Hafskjold Linda, Eide Tom, Holmström Inger K, Sundling Vibeke, van Dulmen Sandra, Eide Hilde
Faculty of Health Sciences, University College of Southeast Norway, Drammen, Norway.
Faculty of Health Sciences, University College of Southeast Norway, Drammen, Norway.
Patient Educ Couns. 2016 Dec;99(12):1955-1963. doi: 10.1016/j.pec.2016.07.015. Epub 2016 Jul 12.
Little is known about how older persons in home care express their concerns. Emotional cues and concerns can be identified by the Verona coding definitions of emotional sequences (VR-CoDES), but the method gives no insight into what causes the distress and the emotions involved. The aims of this study are to explore (1) older persons' worries and (2) the content of these expressions.
An observational exploratory two-step approach was used to investigate audiotaped recordings from 38 Norwegian home care visits with older persons and nurse assistants. First, 206 cues and concerns were identified using VR-CoDES. Second, the content and context of these expressions were analysed inductively.
Four main categories emerged: worries about relationships with others, worries about health care-related issues, worries about aging and bodily impairment, and life narratives and value issues, with several subcategories showing the causes of worry and emotions involved.
The two-step approach provides an in-depth knowledge of older persons' worries, causes of worries, and their related emotions.
The subcategories described in a language close to the experience can be useful in practice development and communication training for students and health care providers.
对于居家护理中的老年人如何表达他们的担忧，我们知之甚少。情感线索和担忧可以通过情感序列的维罗纳编码定义（VR-CoDES）来识别，但该方法无法深入了解困扰的原因以及其中涉及的情感。本研究的目的是探索：（1）老年人的担忧；（2）这些表达的内容。
采用观察性探索性两步法，对38次挪威居家护理访视中老年人与护士助理的录音进行调查。首先，使用VR-CoDES识别出206条线索和担忧。其次，对这些表达的内容和背景进行归纳分析。
出现了四个主要类别：对与他人关系的担忧、对医疗保健相关问题的担忧、对衰老和身体损伤的担忧、生活叙事和价值观问题，几个子类别显示了担忧的原因和其中涉及的情感。
两步法提供了关于老年人担忧、担忧原因及其相关情感的深入知识。
用贴近体验的语言描述的子类别，对学生和医疗保健提供者的实践发展和沟通培训可能有用。
