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《老年的丑陋面》:埃塞俄比亚农村老年人对护理和支持的未满足期望。

"The Ugly Face of Old Age": Elders' Unmet Expectations for Care and Support in Rural Ethiopia.

机构信息

128156 Ambo University, Ethiopia.

37602 School of Social Work, Addis Ababa University, Ethiopia.

出版信息

Int J Aging Hum Dev. 2021 Mar;92(2):215-239. doi: 10.1177/0091415020911900. Epub 2020 Mar 30.

DOI:10.1177/0091415020911900
PMID:32223564
Abstract

As migration, urbanization, and aging accelerate in developing nations, traditional family supports for elders are diminishing. With these trends in mind, hermeneutic phenomenology was used to examine the experiences of 10 rural Ethiopian elders of age 70 and older. Narrative data from in-depth interviews revealed three prominent themes: the "good old days," drained happiness, worry and pessimism. Elders felt devalued by their children, grandchildren, and youth in general. Compared to how they treated their own parents, elders believed that their children's sense of filial obligation was weak and unreliable. Interactions were described as undermining, embarrassing, and abusive. Elders were pessimistic about the prospect of reliable caregivers, even expressing a wish to die before they become dependent on others for care. Despite such challenges, participants viewed aging as a privilege. New cooperative models of community-based care are needed to ensure that elders in developing nations can expect adequate care throughout their lives.

摘要

随着发展中国家移民、城市化和老龄化的加速,传统的家庭对老年人的支持正在减少。考虑到这些趋势,解释学现象学被用来研究 10 名年龄在 70 岁及以上的埃塞俄比亚农村老年人的经历。深入访谈的叙事数据揭示了三个突出的主题:“过去的美好时光”、幸福流失、忧虑和悲观。老年人感到被他们的孩子、孙子和年轻人普遍轻视。与他们对待自己父母的方式相比,老年人认为他们孩子的孝顺义务是薄弱和不可靠的。互动被描述为具有破坏性、尴尬和虐待性。老年人对可靠的照顾者的前景感到悲观,甚至表示希望在依赖他人照顾之前死去。尽管面临这些挑战,参与者仍然认为衰老也是一种特权。需要建立新的社区为基础的合作护理模式,以确保发展中国家的老年人在其一生中都能得到足够的护理。

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