Restorick Roberts Amy, Betts Adams Kathryn, Beckette Warner Camille
a Department of Family Studies and Social Work , Miami University , Oxford , Ohio , USA.
c Independent Consultant, Cardiff , California , USA.
J Women Aging. 2017 Mar-Apr;29(2):126-136. doi: 10.1080/08952841.2015.1080539. Epub 2016 Jul 25.
This mixed-methods study examined the subjective experience of living with chronic illness and identified barriers to self-care. Community-dwelling older women with chronic illness completed an initial (N = 138) and follow-up mailed survey 6 months later (N = 130). On average, participants reported four comorbid health conditions and the corresponding physical pain, activities curtailed or relinquished, and time and energy focused on managing health. Only 34% of participants practiced all 10 key self-care behaviors. Reported barriers to self-management included pain, lack of financial resources, and worry. In the regression analysis, having more depressive symptoms was a significant predictor of challenges with self-care behaviors.
这项混合方法研究考察了慢性病患者的主观生活体验，并确定了自我护理的障碍。患有慢性病的社区老年女性完成了一项初始邮寄调查（N = 138），并在6个月后完成了后续邮寄调查（N = 130）。平均而言，参与者报告有四种共病健康状况以及相应的身体疼痛、活动受限或放弃，以及用于管理健康的时间和精力。只有34%的参与者践行了所有10项关键自我护理行为。报告的自我管理障碍包括疼痛、缺乏经济资源和担忧。在回归分析中，有更多抑郁症状是自我护理行为面临挑战的一个重要预测因素。
