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一项定性研究,考察了波兰利益相关者采用的日常虚弱管理策略。

A qualitative study examining everyday frailty management strategies adopted by Polish stakeholders.

机构信息

Department of Family Medicine, Wrocław Medical University, Wrocław, Poland.

Centre for Ageing Research, Division of Health Research, Lancaster University, Lancaster, UK.

出版信息

Eur J Gen Pract. 2019 Oct;25(4):197-204. doi: 10.1080/13814788.2019.1668372. Epub 2019 Oct 7.

Abstract

Frailty is a multidimensional clinical state that is common in older age and can be managed through intervention. Strategies to manage frailty have not been previously explored with stakeholders in Poland. This may stem from misperceptions about the nature and malleability of frailty, which has resulted in it being viewed as a lower priority healthcare concern. To explore stakeholders' views to determine whether there are effective everyday strategies that they can adopt to reduce, reverse or prevent frailty. Semi-structured focus groups were conducted with five stakeholder groups (frail/pre-frail and robust older adults, health and social care professionals and family caregivers) in Poland ( = 44). Data was analysed using a reflexive thematic analysis approach. Two themes were developed. The first emphasized both the positive everyday and more effortful strategies used by individuals to counter frailty; these included the adoption of healthy lifestyle behaviours, social engagement and shared experiences. Stakeholders perceived that older adults, even frail ones, might benefit from engaging in meaningful activities to build resilience against frailty. The second examined formal interventions delivered by health and social care professionals. Stakeholders noted the need to increase awareness of the malleability of frailty among professionals. Raising awareness of the malleability of frailty amongst health and social care professionals is critical. Further, information provision and personal support should be essential elements of health interventions aimed at older adults and family caregivers. Interventions to support resilience building in older adults should also be framed within a model of fostering self-efficacy.[Box: see text].

摘要

衰弱是一种常见于老年人群体的多维临床状态,可以通过干预来管理。波兰以前没有探索过针对利益相关者的衰弱管理策略。这可能源于对衰弱的性质和可塑造性的误解,这导致它被视为医疗保健关注的较低优先级问题。为了探讨利益相关者的观点,以确定他们是否有有效的日常策略可以采用,以减少、逆转或预防衰弱。在波兰,对五个利益相关者群体(虚弱/衰弱前期和健壮的老年人、卫生和社会保健专业人员以及家庭照顾者)进行了半结构式焦点小组讨论( = 44)。使用反思性主题分析方法对数据进行了分析。确定了两个主题。第一个主题强调了个人用来对抗衰弱的积极的日常策略和更费力的策略;这些策略包括采用健康的生活方式行为、社会参与和共享经验。利益相关者认为,即使是虚弱的老年人,也可能从参与有意义的活动中受益,以增强对衰弱的抵御能力。第二个主题探讨了卫生和社会保健专业人员提供的正式干预措施。利益相关者指出,需要提高专业人员对衰弱可塑造性的认识。提高卫生和社会保健专业人员对衰弱可塑造性的认识至关重要。此外,为老年人和家庭照顾者提供信息和个人支持应该是卫生干预的重要组成部分。支持老年人建立韧性的干预措施也应在培养自我效能感的框架内进行。[方框:见文本]。

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