Godfrey Mary, Townsend Jean
University of Leeds, Leeds, United Kingdom.
Qual Health Res. 2008 Jul;18(7):939-51. doi: 10.1177/1049732308318038.
Despite growing interest in the meaning of illness and recovery in older age, much of the research has focused on particular conditions, such as stroke; yet, illness in later life is considerably more diverse. In this article, we examine the experience of illness and process of recovery through interviews with 64 older people receiving intermediate care, a form of transitional care to support people between illness and resumption of everyday life routines. They describe four recovery trajectories generated from individuals' accounts of illness and their perspective on recovery: cure and restoration, adjusting to discontinuity and establishing markers of continuity, getting back and keeping going, and managing uncertainty. We conclude that several interacting factors shape the meaning of illness and the process of recovery in later life: prior circumstances, illness onset and trajectory, comorbid health problems, and cumulative loss in advanced older age.
尽管人们对老年疾病及康复的意义兴趣日增,但大部分研究都聚焦于特定疾病,如中风;然而,晚年疾病的种类要丰富得多。在本文中,我们通过对64位接受过渡护理的老年人进行访谈,探讨了疾病体验和康复过程。过渡护理是一种介于疾病和恢复日常生活之间的过渡性护理形式。他们描述了从个人疾病经历及其对康复的看法中产生的四种康复轨迹:治愈与恢复、适应不连续性并建立连续性标志、回归与坚持、应对不确定性。我们得出结论,有几个相互作用的因素塑造了晚年疾病的意义和康复过程:既往情况、疾病发作及病程、合并健康问题以及高龄老人的累积损失。