现场老龄化的包容性实践:老年人的环境和家庭修改
Selena E Washington1, Emma Edwards2, Abby Fink3
1Selena E. Washington, PhD, MSPH, OTR/L, is Associate Professor, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO; selena.washington@health.slu.edu.
概括
老年人家庭改造计划 (OAHMP) 改善了低收入老年人的家庭安全和日常活动的独立性. 这项具有成本效益的计划通过跨专业的合作和定制的家居改造来支持现场老龄化.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 职业疗法 职业疗法 职业疗法
背景情况:
- 人口老龄化正在扩大,增加了对低收入老年人有效的房屋改造计划的需求.
- 支持老年人老龄化在现场对于他们的福祉至关重要,并降低了医疗保健成本.
研究的目的:
- 评估老年人家庭改造计划 (OAHMP) 在城市环境中的实施情况.
- 评估该计划如何整合功能干预和家庭改造,以满足低收入家庭中老年人的需求.
主要方法:
- 使用社会人口统计学特征和实施前后数据的描述性分析进行计划评估研究.
- 干预涉及职业治疗师,家庭修改团队和社会工作者对家庭进行三次访问.
- 配对样本的t测试和Pearson的r相关性分析被用来比较功能分数和评估关系.
主要成果:
- 在OAHMP实施后的日常生活自我护理活动 (ADLs) 和家庭安全方面观察到显著的改善.
- 在ADL和仪器ADL中发现了健康状况和改善的独立性之间的积极关系.
- 91%的个人目标实现或部分实现,平均修改成本低于全国平均水平.
结论:
- OAHMP有效地提高了多元化,低收入的老年人的ADL独立性和家庭安全,支持现场老龄化.
- 以客户为中心的修改和跨专业的合作解决环境障碍,促进自主和职业参与.
- 该计划的成本效益和对健康公平的关注突出了职业治疗在社区生活中的重要作用.
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