Mei He, Turale Sue
HOPE School of Nursing, Wuhan University, Wuhan, China.
Nurs Health Sci. 2017 Dec;19(4):444-451. doi: 10.1111/nhs.12363. Epub 2017 Jul 28.
In this qualitative, descriptive study, we explored the perspectives of older, community-dwelling Chinese people regarding their experiences of coping with a physical disability and their health concerns. Twenty participants were interviewed in-depth, and data were analyzed using content analysis. Five themes with 13 subthemes emerged that described older people's experiences of coping with health concerns and disability: (i) ignoring health concerns; (ii) managing self; (iii) seeking medical help; (iv) living with physical disability; and (v) relying on limited resources. Most participants did not have sufficient access to health services due to physical disability and financial deficits, so they tended to ignore their health conditions or tackle them independently before seeking medical help. At the same time, they were impacted on by social and cultural factors. Policies are required that offer more resources to community-dwelling people with disabilities in China.
在这项定性描述性研究中，我们探讨了居住在社区的中国老年人应对身体残疾的经历及其健康担忧。对20名参与者进行了深入访谈，并使用内容分析法对数据进行了分析。出现了五个主题和13个子主题，描述了老年人应对健康担忧和残疾的经历：（i）忽视健康担忧；（ii）自我管理；（iii）寻求医疗帮助；（iv）与身体残疾共存；（v）依赖有限资源。由于身体残疾和经济赤字，大多数参与者无法充分获得医疗服务，因此他们倾向于忽视自己的健康状况，或在寻求医疗帮助之前自行应对。同时，他们受到社会和文化因素的影响。中国需要出台政策，为居住在社区的残疾人提供更多资源。
