Hewitt-Taylor Jaqui, Bond Carol, Hean Sarah, Barker Sue
School of Health and Social Care, Bournemouth University.
Nurs Older People. 2013 Jul;25(6):21-5. doi: 10.7748/nop2013.07.25.6.21.e425.
The aim of this study was to gain insight into the experiences of people aged 65 and older who have learned to live with a pre-existing long-term condition.
A qualitative approach and the principles of narrative research were used to learn as much as possible about the individuals' stories. A focus group of five men was interviewed and two women were interviewed as a pair.
Existing skills in condition management and interactions with professionals are transferable to new health needs that older people develop, but additional, age-related problems can affect management of long-term conditions. Progressive long-term conditions may become more difficult to manage with age, and it is difficult to distinguish between ageing processes and deterioration of pre-existing long-term conditions. Age-related social and financial changes and society's perception of older people may also present challenges to condition management.
Nurses who care for older people should take into account the effects of the person's long-term condition and the ageing process when assessing their needs; understand that people may be reluctant to ask for practical assistance; explore existing support mechanisms that people have in place and their sustainability; and advocate with people to secure appropriate choices related to their health needs.
本研究旨在深入了解65岁及以上已学会与既有长期疾病共存的人群的经历。
采用定性研究方法及叙事研究原则，尽可能多地了解这些个体的故事。对一个由五名男性组成的焦点小组进行了访谈，并对两名女性进行了双人访谈。
疾病管理方面的现有技能以及与专业人员的互动可转移至老年人出现的新健康需求，但与年龄相关的其他问题可能会影响长期疾病的管理。随着年龄增长，进行性长期疾病可能会变得更难管理，而且难以区分衰老过程和既有长期疾病的恶化。与年龄相关的社会和经济变化以及社会对老年人的看法也可能给疾病管理带来挑战。
照顾老年人的护士在评估他们的需求时应考虑个体长期疾病和衰老过程的影响；理解人们可能不愿寻求实际帮助；探索人们现有的支持机制及其可持续性；并与人们倡导，以确保他们能就自身健康需求做出合适选择。
