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“除了我的局限之外,我正在非常成功地变老”:一种针对患有早发性运动障碍的老年人成功老龄化的定性研究方法

'Aside from my limitations, I'm aging very successfully': a qualitative approach to successful ageing among older people with early onset motor disabilities.

作者信息

Villar Feliciano, Zacarés Juan J, Jatahy Clicia, Pinazo-Hernandis Sacramento

机构信息

Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain.

Department of Developmental and Educational Psychology, University of Valencia, Valencia, Spain.

出版信息

Aging Ment Health. 2025 Apr;29(4):660-668. doi: 10.1080/13607863.2025.2450262. Epub 2025 Jan 10.

Abstract

OBJECTIVES

The concept of successful aging has been criticized for overlooking the experiences of older adults aging with disabilities, which may accentuate segregation and consolidate inequities. This qualitative study explored how older people living with early-onset mobility disabilities define successful aging, whether their definitions differ from those proposed by academia and from those of older people without disabilities, and to what extent older people with motor disabilities perceive themselves as aging successfully.

METHOD

Thirty-two people (20 women, 12 men) aged over 60 and living with motor disabilities for a minimum of 20 years were interviewed about their definition of successful aging and whether they considered that they were aging successfully. Responses were analyzed thematically.

RESULTS

We identified five main themes: (a) activity, (b) supportive context, (c) proactive attitude, (d) autonomy and (e) adaptation. Most participants considered that they were aging successfully, according to the themes underlined in their definition of successful aging.

CONCLUSION

Participants see successful aging as based far more on psychosocial than biomedical aspects. Successful aging is defined as process in which the maintenance of desired activities and independence is attained due to contextual and psychological resources, which allows participants to perceive themselves as aging successfully.

摘要

目标

成功老龄化的概念因忽视了残疾老年人的经历而受到批评,这可能会加剧隔离并强化不平等。这项定性研究探讨了患有早发性行动障碍的老年人如何定义成功老龄化,他们的定义是否与学术界提出的定义以及无残疾老年人的定义不同,以及行动障碍老年人在多大程度上认为自己正在成功老龄化。

方法

对32名年龄在60岁以上、患有行动障碍至少20年的人(20名女性,12名男性)进行了访谈,询问他们对成功老龄化的定义以及他们是否认为自己正在成功老龄化。对回答进行了主题分析。

结果

我们确定了五个主要主题:(a)活动,(b)支持性环境,(c)积极态度,(d)自主性和(e)适应性。根据他们对成功老龄化定义中强调的主题,大多数参与者认为他们正在成功老龄化。

结论

参与者认为成功老龄化更多地基于社会心理而非生物医学方面。成功老龄化被定义为一个过程,在这个过程中,由于背景和心理资源,人们能够维持期望的活动并保持独立,这使得参与者认为自己正在成功老龄化。

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