Institute of Occupational Therapy, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
Department of Rheumatology and Immunology, University Hospital (Inselspital), and University of Bern, Bern, Switzerland.
Scand J Occup Ther. 2024 Jan;31(1):2249959. doi: 10.1080/11038128.2023.2249959. Epub 2023 Sep 7.
The vast majority of older adults live in their own homes. Many of them live with chronic conditions that lead to activity limitations and participation restrictions. To support them adequately, we need to better understand how they cope with everyday difficulties.
To identify and examine difficulties in everyday life older people with chronic conditions who live in private homes face and how they and their significant others interpret, navigate, and overcome these difficulties.
We conducted a focus group interview with 10 participants including eight older adults with chronic conditions and two of their significant others. We then transcribed the interviews verbatim and thematically analysed them.
We generated the three closely interrelated themes and . Participants interpreted the difficulties they faced as multicausal. Their main goal was maintaining autonomy, agency, and a positive identity. They employed individual, creative strategies to achieve these goals.
Older persons with chronic conditions prioritise autonomy and agency in order to maintain a positive identity.
Interventions to support older persons with chronic conditions should centre their priorities and build on their creativity.
绝大多数老年人都居住在自己家中。他们中的许多人患有慢性病，这导致他们活动受限，参与受限。为了充分地为他们提供支持，我们需要更好地了解他们如何应对日常生活中的困难。
确定和研究居住在私人住宅中的患有慢性病的老年人在日常生活中面临的困难，以及他们和他们的重要他人如何解释、应对和克服这些困难。
我们对 10 名参与者（包括 8 名患有慢性病的老年人和 2 名他们的重要他人）进行了焦点小组访谈。然后，我们逐字转录了访谈内容，并进行了主题分析。
我们生成了三个紧密相关的主题：参与者将他们所面临的困难解释为多因性的。他们的主要目标是保持自主性、代理权和积极的身份认同。他们采用个人的、创造性的策略来实现这些目标。
患有慢性病的老年人将自主性和代理权作为优先事项，以保持积极的身份认同。
支持患有慢性病的老年人的干预措施应该以他们的优先事项为中心，并建立在他们的创造力之上。
