Mefteh Kidus Yenealem
Mizan-Tepi University, Mizan-Aman, Ethiopia.
Gerontol Geriatr Med. 2022 Jul 18;8:23337214221113100. doi: 10.1177/23337214221113100. eCollection 2022 Jan-Dec.
This study aims to explore circumstances that precipitate rural older adults for co-residential family care arrangements employing a phenomenological study method. Data from in-depth interviews with 12 rural older adults were inductively coded and developed into themes. Physical limitations and health problems, separation and divorce, death of a spouse, economic problem, neglect, inheritance dispute, and inaccessible locations are the circumstances that precipitate older adults to give up their independent living and start living with their children in the study area. The study points out to policymakers and other concerned bodies that actions must be geared toward maintaining a positive living environment for rural older adults and tackling challenges that are decisive in co-residential family care setting. Increasing health care accessibility, expanding senior/adult care centers and community health insurance programs, training geriatric social workers, enhancing collaboration between family caregivers and formal services, and provision of assistive devices for debilitating health conditions and subsequent disability will enhance the quality of life of rural older adults in co-residential family care arrangement.
本研究旨在采用现象学研究方法，探索促使农村老年人接受家庭共同居住照料安排的情况。对12位农村老年人进行深入访谈的数据进行了归纳编码，并形成了主题。身体限制和健康问题、分居和离婚、配偶死亡、经济问题、忽视、遗产纠纷以及地理位置不便等情况，促使研究区域内的老年人放弃独立生活，开始与子女同住。该研究向政策制定者和其他相关机构指出，必须采取行动，为农村老年人维持积极的生活环境，并应对在家庭共同居住照料环境中起决定性作用的挑战。增加医疗保健的可及性、扩大老年/成人护理中心和社区健康保险计划、培训老年社会工作者、加强家庭照料者与正规服务之间的合作，以及为健康状况不佳和随后导致的残疾提供辅助设备，将提高农村老年人在家庭共同居住照料安排中的生活质量。
