多样性中的人性:帮助居住在私立非营利养老院的边缘化孤独老人的简单基本补充行动

Ani Oranda Panjaitan, Silphia Novelyn, Ekarini Daroedono, Yasinta Putri Chairulnisa, Anastacia Justine, Iga Ayu Parandida, Yosephine Vania Wiharianti, F. E. Siagian
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引用次数: 0

摘要

研究目的:描述一种简单的基本人性化补充行为,如养老院探访,这种行为可以通过简单而普遍的人性化接触,帮助非营利养老院的一群边缘化和被遗弃的无依无靠的老人感受到更好的生活,还可以维持或改善老人的功能状态,减少对养老院护理服务的使用;这种方法可以被视为一种替代方法,对老人的医疗管理进行补充: 干预性横断面研究:研究方法:12 名患有老年综合症的患者(1 名男性,11 名女性;年龄在 65-85 岁之间),他们以前独自生活,没有家人,没有社会保障,被遗弃和边缘化。在这 12 名住院者中,有 3 人明确患有中风后遗症,身体一侧虚弱或瘫痪,协调和平衡能力有问题。12 人中有 7 人患有高血压。我们进行了五次简单而基本的护理院探访,以维持和改善长者的功能状况,尽量减少使用院舍护理服务。在前两次探访中,一个先进的小团队进行了简单的焦点小组讨论(第一次探访针对管理层,第二次探访针对院友),内容涉及养老院日常管理的连续性以及院友感受到的优缺点和未来希望。第三次探访是我们的主要社会活动,以所有老人为中心,随后是第四次和第五次探访,对囚犯对上一次探访的反应进行简单的观察和分析:第四次和第五次探访期间进行的观察显示,情况略有改善。这种基本的风险限制小组干预)与老年人的表现有关,如在他们之间的谈话话题方面,以及在价值感、被关注、被认为存在和重要等方面的个人感知有所增强。像我们这样的风险限制小组方法似乎很有前景,但还需要进一步的科学证据:保持甚至改善老年人功能状态的非侵入性辅助人道方法是一种可行的方法,它可以带来快乐和幸福,减轻医疗和经济负担,因此,改善实时的心理生物福利是老年问题管理的一部分。不过,这种方法还需要进一步的工作来验证其可靠性。
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Humanity in Diversity: A Simple Basic Complementary Act to Help the Marginalized and Lonely Elderly Living in a Private, Non-Profit Nursing Home
Aims: To describe a simple basic complementary humanity act such as nursing home visit that can help a group of marginalized and abandoned elderly with no family who live together as residents of a non-profit nursing home feel better with simple but universal human touch and also to maintain or improve the functional status of elderly and reduce the use of institutional care services; an approach that can be consider as an alternative that complement the medical management of the elderly Study Design:  Interventional cross sectional study. Place and Duration of Study: Private non-profit nursing home Yayasan Bunga Bakung, north Jakarta, Indonesia, between November-December 2023. Methodology: 12 individuals (1 man, 11 women; age range 65-85 years) with geriatric syndrome whose previously live alone with no family, no social security, abandoned and marginalized, which are then accommodated and maintained by a non-profit foundation in a nursing home as subject to our visit. Three out of these 12 residents have definite post-stroke condition with weakness or paralysis on one side of their body, and having problems with co-ordination and balance. 7 out of 12 suffer from hypertension. We conducted five simple and basic nursing home visit to maintain and improve the functional status of elderly and minimize the use of institutional care services. In the first two visit, a small advanced team conducted simple focus group discussion (to the management in the first visit, and to the inmates during the second visit) regarding the daily management of the continuity of nursing homes as well as the advantages and disadvantages and future hopes felt by the inmates. The third visit is our main social activity which centered on all the elderly and followed by the fourth and fifth visit where simple observation and analysis of the inmate’s response to the previous visit conducted. Results: Observation conducted during the fourth and fifth showed a slight improvement. This basic risk limitation group intervention) related to the performance of the elderly, such as in the context of topics of conversation among themselves as well as increased personal perceptions regarding feelings of worth, being given attention, being considered present and important. A risk limitation group approach like the one that we did seems promising, but further scientific evidence is needed Conclusion: Non-invasive complementary humanitarian approach for maintaining and even improving functional status of elderly is a possible approach that may produce happiness and well-being, and reduce medical as well as financial burden, hence improving the real time psycho-biological welfare is part of the management of geriatric problem. This approach, however, need further work to validate reliability.
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