Health literacy and cancer communication with older adults

Health literacy and cancer communication with older adults
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DOI:
10.1016/j.pec.2008.02.007
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发表时间:
2008-06-01
影响因子:
3.5
通讯作者:
Nussbaum, Jon F.
Nussbaum, Jon F.
中科院分区:
医学2区
文献类型:
--
作者:
Sparks, Lisa;Nussbaum, Jon F.

文献摘要

被引文献

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目的:随着我们进入老年,生理、认知、语言和交流方面的变化已经在社会科学文献中得到了很好的记载。这些变化中的许多都在某种程度上导致了以前的互动能力和能力的减弱。老年病学家试图帮助老年人弥补这些潜在的损失的新咒语是制定策略,以保持现有的能力尽可能长的时间。方法:使用在线数据库进行文献综述。被诊断患有癌症或帮助照顾癌症患者的老年人必须面对一个需要高水平健康素养的医疗保健系统,以成功地管理癌症患者的健康状况。疾病由于与年龄相关的生理、认知、心理和沟通因素,老年人在成功科普癌症方面可能处于明显的劣势。本文重点介绍了相关的研究结果和理论定位,不仅指出了那些适应癌症的人所面临的可能的语用困境,而且还强调了学者们可能希望关注的研究流,以更好地了解如何适应癌症。老年人和他们的正式和非正式的照顾者可以提高他们的癌症健康literacy.Practice implications:提供者,患者和照顾者都必须参与创造一个健康护理环境的共享意义和理解的健康信息量身定制的老年患者诊断为癌症。健康传播学者有各种理论,方法和务实的沟通为基础的方法,提供了重要的贡献,照顾老年病人的复杂性。(C)2008爱思唯尔爱尔兰有限公司保留所有权利。
Objective: The physiological, cognitive, language and communicative changes that take place as we enter into old age have become quite well documented within the social scientific literature. Many of these changes lead in some way to a lessening of previous interactive abilities and competencies. The new mantra for gerontologists attempting to help older adults compensate for these potential losses is to develop strategies to maintain existing abilities as long as possible.Methods: A literature review using online databases was performed.Results: Older adults who are diagnosed with cancer or help care for an individual coping with cancer must confront a health care system that demands a high level of health literacy to successfully manage the disease. Older adults may be at a distinct disadvantage in their ability to successfully cope with cancer because of age-related physiological, cognitive, psychological and communicative factors.Conclusion: This paper highlights the relevant research findings and theoretical positioning that points not only to possible pragmatic dilemmas faced by those adapting to cancer but also highlights streams of research that scholars may wish to focus upon to better understand how older adults and their formal and informal caregivers can improve their cancer health literacy.Practice implications: Providers, patients, and caregivers must all participate in creating a health care environment of shared meaning and understanding of health messages tailored to the aging patient diagnosed with cancer. Health communication scholars have various theoretical, methodological, and pragmatic communication-based approaches that provide important contributions to the complexities of caring for the aging patient. (C) 2008 Elsevier Ireland Ltd. All rights reserved.