Woo Kyungmi, Min Se Hee, Kim Aeri, Choi Subin, Alexander Gregory L, O'Malley Terrence, Moen Maria D, Topaz Maxim
College of Nursing, Seoul National University, Seoul, Republic of Korea.
Visiting Scholar, Columbia University School of Nursing, New York, NY, United States.
J Med Internet Res. 2025 May 29;27:e64160. doi: 10.2196/64160.
Daily preferences are a reflection of how adults wish to have their needs and values addressed, contributing to joy and satisfaction in their daily lives. Clinical settings often regard older adults as a uniform group, neglecting the diversity within this population, which results in a shortfall of person-centered care that overlooks their distinct daily care preferences. At the heart of person-centered care lies the imperative to comprehend and integrate these preferences into the care process. Recognizing and addressing gender differences in older adults is critical to customizing care plans, thereby optimizing quality of life and well-being for individuals. This study addresses the need to understand the diverse daily care preferences of adults, particularly among older populations, who represent a growing demographic with unique needs and interests.
This study aims to identify and analyze the key themes and daily care preferences from unstructured adult text narratives with a focus on uncovering gender-specific variations.
This study used 4350 deidentified, unstructured textual data from MyDirectives (MyDirectives, Inc), an interactive online platform. Advanced topic modeling techniques were used to extract meaningful themes, and gender-specific term frequency and distribution were examined to identify gender differences in these elements.
The study sample included 2883 women (mean age 63.02, SD 13.69 years) and 1467 men (mean age 67.07, SD 11.73 years). Our analysis identified six major themes: (1) "entertainment" (12.14%, 528/4350), (2) "music" (10.39%, 452/4350), (3) "personal interests and memories" (38.18%, 1661/4350), (4) "intimate relationships" (14.92%, 649/4350), (5) "natural comforts" (16.18%, 704/4350), and (6) "emotional, cultural, and spiritual foundations" (8.18%, 356/4350). Gender differences were evident: women were more likely to express preferences for "personal interests and memories" (40.7% vs 33.3%), "natural comforts" (18.4% vs 11.9%), and "emotional and spiritual foundations" (9.3% vs 6.1%) than men. Men expressed stronger preferences for "entertainment" (18.1% vs 9.1%) and "music" (16.8% vs 7.2%). Common terms across all participants included "dog," "love," "friends," and "book." Notably, the study revealed significant gender differences in daily care preferences, especially regarding familial relationships and entertainment choices.
The findings underscore the importance of recognizing individual daily care preferences in person-centered care, particularly regarding gender. Understanding these preferences is crucial for improving care quality and patient satisfaction, thereby enhancing the overall quality of life for adults receiving care across our health care system.
日常偏好反映了成年人希望自身需求和价值观如何得到满足，有助于他们在日常生活中获得快乐和满足感。临床环境常常将老年人视为一个同质化群体，忽视了该群体内部的多样性，这导致以患者为中心的护理不足，忽视了他们独特的日常护理偏好。以患者为中心的护理核心在于理解并将这些偏好融入护理过程。认识并解决老年人的性别差异对于定制护理计划至关重要，从而优化个体的生活质量和幸福感。本研究旨在满足了解成年人，特别是老年人群体多样化日常护理偏好的需求，这一群体的规模在不断扩大，有着独特的需求和兴趣。
本研究旨在从无结构的成人文本叙述中识别和分析关键主题及日常护理偏好，重点是揭示性别差异。
本研究使用了来自互动在线平台MyDirectives（MyDirectives公司）的4350条去识别化的无结构文本数据。采用先进的主题建模技术提取有意义的主题，并检查特定性别的词频和分布，以识别这些元素中的性别差异。
研究样本包括2883名女性（平均年龄63.02岁，标准差13.69岁）和1467名男性（平均年龄67.07岁，标准差11.73岁）。我们的分析确定了六个主要主题：（1）“娱乐”（12.14%，528/4350），（2）“音乐”（10.39%，452/4350），（3）“个人兴趣和记忆”（38.18%，1661/4350），（4）“亲密关系”（14.92%，649/4350），（5）“自然舒适”（16.18%，704/4350），以及（6）“情感、文化和精神基础”（8.18%，356/4350）。性别差异明显：女性比男性更倾向于表达对“个人兴趣和记忆”（40.7%对33.3%）、“自然舒适”（18.4%对11.9%）以及“情感和精神基础”（9.3%对6.1%）的偏好。男性对“娱乐”（18.1%对9.1%）和“音乐”（16.8%对7.2%）的偏好更强。所有参与者共有的词汇包括“狗”“爱”“朋友”和“书”。值得注意的是，该研究揭示了日常护理偏好方面存在显著的性别差异，特别是在家庭关系和娱乐选择方面。
研究结果强调了在以患者为中心的护理中认识个体日常护理偏好的重要性，尤其是在性别方面。了解这些偏好对于提高护理质量和患者满意度至关重要，从而提升整个医疗保健系统中接受护理的成年人的总体生活质量。
