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老年人视力丧失适应过程中的心理社会问题:定性访谈和焦点小组的研究结果

Psychosocial issues in older adults' adjustment to vision loss: findings from qualitative interviews and focus groups.

作者信息

Teitelman Jodi, Copolillo Al

机构信息

Department of Occupational Therapy, Virginia Commonwealth University, Box 980008, Richmond, Virginia 23298-0008, USA.

出版信息

Am J Occup Ther. 2005 Jul-Aug;59(4):409-17. doi: 10.5014/ajot.59.4.409.

DOI:10.5014/ajot.59.4.409
PMID:16124207
Abstract

Although more therapists are responding to the increasing need for visual rehabilitation services for older adults, little is reported in the literature about the emotional experience of vision loss, especially in the words of persons with low vision themselves. This paper reports findings from a qualitative inquiry involving focus groups and in-depth interviews with 15 older adults using or considering using low vision assistive devices (Copolillo & Teitelman, 2005). Although the study's original intent was to focus primarily on decisions about LVAD use, psychological and social implications of vision loss emerged spontaneously as a dominant area of concern for participants. From an analysis of 154 codes derived from transcripted data, three themes related to psychosocial experience were generated: (a) Emotional Challenges, (b) Negative Emotional Outcomes, and (c) Indicators of Emotional Adaptation. In this article, individual components of the themes are described using illustrative quotes, and potential practice implications for therapists are presented.

摘要

尽管越来越多的治疗师开始回应老年人对视觉康复服务日益增长的需求,但文献中关于视力丧失的情感体验的报道却很少,尤其是来自低视力患者自己的描述。本文报告了一项定性研究的结果,该研究包括对15名正在使用或考虑使用低视力辅助设备的老年人进行焦点小组讨论和深度访谈(科波利洛和泰特尔曼,2005年)。尽管该研究的初衷主要是关注低视力辅助设备使用的相关决策,但视力丧失的心理和社会影响却自然而然地成为参与者主要关注的领域。通过对转录数据得出的154个编码进行分析,产生了与心理社会体验相关的三个主题:(a)情感挑战,(b)负面情绪结果,以及(c)情感适应指标。在本文中,将使用示例引语来描述这些主题的各个组成部分,并为治疗师提出潜在的实践启示。

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