Sense of Coherence at End of Life in Older People: An Interpretive Description.

IF 1.2 4区 医学 Q3 NURSING
Rebecca Gagne-Henderson, Carol Holland, Catherine Walshe
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引用次数: 0

Abstract

As people age, losses accumulate (ie, the death of family and friends, the loss of agility, and the loss of independence). Such losses have an impact on one's Sense of Coherence, that is, one's ability to see the world as comprehensible, manageable, and meaningful. Antonovsky deemed Sense of Coherence as a mostly stable state by the age of 30 years. Until now, there has not been an investigation into how serial loss of resources affects older people as they near the end of life. Sense of Coherence was used as the theoretical framework for this study to answer the question of how older people maintain or regain a Sense of Coherence in the presence of serious illness as they near death. Data were gathered using semistructured interviews and guided by interpretive description. This investigation found new concepts that contribute to Antonovsky's midlevel theory of salutogenesis and the construct of Sense of Coherence. Those are Incomprehensibility and Serial Loss of General Resistance Resources. The results indicate that the crux of a strong Sense of Coherence for this population is excellent communication and a coherent "big-picture" conversation.

老年人生命末期的连贯感:一种解释性描述。
随着人们年龄的增长,损失也在不断积累(例如,家人和朋友的去世,灵活性的丧失,以及独立性的丧失)。这种损失会影响一个人的连贯性,也就是说,一个人将世界视为可理解、可管理和有意义的能力。安东诺夫斯基在30岁时认为连贯感是一种基本稳定的状态。到目前为止,还没有一项调查表明,在老年人接近生命尽头时,连续的资源损失是如何影响他们的。本研究以连贯性为理论框架来回答老年人在濒临死亡的严重疾病面前如何保持或重新获得连贯性的问题。数据收集采用半结构化访谈,并以解释性描述为指导。本研究发现了有助于安东诺夫斯基的健康发生中层理论和连贯感建构的新概念。一般电阻资源的不可理解性和连续损失。结果表明,对于这一群体来说,强大的连贯性的关键在于出色的沟通和连贯的“大局”对话。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
11.10%
发文量
203
审稿时长
6-12 weeks
期刊介绍: Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and is the professional, peer-reviewed journal for nurses in hospice and palliative care settings. Focusing on the clinical, educational and research aspects of care, JHPN offers current and reliable information on end of life nursing. Feature articles in areas such as symptom management, ethics, and futility of care address holistic care across the continuum. Book and article reviews, clinical updates and case studies create a journal that meets the didactic and practical needs of the nurse caring for patients with serious illnesses in advanced stages.
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