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从驾驶到驾驶停止的转变:老年人和护理人员的体验:描述性定性设计。

Transition from driving to driving-cessation: experience of older persons and caregivers: a descriptive qualitative design.

机构信息

Faculty of Nursing Science, Laval University, 1050 Rue de la Médecine, G1V 0A6, Québec (Québec), Canada.

Department of Health Sciences, Université du Québec à Chicoutimi, 555 boulevard de l'Université, G7H 2B1, Chicoutimi (Québec), Canada.

出版信息

BMC Geriatr. 2024 Mar 4;24(1):219. doi: 10.1186/s12877-024-04835-3.

Abstract

BACKGROUND

For some older persons, driving is essential to maintain their daily activities and engagement with society. Unfortunately, some will have to stop driving, as they age. Driving-cessation is an important transition for older persons and caregivers, well known to cause significant challenges and consequences. This study aimed to describe the experience of older persons and caregivers in the transition from driving to ceasing to drive.

METHODS

Within a descriptive qualitative design, semi-structured interviews were undertaken with older persons (n = 8) and caregivers (n = 6) from the city of Québec (Quebec, Canada), from November 2020 to March 2021. Using an inductive approach, the qualitative data was analyzed with the content analysis method.

RESULTS

Some older persons had never thought they might someday lose their driver's license. The process of legislative assessment was unknown by almost all older persons and caregivers. The process was therefore very stressful for the research participants. Driving-cessation is a difficult transition that is associated with loss of independence, freedom, spontaneity, and autonomy. Qualitative analysis of data showed different factors that positively or negatively influence the experience of ceasing to drive, such as the older person's ownership of the decision, the presence of a network of friends and family, and self-criticism. There was significant impact related to driving-cessation for caregivers, such as assuming the entire burden of travel, psychologically supporting older persons in their grief, and navigating the driver's licensing system.

CONCLUSIONS

These study results could help organizations and healthcare professionals to better accompany and support older drivers and caregivers in the transition from driving to driving-cessation.

TRIAL REGISTRATION

None.

摘要

背景

对于一些老年人来说,驾驶是维持日常活动和参与社会的必要条件。不幸的是,随着年龄的增长,有些人将不得不停止驾驶。对于老年人和照顾者来说,停止驾驶是一个重要的过渡,众所周知,这会带来重大的挑战和后果。本研究旨在描述老年人和照顾者在从驾驶到停止驾驶的过渡中的体验。

方法

在描述性定性设计中,我们于 2020 年 11 月至 2021 年 3 月在加拿大魁北克市对 8 名老年人和 6 名照顾者进行了半结构化访谈。使用归纳方法,我们采用内容分析法对定性数据进行了分析。

结果

一些老年人从未想过有一天会失去驾照。几乎所有的老年人和照顾者都不知道立法评估的过程。因此,该过程对研究参与者来说压力很大。停止驾驶是一个艰难的过渡,与独立、自由、自发性和自主性的丧失有关。数据分析显示了不同的因素,这些因素积极或消极地影响着停止驾驶的体验,例如老年人对决策的拥有权、朋友和家人网络的存在以及自我批评。对照顾者来说,停止驾驶会产生重大影响,例如承担所有的旅行负担、在悲伤中为老年人提供心理支持以及驾驭驾驶执照系统。

结论

这些研究结果可以帮助组织和医疗保健专业人员更好地陪伴和支持老年驾驶员和照顾者从驾驶到停止驾驶的过渡。

试验注册

无。

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