Lived experience of middle-aged women living with a disability in Isaan, Thailand

The purpose of this study was to explore and describe the experiences of middle-aged women living with a disability in Isaan, Thailand. Sixteen women with disabilities, aged 40-60 years, were initially recruited by purposive sampling and, subsequently, theoretical sampling was employed. A qualitative method was applied. The data were collected by using in-depth interviews and observations and these datasets were triangulated. The qualitative data were analyzed by using content analysis. To increase trustworthiness, prolonged engagement, triangulation of the data, peer debriefing, and member checks with the participants were used. The results show that three inter-related themes emerged: dealing with unpredictable fluctuations in physical competence and health status, maintaining the gender role under physical limitation, and a need for a supportive environment. The results indicate that gender and culture play a significant role in the daily lives of women with disabilities. Based on the study's findings, a gender-and culture-sensitive nursing care system is essential.