School of Nursing, Wenzhou Medical University, Wenzhou, China.
Disabil Rehabil. 2022 Jun;44(11):2332-2339. doi: 10.1080/09638288.2020.1833091. Epub 2020 Oct 14.
To explore the rehabilitation psychological experience of the Chinese elderly within 6 months of initial disability, understand and analyse their real feelings and thoughts to help caregivers in providing support.
We adopted the descriptive phenomenology method to purposefully select elderly with initial disability within 6 months from neurorehabilitation departments of 2 hospitals in China, who were able to cooperate with researchers to conduct interviews. The data were collected from semi-structured interviews and analysed using Colaizzi's analysis method.
fifteen participants with an average age of 73.7(±9.0) years and an average disability time of 3.2 (±1.5) months were interviewed. Four themes were identified: (1) the discomfort of losing the sense of self; (2) feeling trapped over unmet needs; (3) ambivalence towards rehabilitation; (4) expectations and hopelessness for the future. Traditional Chinese thoughts such as family concepts played an important role in the generation of complex emotions.
The elderly had the desire and motivation to recover and return to the families and society. However, due to personal, family and social factors, they still felt ambivalence towards rehabilitation, self-worth and life, which hindered rehabilitation. Therefore, carers should focus on the elderly's psychological states, taking corresponding measures to satisfy their complex demands and motivate long-term recovery.IMPLICATIONS FOR REHABILITATIONChinese elderly with initial disability often had a strong sense of ambivalence towards self-worth, rehabilitation and life, among which the influence of the traditional Chinese family concept counts.Health care personnel should improve the positive coping ability of the elderly to promote their harmonious coexistence with disability, rebuild their personal values, develop their rehabilitation potential.Health care departments need to provide support to the elderly and their families to maximize the positive role of the family in the rehabilitation process of the elderly.In order to alleviate the discomfort of disabled elderly in rehabilitation and enhance compliance, there is a need to improve the hard environment (rehabilitation technologies, etc.) and soft environment (rehabilitation concept and service quality, etc.).
探索中国老年人在残疾初始后 6 个月内的康复心理体验，了解和分析他们的真实感受和想法，以帮助护理人员提供支持。
我们采用描述现象学方法，从中国 2 家医院的神经康复科中，有选择地招募了残疾初始后 6 个月内、能够配合研究者进行访谈的老年人。通过半结构式访谈收集数据，并采用科拉兹分析方法进行分析。
共访谈了 15 名参与者，平均年龄 73.7(±9.0)岁，残疾时间平均 3.2(±1.5)个月。确定了 4 个主题：（1）自我丧失的不适；（2）对未满足需求的困感；（3）对康复的矛盾心理；（4）对未来的期望和无望。家庭观念等中国传统思想在产生复杂情绪方面发挥了重要作用。
老年人有康复和回归家庭和社会的愿望和动力。然而，由于个人、家庭和社会因素的影响，他们对康复、自我价值和生活仍然感到矛盾，这阻碍了康复。因此，护理人员应关注老年人的心理状态，采取相应措施满足他们复杂的需求，激发长期康复。
中国初始残疾的老年人对自我价值、康复和生活往往存在强烈的矛盾心理，其中中国传统家庭观念的影响不容忽视。
医疗保健人员应提高老年人的积极应对能力，促进他们与残疾的和谐共存，重建个人价值观，挖掘他们的康复潜力。
医疗保健部门需要为老年人及其家庭提供支持，最大限度地发挥家庭在老年人康复过程中的积极作用。
为了减轻残疾老年人在康复中的不适，增强其依从性，需要改善硬环境（康复技术等）和软环境（康复理念和服务质量等）。
