Experience of hope in older people with chronic illness: A meta-synthesis

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2023-11-05 DOI:10.1111/opn.12579

Manoela Henriques Pinto Undergraduate Medical Student, Ana Carolina Andrade Biaggi Leite PhD, RN, Rhyquelle Rhibna Neris RN, Luciana Kusumota PhD, RN

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引用次数: 0

Abstract

Background

The increase in life expectancy has contributed to an increase in the number of older people, but this population has to learn to live with at least one chronic illness. Thus, hope has become an important resource for the older adult to face the repercussions of chronic illness.

Objective

To synthesise qualitative evidence on the experience of hope in older people with chronic illness.

Methods

This meta-synthesis included qualitative studies which present the experiences of hope in older people diagnosed with at least one chronic illness. The searches were made from six databases, guided by the SPIDER tool. The identified articles were then independently screened by two reviewers. The results were analysed according to the thematic synthesis approach.

Results

Eighteen articles were included, and four analytical themes were constructed. The results allow us to understand that older people live with long-term conditions and hope for an ordinary life. To react to new changes and to maintain hope, they create goals that motivate them in daily life. The treatment is initially seen as a salvation, but the information acquired with the evolution of the illness modifies this perception. In addition, the uncertainty about the success of the treatment creates conflict in their hope. In the support and care of older people in the new context of illness, meaningful relationships strengthen hope most of the time. There is still the hope of being reconciled with death, but there are times when suffering overcomes the hope of living.

Conclusions

This meta-synthesis highlights that the experience of hope in older people is dynamic and influenced by the context of changes related to illness, treatment, significant relationships and proximity to death.

Implications for Practice

A better understanding of the role and characteristics of hope in older people with chronic illness may help to develop more effective interventions to promote and maintain hope.

查看原文本刊更多论文

老年慢性病患者的希望体验：荟萃综合。

背景：预期寿命的增加导致了老年人数量的增加，但这些人必须学会至少患有一种慢性病。因此，希望已成为老年人面对慢性病影响的重要资源。目的：综合老年慢性病患者希望体验的定性证据。方法：这种荟萃综合包括定性研究，这些研究展示了被诊断患有至少一种慢性病的老年人的希望经历。在天基信息平台工具的指导下，从六个数据库进行了搜索。然后由两名评审员对鉴定出的文章进行独立筛选。根据专题综合方法对结果进行了分析。结果：共收录18篇文章，构建了4个分析主题。研究结果让我们明白，老年人生活在长期的条件下，希望过上普通的生活。为了应对新的变化并保持希望，他们在日常生活中创造了激励他们的目标。这种治疗最初被视为一种救赎，但随着疾病的发展而获得的信息改变了这种看法。此外，治疗成功的不确定性也在他们的希望中产生了冲突。在新的疾病背景下对老年人的支持和照顾中，有意义的关系在大多数时候都会增强希望。仍然有与死亡和解的希望，但有时苦难会战胜活着的希望。结论：这种荟萃综合强调，老年人的希望体验是动态的，并受到与疾病、治疗、重要关系和接近死亡相关的变化的影响。对实践的启示：更好地了解希望在患有慢性病的老年人中的作用和特征，可能有助于制定更有效的干预措施来促进和保持希望。

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

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.