefulness of research circle methodology in the later stages of the research process. In an active collaboration with the researchers, participants, that is, users of research, discussed and prioritized research on home and health dynamics. Reflections, comments, and evaluations from both leaders and users were analyzed, applying content analysis. The usefulness of the research circle methodology from the users´ perspective reflected the importance of the content, form for research presentations, leadership methods, and the mix of participants. Research leaders reflect on the role as challenging and demanding, where the composition of users plays an important role for the usefulness of the methodology, as well as for practicalities, form, and content of the research presentations. Research circle methodology offers opportunities for knowledge translation; however, it is demanding and presents a range of challenges, such as the heterogeneity of the group, that needs further exploration.
摘要本研究的目的是探索研究圈方法论在研究过程后期的有用性。在与研究人员的积极合作中,参与者,即研究用户,讨论了关于家庭和健康动态的研究,并将其列为优先事项。运用内容分析法对领导者和用户的反思、评论和评价进行了分析。从用户的角度来看,研究圈方法论的有用性反映了研究报告的内容、形式、领导方法和参与者组合的重要性。研究领导者认为这个角色具有挑战性和要求高,用户的构成对方法的有用性以及研究报告的实用性、形式和内容起着重要作用。研究圈方法论为知识翻译提供了机会;然而,它要求很高,并提出了一系列挑战,例如团队的异质性,需要进一步探索。
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引用次数: 9
A GIS Analysis of East Asian Care Gaps in Residential and Assisted Living Facilities in Vancouver, Canada 加拿大温哥华居住与辅助生活设施东亚照护差距的GIS分析
Pub Date : 2019-01-11 DOI: 10.1080/02763893.2018.1534177
B. B. Walker, S. Canham, A. Wister, M. Fang
Abstract Residential care and assisted living services provide support to seniors who may not have the ability to live independently. However, East Asian residents often do not have sufficient access to culturally specific activities, which may result in psychosocial stress and isolation. This study presents a geographic analysis method to evaluate spatial distribution of culturally tailored senior care facilities in Metro Vancouver. We identify geographical disparities, indicating that many East Asian seniors have poor local access to a culturally tailored facility. We recommend the use of geographical analysis techniques to improve the analysis and planning for senior care in an increasingly diverse population.
摘要住宿照顾和辅助生活服务为可能没有独立生活能力的老年人提供支持。然而,东亚居民往往没有足够的机会参加特定文化的活动,这可能导致心理压力和孤立。本研究提出了一种地理分析方法来评估温哥华大都会有文化特色的老年护理设施的空间分布。我们发现了地理差异,这表明许多东亚老年人在当地很难获得文化定制的设施。我们建议在日益多样化的人群中使用地理分析技术来改进老年护理的分析和规划。
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引用次数: 2
Affordable Housing: Elderly in Tehran and Their Housing Problems 经济适用房:德黑兰的老年人及其住房问题
Pub Date : 2019-01-11 DOI: 10.1080/02763893.2018.1534179
S. Ghaedrahmati, F. Shahsavari
Abstract Affordable housing for elderly people, as an inevitable necessity, is an important issue in Tehran. Since the 1960s, the problem of affordable housing has become visible in Tehran, and today, despite the adoption of various policies and diverse programs, it remains a controversial issue for policymakers in this sector, as well as in academic and scientific scope. In this research, descriptive and analytical techniques are used, and it is conducted in 2018 for Tehran city. The statistical population of this study is the aged population of Tehran. An old age index has been used to measure old age status and density analysis of aged population in Tehran, carried out by Sturge’s Rule. The calculation of this density is prepared based on data from the Iranian Statistics Center for three periods of the 1996, 2006, and 2011 census. In addition, aged housing indices in Tehran have been studied and the most important problems of aged housing have been extracted. The results show that the highest density of the aged population is located in areas 4, 5, and 15, respectively. Failure to provide affordable housing, quality of life, and health threatens many of Tehran's low-income elderly and affects providing other basic needs such as health, medical, social, cultural, and recreational services. Therefore, action in development of housing policies for elderly people in Tehran is necessary due to numerous urban problems and issues such as transportation, Tehran's air pollution, lack of health services, and increasing land price and rent.
摘要老年人负担得起的住房作为一种不可避免的必需品,是德黑兰的一个重要问题。自20世纪60年代以来,负担得起的住房问题在德黑兰变得显而易见。如今,尽管采取了各种政策和不同的计划,但对于该部门以及学术和科学领域的决策者来说,这仍然是一个有争议的问题。在这项研究中,使用了描述性和分析技术,并于2018年对德黑兰市进行了研究。本研究的统计人口为德黑兰的老年人口。老年指数已被用于衡量德黑兰的老年状况和老年人口密度分析,该分析由Sturge规则进行。该密度的计算是根据伊朗统计中心1996年、2006年和2011年三个时期的人口普查数据编制的。此外,还研究了德黑兰的老年住房指数,并提取了老年住房的最重要问题。结果表明,老年人口密度最高的地区分别位于4、5和15区。未能提供负担得起的住房、生活质量和健康威胁到德黑兰的许多低收入老年人,并影响到提供其他基本需求,如健康、医疗、社会、文化和娱乐服务。因此,由于交通、德黑兰的空气污染、缺乏医疗服务以及土地价格和租金上涨等众多城市问题,有必要采取行动制定德黑兰老年人住房政策。
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引用次数: 3
期刊
Journal of Housing for the Elderly
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