{"title":"保持自主性:患有慢性疾病的老年人及其重要的其他人如何解释，导航和克服日常困难。","authors":"Thomas Ballmer, Brigitte Gantschnig","doi":"10.1080/11038128.2023.2249959","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The vast majority of older adults live in their own homes. Many of them live with chronic conditions that lead to activity limitations and participation restrictions. To support them adequately, we need to better understand how they cope with everyday difficulties.</p><p><strong>Aim: </strong>To identify and examine difficulties in everyday life older people with chronic conditions who live in private homes face and how they and their significant others interpret, navigate, and overcome these difficulties.</p><p><strong>Material and methods: </strong>We conducted a focus group interview with 10 participants including eight older adults with chronic conditions and two of their significant others. We then transcribed the interviews verbatim and thematically analysed them.</p><p><strong>Results: </strong>We generated the three closely interrelated themes <i>struggling not to lose control, a shifting balance between resources and environmental challenges,</i> and <i>negotiating independence and interdependence</i>. Participants interpreted the difficulties they faced as multicausal. Their main goal was maintaining autonomy, agency, and a positive identity. They employed individual, creative strategies to achieve these goals.</p><p><strong>Conclusions: </strong>Older persons with chronic conditions prioritise autonomy and agency in order to maintain a positive identity.</p><p><strong>Significance: </strong>Interventions to support older persons with chronic conditions should centre their priorities and build on their creativity.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Maintaining autonomy: How older persons with chronic conditions and their significant others interpret, navigate, and overcome everyday difficulties.\",\"authors\":\"Thomas Ballmer, Brigitte Gantschnig\",\"doi\":\"10.1080/11038128.2023.2249959\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The vast majority of older adults live in their own homes. Many of them live with chronic conditions that lead to activity limitations and participation restrictions. To support them adequately, we need to better understand how they cope with everyday difficulties.</p><p><strong>Aim: </strong>To identify and examine difficulties in everyday life older people with chronic conditions who live in private homes face and how they and their significant others interpret, navigate, and overcome these difficulties.</p><p><strong>Material and methods: </strong>We conducted a focus group interview with 10 participants including eight older adults with chronic conditions and two of their significant others. We then transcribed the interviews verbatim and thematically analysed them.</p><p><strong>Results: </strong>We generated the three closely interrelated themes <i>struggling not to lose control, a shifting balance between resources and environmental challenges,</i> and <i>negotiating independence and interdependence</i>. Participants interpreted the difficulties they faced as multicausal. Their main goal was maintaining autonomy, agency, and a positive identity. They employed individual, creative strategies to achieve these goals.</p><p><strong>Conclusions: </strong>Older persons with chronic conditions prioritise autonomy and agency in order to maintain a positive identity.</p><p><strong>Significance: </strong>Interventions to support older persons with chronic conditions should centre their priorities and build on their creativity.</p>\",\"PeriodicalId\":49570,\"journal\":{\"name\":\"Scandinavian Journal of Occupational Therapy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Scandinavian Journal of Occupational Therapy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/11038128.2023.2249959\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/9/7 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scandinavian Journal of Occupational Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/11038128.2023.2249959","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/7 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
Maintaining autonomy: How older persons with chronic conditions and their significant others interpret, navigate, and overcome everyday difficulties.
Background: The vast majority of older adults live in their own homes. Many of them live with chronic conditions that lead to activity limitations and participation restrictions. To support them adequately, we need to better understand how they cope with everyday difficulties.
Aim: To identify and examine difficulties in everyday life older people with chronic conditions who live in private homes face and how they and their significant others interpret, navigate, and overcome these difficulties.
Material and methods: We conducted a focus group interview with 10 participants including eight older adults with chronic conditions and two of their significant others. We then transcribed the interviews verbatim and thematically analysed them.
Results: We generated the three closely interrelated themes struggling not to lose control, a shifting balance between resources and environmental challenges, and negotiating independence and interdependence. Participants interpreted the difficulties they faced as multicausal. Their main goal was maintaining autonomy, agency, and a positive identity. They employed individual, creative strategies to achieve these goals.
Conclusions: Older persons with chronic conditions prioritise autonomy and agency in order to maintain a positive identity.
Significance: Interventions to support older persons with chronic conditions should centre their priorities and build on their creativity.
期刊介绍：
The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries.
Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
