Kim Kisook, Ko Ji Woon, Choi Sangbong
J Gerontol Nurs. 2020 Feb 1;46(2):49-56. doi: 10.3928/00989134-20200108-02.
The current qualitative study explored perceptions and experiences of chronic obstructive pulmonary disease (COPD) among Korean male older adults. Six older adults participated in a narrative group interview. Responses were analyzed to describe perceptions and experiences of COPD. Social stigma, blaming others and the environment, stress to bear alone, and adaptation and management emerged as relevant themes for adaptation to COPD. In relation to obstacles to healthy behaviors after adapting to COPD, emergent themes were adapting to symptoms, external environmental factors, alternative treatments, and insufficient resources. Facilitators of healthy behaviors were past symptom experience, personal volition, and advice from health professionals. Older adult men with COPD trying to adapt to the disease need sufficient resources and social support from families, social networks, and health professionals. Development of interventions for older adults with COPD should include knowledge and understanding of experience and needs. [Journal of Gerontological Nursing, 46(2), 49-56.].
当前的定性研究探讨了韩国老年男性对慢性阻塞性肺疾病（COPD）的认知和经历。六名老年人参与了一次叙事性小组访谈。对访谈回复进行了分析，以描述对COPD的认知和经历。社会污名、指责他人和环境、独自承受的压力以及适应与管理成为适应COPD的相关主题。在适应COPD后健康行为的障碍方面，出现的主题有适应症状、外部环境因素、替代治疗以及资源不足。健康行为的促进因素有过去的症状经历、个人意愿以及来自健康专业人员的建议。患有COPD的老年男性若要努力适应疾病，需要来自家庭、社交网络和健康专业人员的充足资源和社会支持。针对患有COPD的老年人开发干预措施应包括对其经历和需求的了解。[《老年护理杂志》，46(2)，49 - 56。]
