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伊朗老年人在灾难中的脆弱性:定性内容分析

The Vulnerability of the Iranian Elderly in Disasters: Qualitative Content Analysis.

作者信息

Daddoust Leila, Khankeh HamidReza, Ebadi Abbas, Sahaf Robab, Nakhaei Maryam, Asgary Ali

机构信息

Research Center in Emergency and Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Department of Clinical Science and Education, Karolinska Institutet. Stockholm Sweden, Scientific Board Member of IPT E.V Leipzig, Germany.

出版信息

Iran J Nurs Midwifery Res. 2018 Sep-Oct;23(5):402-408. doi: 10.4103/ijnmr.IJNMR_127_17.

DOI:10.4103/ijnmr.IJNMR_127_17
PMID:30186347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6111662/
Abstract

BACKGROUND

Elderly people are among the most vulnerable groups in natural disaster events. Although old age is responsible for them becoming unequally vulnerable, understanding the different aspects of vulnerability can help health care providers, especially nurses, to manage disaster risk for this increasing number of people. This study intended to explore disaster-related vulnerability and its contributing factors based on older adults' perceptions and experiences.

MATERIALS AND METHODS

This qualitative content analysis study was performed in Iran in 2016. The study was conducted by semi-structured interviews of 24 participants, and purposeful sampling with maximum variation continued until data saturation.

RESULTS

By analyzing primary codes two main themes were extracted through content analysis, namely personal factors and social factors, from experiences of two experts in the field of health in emergencies and disaster management among 22 Iranian elderly participants.

CONCLUSIONS

This study indicated that age is not the only criteria that makes an elderly person vulnerable, but their lifetime achievements and experiences can determine their level of vulnerability. The results of this study will help health service providers as well as disaster nurses to identify and moderate the factors affecting the vulnerability of the elderly, and by using their rich experience, enhance senior citizens' resilience to disasters.

摘要

背景

老年人是自然灾害事件中最脆弱的群体之一。尽管高龄导致他们格外脆弱,但了解脆弱性的不同方面有助于医疗保健提供者,尤其是护士,应对这一数量不断增加的人群的灾害风险。本研究旨在基于老年人的认知和经历探索与灾害相关的脆弱性及其影响因素。

材料与方法

2016年在伊朗开展了这项定性内容分析研究。该研究通过对24名参与者进行半结构化访谈开展,采用最大差异的立意抽样,直至数据饱和。

结果

通过对原始编码进行分析,从22名伊朗老年参与者中从事紧急情况和灾害管理卫生领域的两名专家的经历中,经内容分析提取出两个主要主题,即个人因素和社会因素。

结论

本研究表明,年龄并非使老年人脆弱的唯一标准,他们一生的成就和经历能够决定其脆弱程度。本研究结果将有助于卫生服务提供者以及灾害护士识别并缓和影响老年人脆弱性的因素,并利用他们丰富的经验,增强老年人对灾害的恢复力。

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Health Related Quality of Life in Iranian Elderly Citizens: A Systematic Review and Meta-Analysis.伊朗老年公民的健康相关生活质量:系统评价与荟萃分析
Int J Community Based Nurs Midwifery. 2017 Apr;5(2):100-111.
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Are older people more vulnerable to long-term impacts of disasters?老年人是否更容易受到灾害长期影响?
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Nurs Ethics. 2014 Aug;21(5):507-17. doi: 10.1177/0969733013511358. Epub 2014 Jan 13.
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Exploring spirituality in Iranian healthy elderly people: A qualitative content analysis.探索伊朗健康老年人的精神世界:一项定性内容分析
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