Department of health and care sciences, UiT The Arctic University of Norway, N-9037 Tromso, Norway.
Department of health and care sciences, UiT The Arctic University of Norway, N-9037 Tromso, Norway; Faculty of Health, Welfare, and Organisation, Østfold University College, N-1757 Halden, Norway.
J Aging Stud. 2023 Jun;65:101128. doi: 10.1016/j.jaging.2023.101128. Epub 2023 Mar 10.
By inquiring into older adults' narrations about their lives in the present, past, and future, this study aims to learn more about home-dwelling older adults' lived experiences of being and becoming "frail". This article is based on a dialogical narrative analysis of interviews with three home-dwelling older adults identified as frail by the home care services. We conducted a series of three interviews with each participant over a period of eight months. Our results demonstrate that while some older adults experience frailty as inevitable and irreversible, others experience it as a transition. Some narrated frailty as a comprehensive experience, while others' narratives were more situational and transitional. Being able to live at home was crucial and moving to a nursing home was associated with the risk of becoming frailer and the loss of valued relations to family and their home. Experiences of frailty were framed and shaped by the past, present, and future. Faith, fate, and previous capacities to overcome adversities were crucial in the older adults' narrations. Older adults' stories provide an opening to diverse and changing experiences of living with frailty. By telling stories about the past, present, and future, older adults can maintain identity, a sense of belonging, and balance in the midst of adversities. By engaging with older adults' stories, health and care professionals can support the older adult in the ongoing process of being and becoming 'a frail older adult'.
本研究通过探究老年人对当下、过去和未来生活的叙述,旨在深入了解居家老年人对“脆弱”的体验。本文基于对 3 位被居家护理服务认定为脆弱的居家老年人的访谈进行的对话式叙事分析。我们对每位参与者进行了为期 8 个月的 3 次访谈。研究结果表明,尽管一些老年人认为脆弱是不可避免且不可逆转的,但另一些人则将其视为一种过渡。一些人将脆弱描述为一种全面的体验,而另一些人的叙述则更为具体和过渡性。能够居家生活至关重要,而搬入养老院则会增加变得更加脆弱的风险,并失去与家人和家庭的宝贵关系。脆弱的体验受到过去、现在和未来的影响。信仰、命运和以前克服逆境的能力在老年人的叙述中至关重要。老年人的故事为脆弱的生活体验提供了多样性和变化的视角。通过讲述过去、现在和未来的故事,老年人可以在逆境中保持身份认同、归属感和平衡。通过关注老年人的故事,健康和护理专业人员可以在老年人成为“脆弱老年人”的持续过程中为其提供支持。