BACKGROUND Today many older persons in ordinary housing receive home health care. It is stipulated that the care is to provide security; however, deficiencies in home health care are reported in many countries. It may be difficult to implement a sense of security among older persons receiving home health care in ordinary housing, especially during the evenings and nights, due to a lack of knowledge. METHODS This study is part of a larger project with a participatory appreciative action and reflection (PAAR) approach. We invited older persons, relatives, nurse assistants, registered nurses, and their managers to co-create knowledge with us on how conditions for a sense of security can be created during evenings and nights among older persons receiving home health care in ordinary housing. We performed thematic analysis of the data. RESULTS Five subthemes were developed that gave structure to two main themes. The first main theme, To confirm the self-image, has the following subthemes: To see the home as a reflection of the person's identity and To maintain self-determination. The second main theme, To create interaction in a sheltered place, has these subthemes: To undress the power, To create control and lifelines, and To create a good sleeping environment. The two themes interact and are each other's conditions. The person's self-image must be confirmed in order to create interaction in a sheltered place and through the interaction, the self-image is confirmed. CONCLUSION Conditions necessary for older persons to have a sense of security are living in a familiar environment, having habits and routines maintained, and having self-determination. Other conditions are equality, the prevention of falls, and an individualized sleeping environment. Older people's self-determination should be honored, and they should not being excluded from decision-making. We need to ask them if the conditions are sufficient and their sense of security is great enough to allow them to continue living in their ordinary housing.

中文翻译：

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为在普通住房中接受家庭保健的老年人在晚上和晚上创造一种安全感的条件：一项参与性的欣赏行动和反思研究。

背景技术今天，许多普通住房中的老年人得到家庭保健。规定照顾是为了提供安全；但是，许多国家都报告了家庭保健方面的缺陷。由于缺乏知识，可能难以在普通住房中接受家庭保健的老年人中实现安全感，尤其是在晚上和晚上。方法该研究是一个较大的项目的一部分，该项目采用参与式欣赏行动和反思（PAAR）方法。我们邀请老年人，亲戚，护士助理，注册护士及其管理人员与我们共同创造知识，以了解如何在普通住房中接受晚间护理的老年人在晚上和晚上创造安全感的条件。我们对数据进行了主题分析。结果开发了五个子主题，这些子主题为两个主要主题提供了结构。第一个主要主题是“确认自我形象”，它具有以下子主题：将房屋视为个人身份的反映，并保持自决。第二个主要主题是在一个隐蔽的地方创造互动，它包含以下子主题：释放力量，创造控制力和生命线以及创造良好的睡眠环境。这两个主题是相互影响的，并且是彼此的条件。必须确认该人的自我形象，以便在一个庇护所中产生互动，并通过互动来确认自我形象。结论老年人具有安全感的必要条件是生活在熟悉的环境中，保持习惯和例行公事，并具有自决权。其他条件包括平等，防止跌倒和个性化的睡眠环境。应该尊重老年人的自决权，不应将他们排除在决策之外。我们需要问他们条件是否足够，他们的安全感是否足以使他们继续住在普通住房中。