Tak Sunghee H
College of Nursing, University of Arkansas for Medical Sciences, Little Rock, USA.
Orthop Nurs. 2006 Mar-Apr;25(2):127-32. doi: 10.1097/00006416-200603000-00010.
Elders living with arthritis perceive chronic daily stress associated with a loss of function. Daily stress has a significant effect on the prediction of depression and decreased life satisfaction in older persons. However, little is known about the nature of the daily stress and coping process from their personal viewpoint.
This study explores stressors in daily life, coping strategies, and social support resources from the perspective of older adults with arthritis.
Thirteen older adults with arthritis participated in semistructured, individual interviews. Content analysis of the interview transcriptions was used.
Results revealed six sources of stress in the daily life of the participants: health, routine tasks, family issues, financial management, social relationships, and living conditions. Three major strategies of coping with daily stress emerged: cognitive efforts, diversional activities, and assertive actions. Participants reported a wide range of support resources to deal with daily stress.
Recommendations for health professionals in assisting clients to minimize the impact of daily stress on mental health by assessing the sources of stress, improving cognitive-behavioral coping techniques, and locating resources are given.
患有关节炎的老年人感受到与功能丧失相关的日常慢性压力。日常压力对老年人抑郁症的预测及生活满意度下降有显著影响。然而,从他们个人的角度来看,关于日常压力的性质和应对过程却知之甚少。
本研究从患有关节炎的老年人的角度探讨日常生活中的压力源、应对策略和社会支持资源。
13名患有关节炎的老年人参与了半结构化的个人访谈。采用访谈转录本的内容分析法。
结果揭示了参与者日常生活中的六个压力源:健康、日常任务、家庭问题、财务管理、社会关系和生活条件。出现了应对日常压力的三种主要策略:认知努力、转移活动和坚定行动。参与者报告了广泛的应对日常压力的支持资源。
针对健康专业人员提出了相关建议,即通过评估压力源、改进认知行为应对技巧和寻找资源,帮助客户将日常压力对心理健康的影响降至最低。