Giddings Lynne S, Roy Dianne E, Predeger Elizabeth
School of Nursing, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, Aotearoa, New Zealand.
J Adv Nurs. 2007 Jun;58(6):557-65. doi: 10.1111/j.1365-2648.2007.04243.x. Epub 2007 May 1.
This paper is a report of a study to explore the experiences of 'almost old' women as they grow older while living with a chronic condition.
Little is known about the contextual effects of ageing and how it shapes and is shaped by a woman's chronic illness experience. Nurses' understanding of this phenomenon can have positive effects on how their client accesses and responds to healthcare.
Seven women aged between 50 and 58 years participated in this interpretive descriptive study that explored the issues of ageing with a chronic condition. Three focus groups were held between March 2003 and March 2004. Transcriptions were analyzed after each focus group. Participants were given the opportunity to respond to the findings as the analysis progressed.
The experience of living with a chronic illness foreshadowed what was to come with ageing and embodied the ageing process: it was just part of their lives. Alongside this, the women now felt less out of place. Their peers were catching up and beginning to experience aspects of participants' everyday reality. The women, however, experienced double jeopardy because ageing amplified the ongoing vulnerabilities of living with a chronic condition.
Nurses who recognize the resourcefulness and expertise of women who live with a chronic condition can effectively be co-strategists in their helping them to age well.
本文是一项研究报告,旨在探讨“即将步入老年”的女性在患有慢性疾病的情况下随着年龄增长的经历。
关于衰老的背景影响以及衰老如何塑造女性的慢性病经历并受其塑造,我们所知甚少。护士对这一现象的理解会对其客户获得医疗保健的方式及反应产生积极影响。
7名年龄在50至58岁之间的女性参与了这项解释性描述性研究,该研究探讨了患有慢性病的情况下的衰老问题。在2003年3月至2004年3月期间举行了3次焦点小组讨论。每次焦点小组讨论后对记录进行分析。随着分析的推进,参与者有机会对研究结果做出回应。
患有慢性病的经历预示着衰老将会带来的情况,并体现了衰老过程:这只是她们生活的一部分。与此同时,这些女性现在感觉自己不那么格格不入了。她们的同龄人正在迎头赶上,并开始经历参与者日常生活中的一些方面。然而,这些女性经历了双重困境,因为衰老加剧了患有慢性病带来的持续脆弱性。
认识到患有慢性病的女性的足智多谋和专业知识的护士,可以有效地成为帮助她们安享晚年的共同策略家。