[Thoughts of older adults living in an isolated community on a remote island while continuing to live in familiar surroundings].

Miyuki Yoshida, Madoka Tatsukawa, Shinsuke Otani, Kazumi Fujimura
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Abstract

Objective This study clarified the thoughts of older adults living in an isolated community on a remote island while continuing to live in familiar surroundings. Additionally, suggestions for health policies were obtained.Methods Island B, a remote island in Prefecture A, is isolated and surrounded by the sea. It has a population of 138 people and an aging rate of 48.6% (R2). We conducted semi-structured interviews with seven older adults living on Island B and qualitatively and inductively analyzed the contents, which consisted of (1) thoughts about living in one's own home in a familiar community; (2) nursing, medical, and preventive care as well as social and human resources that could help support one's life; and (3) continuing to live on the island. Codes, subcategories, and categories were generated based on verbatim transcripts of the interviews.Results The average age of the study participants was 76.9 years. The daily life independence level for older adults with disabilities was J1-2. They thought that "their life on the island was easygoing and enjoyable" but also that "the strong ties among the islanders may become a hindrance." They expressed that "life on the island is founded on mutual support" and the availability of life support services allows them to "live a comfortable life on the island." Additionally, because of the insulation provided by the sea, "connections outside of the island were regarded as minimally essential." Regarding life on the island in the future, they stated that "they cannot do anything about the island's decay," "life on the island will become critical due to the scarcity of living resources," "life on the island will not be possible under any circumstances in the future," and "they need to accept that they will not be able to die on the island as they would like to." Regarding continuing to live on the island, they believed that "self-help efforts are essential to preserve independence" and "a resolute spirit is necessary when facing your last days."Conclusion The results of the study highlight the importance of providing support for physical fitness activities to maintain links with the world off the island, providing opportunities to promote mutual assistance among older islanders, strengthening the medical system using ICT, and encouraging islanders to regularly discuss with their distant family members how they would like to spend the final days of their lives.

[老年人生活在偏远岛屿上的孤立社区,同时继续生活在熟悉的环境中的想法]。
目的本研究阐明了生活在偏远岛屿孤立社区的老年人继续生活在熟悉环境中的想法。此外,还对卫生政策提出了建议。方法B岛是a州的一个偏远岛屿,与世隔绝,四面环海。人口为138人,老龄化率为48.6% (R2)。我们对居住在B岛的7名老年人进行了半结构化访谈,并对访谈内容进行了定性和归纳分析,内容包括:(1)在熟悉的社区中住在自己家里的想法;(2)护理、医疗和预防保健以及能够帮助维持其生活的社会和人力资源;(3)继续在岛上生活。代码、子类别和分类是基于逐字记录的访谈生成的。结果研究参与者的平均年龄为76.9岁。老年人日常生活独立水平为J1-2。他们认为“他们在岛上的生活轻松愉快”,但也认为“岛民之间的紧密联系可能成为一种障碍”。他们表示,“岛上的生活是建立在相互支持的基础上的”,生命支持服务的可用性使他们“在岛上过着舒适的生活”。此外,由于海洋提供的绝缘,“岛外的连接被认为是最低必要的。”对于未来的岛上生活,他们表示,“对岛上的衰败无能为力”,“由于生物资源的匮乏,岛上的生活将变得至关重要”,“未来在任何情况下都不可能在岛上生活”,“他们需要接受的是,他们不能随心所欲地死在岛上”。关于继续在岛上生活,他们认为“自救是保持独立的必要条件”,“面对最后的日子,必须有坚定的精神”。研究结果强调了为身体健康活动提供支持以保持与岛外世界的联系的重要性,为促进老年岛民之间的互助提供机会,加强使用ICT的医疗系统,并鼓励岛民定期与远方的家庭成员讨论他们希望如何度过生命的最后几天。
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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