A "Not able to live anymore": Reaction of the grieving process of the elderly dealing with chronic disease

International Journal of Nursing and Health Services (IJNHS) Pub Date : 2018-10-26 DOI:10.35654/IJNHS.V1I1.6

B. Bahtiar, S. Sahar, Junaiti Junaiti, Wiarsih Wiarsih, Wiwin Wiwin

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Abstract

Background: Psychological problems have an impact on the elderly with chronic diseases thus affecting health status. Objective: The purpose of this study was to identify the response of the elderly in dealing with chronic diseases. Methods: This study uses a descriptive phenomenology method. The population in this study were elderly who lived in Makassar City and had a chronic disease. This study illustrates the experience of 13 older adults aged 60-78 years who experience chronic disease. Results: A response felt by the elderly with chronic diseases for years, a series of grieving processes. The grieving process felt by the elderly is a psychological reaction from the suffering experienced due to symptoms and complaints of chronic illness. The series of grieving process reactions that are displayed are denial, anger, bargaining, despair, and resignation. Conclusion: The old experience with denial, anger, bargaining during chronic illness is normal. Also, the elderly could experience a desperate reaction during chronic illness due to the prolonged treatment process, and resignation reaction was a sign that the elderly were aware of the disease condition which they experienced. Recommendation: nursing intervention is needed related to grieving issues that include aspects of self, physical, social and spiritual for elderly with chronic illness. Keyword: grieving, chronic illness, elderly, family

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“不能再活下去了”:面对慢性病的老年人悲伤过程的反应

背景:心理问题对老年慢性病患者产生影响，从而影响健康状况。目的:本研究的目的是确定老年人在处理慢性病时的反应。方法:本研究采用描述现象学方法。本研究的人群是居住在望加锡市的患有慢性疾病的老年人。这项研究说明了13名年龄在60-78岁之间患有慢性疾病的老年人的经历。结果:老年慢性病患者多年来所感受到的一种反应，是一系列的悲伤过程。老年人感受到的悲伤过程是由于慢性疾病的症状和主诉所经历的痛苦的心理反应。一系列的悲伤过程反应表现为否认、愤怒、讨价还价、绝望和放弃。结论:慢性疾病患者的否认、愤怒、讨价还价的旧经验是正常的。此外，老年人在慢性疾病期间，由于治疗过程的延长，可能会出现绝望反应，而辞职反应是老年人意识到自己所经历的疾病状况的标志。建议:需要护理干预，涉及慢性疾病老年人的自我、身体、社会和精神方面的悲伤问题。关键词:悲痛，慢性病，老年人，家庭

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International Journal of Nursing and Health Services (IJNHS)

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