保持自主:慢性疾病的老年人和他们的亲人如何解释,导航和克服日常困难
Thomas Ballmer1, Brigitte Gantschnig1,2
1Institute of Occupational Therapy, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
患有慢性疾病的老年人通过优先考虑自主和代理来应对日常挑战,以保持积极的身份. 干预措施应支持他们的创造性应对策略和个人目标.
科学领域:
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
- 健康心理学 心理健康心理学
背景情况:
- 大多数老年人居住在家中,经常管理慢性疾病.
- 慢性疾病经常导致活动和参与的限制.
- 了解应对机制对于有效支持至关重要.
研究的目的:
- 确定在家中生活的患有慢性疾病的老年人所面临的日常困难.
- 检查这些个人及其重要的人如何解释,导航和克服挑战.
- 探索维持生活质量的策略,尽管有健康限制.
主要方法:
- 对八名老年人和两个重要的人进行了焦点小组采访.
- 采访的文字转录,以便进行详细的分析.
- 采用主题分析来识别反复出现的模式和主题.
主要成果:
- 确定了三个关键主题:努力保持控制,平衡资源与环境需求,以及谈判独立/相互依赖.
- 参与者认为困难是多原因的.
- 保持自治,主动性和积极的身份是主要目标,通过创造性,个人战略实现.
结论:
- 患有慢性疾病的老年人优先考虑自主和主动性,以保持他们的身份.
- 支持干预应与这些优先事项保持一致,并利用个人创造力.
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