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老年夫妇对多种慢性病的管理:2型糖尿病和骨关节炎中的个体及共同认知与应对

Older couples' management of multiple-chronic illnesses: Individual and shared perceptions and coping in Type 2 diabetes and osteoarthritis.

作者信息

Yorgason Jeremy B, Roper Susanne Olsen, Wheeler Brandan, Crane Kristen, Byron Rebekah, Carpenter Leslie, Sandberg Jonathan G, Sheffield Rachel, Higley Dawn

机构信息

School of Family Life, Brigham Young University, Provo, UT 84602, USA.

出版信息

Fam Syst Health. 2010 Mar;28(1):30-47. doi: 10.1037/a0019396.

DOI:10.1037/a0019396
PMID:20438201
Abstract

Using data from interviews with 28 older couples in which 1 spouse was diagnosed with diabetes and osteoarthritis, we examined illness perceptions and coping activities as they relate to illness management and relationship resilience. Qualitative analysis of interview transcripts revealed categories of data related to perceptions, coping, and cross category comparisons. Findings suggest that couples experience both negative and positive perceptions of their illnesses, indicating a balance between the reality of their illness challenges and an optimistic outlook of the future. Coping activities included a variety of tasks and were performed by individuals, by both spouses in a shared effort, and by individuals and shared couple efforts. Findings highlight the complexity of individual and shared couple illness perception and couple efforts in managing multiple-chronic illnesses.

摘要

利用对28对老年夫妇的访谈数据,其中一方配偶被诊断患有糖尿病和骨关节炎,我们研究了疾病认知和应对活动,以及它们与疾病管理和关系恢复力的关联。对访谈记录的定性分析揭示了与认知、应对以及跨类别比较相关的数据类别。研究结果表明,夫妇双方对自身疾病既有消极认知也有积极认知,这表明在疾病挑战的现实与对未来的乐观展望之间取得了平衡。应对活动包括各种任务,由个人执行,由夫妻双方共同努力执行,以及由个人和夫妻共同努力执行。研究结果突出了个体和夫妻共同的疾病认知以及夫妻在管理多种慢性病方面的努力的复杂性。

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