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为什么老年人寻求护理服务:迈向一个概念模型。

Why older persons seek nursing care: towards a conceptual model.

机构信息

Department of Nursing, University of Applied Sciences Salzburg, Salzburg, Austria.

出版信息

Nurs Inq. 2011 Sep;18(3):216-25. doi: 10.1111/j.1440-1800.2011.00563.x. Epub 2011 Jul 10.

DOI:10.1111/j.1440-1800.2011.00563.x
PMID:21790872
Abstract

Despite similar health problems, older persons show different care seeking behaviours for a variety of reasons. The aim of this study was to identify motives underlying the attitudes of older persons to seek nursing care and to develop a theoretical rationale which allows viewing their mutual interaction. Theory development according to Walker and Avant was used as a method to derive a model from the reviewed literature. Six categories were identified that may influence seeking of nursing care: perceived threat, disposition, external options & barriers, current coping abilities, influence of significant others, and outcome value. Findings do not allow determination of factors that may predict care seeking attitude but provide a loosely structured conceptual model for culture specific investigations. Qualitative studies guided by the model should be conducted in order to develop testable theories of care seeking for different cultures and settings.

摘要

尽管存在相似的健康问题,但老年人出于各种原因表现出不同的寻求护理的行为。本研究的目的是确定老年人对寻求护理的态度背后的动机,并制定一个理论基础,使我们能够观察它们的相互作用。根据沃克和奥凡特的理论发展方法,从已审查的文献中推导出一个模型。确定了可能影响寻求护理的六个类别:感知威胁、性格、外部选择和障碍、当前应对能力、重要他人的影响以及结果价值。研究结果不能确定可能预测寻求护理态度的因素,但为特定文化的调查提供了一个松散结构的概念模型。应根据该模型进行定性研究,以针对不同文化和环境制定可检验的寻求护理理论。

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