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居家老年患者的社会和生活体验定性研究。

A Qualitative Study of the Social and Lived Experiences of Homebound Older Adults.

机构信息

University of Virginia, Charlottesville, USA.

Johns Hopkins University, Baltimore, MD, USA.

出版信息

J Appl Gerontol. 2022 Mar;41(3):744-753. doi: 10.1177/07334648211040383. Epub 2021 Aug 29.

Abstract

OBJECTIVE

The number of homebound older adults is increasing in the United States. We aimed to examine their social and lived experiences and to understand their perspectives on their situation, feelings, and coping mechanisms.

METHODS

We conducted a cross-sectional qualitative study using semi-structured interviews with 18 older homebound individuals in Central Virginia.

RESULTS

Homebound older adults experienced both physical and mental health challenges that restricted their ability to participate in activities of daily living, recreation, and social interactions. Participants often felt dependent, helpless, lonely, and socially isolated. Those who communicated regularly with friends, family, and health care providers reported positive benefits from these interactions.

DISCUSSION

Participants faced challenges to their physical, emotional, and mental well-being. Our findings might help clinicians, policymakers, and community organizations understand how to better support homebound older adults. We should provide educational opportunities, respect their autonomy, and implement initiatives to address their isolation and loneliness.

摘要

目的

美国居家的老年人数量不断增加。本研究旨在探讨他们的社会和生活体验,并了解他们对自身状况、感受和应对机制的看法。

方法

我们在弗吉尼亚州中部进行了一项横断面定性研究,对 18 名居家老年人进行了半结构式访谈。

结果

居家老年人经历了身体和心理健康方面的挑战,这些挑战限制了他们参与日常生活活动、娱乐和社交互动的能力。参与者常常感到依赖、无助、孤独和社会孤立。那些经常与朋友、家人和医疗保健提供者沟通的人报告说,这些互动带来了积极的好处。

讨论

参与者在身体、情感和心理健康方面都面临挑战。我们的研究结果可能有助于临床医生、政策制定者和社区组织了解如何更好地支持居家的老年人。我们应该提供教育机会,尊重他们的自主权,并实施倡议来解决他们的孤立和孤独问题。

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