Being in a Bubble: the experience of loneliness among frail older people
Being in a Bubble: the experience of loneliness among frail older people
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DOI：
10.1111/jan.12853
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发表时间：
2016-03-01
影响因子：
3.8
通讯作者：
Kristensson, Jimmie
中科院分区：
文献类型：
--
作者：
Taube, Elin;Jakobsson, Ulf;Kristensson, Jimmie
目的本研究的目的是探讨生活在家里的体弱老人的孤独体验。背景孤独是一种威胁到身体和心理健康的严重后果，如果无人看管。有脆弱和心理健康状况差之间的关联，这意味着脆弱的老年人经历孤独是vulnerable.DesignQualitative content analysis，专注于潜在的和明显的content.MethodFrail老年人（65岁以上），生活在家里，谁经历了各种程度的孤独感，有目的地从一个更大的干预性研究（N=12）。在本研究中，“虚弱”是指日常生活活动依赖，并反复接触医疗服务。数据收集于2009年12月至2011年8月之间。半结构化的采访进行，录音和转录逐字。FindingsThe分析导致的整体主题是在一个泡沫'，这说明了生活在一个不断发展的世界的经验，但排除，因为参与者的社会环境和不可能重新获得损失。主题“障碍”被解释为面对身体、心理和社会障碍以克服孤独。主题“绝望”揭示了当没有成功克服这些障碍时的经历，包括将孤独视为一种持续的状态。一个积极的共存维度的孤独，提供独立，反映在主题Freedom'.ConclusionThe研究结果表明，未来的干预策略应针对体弱的老年人的个人障碍，促进积极的共存维度的孤独。在护理时，建议采用以人为本的方法，包括有关身体和心理方面的知识，包括孤独感。
AimThe aim of this study was to explore the experience of loneliness among frail older people living at home.BackgroundLoneliness is a threat to the physical and psychological well-being with serious consequences if left unattended. There are associations between frailty and poor psychological well-being, implying that frail older people who experience loneliness are vulnerable.DesignQualitative content analysis, focusing on both latent and manifest content.MethodFrail older people (65+years), living at home and who have experienced various levels in intensity of loneliness, were purposively selected from a larger interventional study (N=12). For this study, frail' means being dependent in activities of daily life and having repeated contacts with healthcare services. Data were collected between December 2009-August 2011. Semi-structured interviews were performed, audio recorded and transcribed verbatim.FindingsThe analysis resulted in the overall theme Being in a Bubble', which illustrates an experience of living in an ongoing world, but excluded because of the participants' social surroundings and the impossibility to regain losses. The theme Barriers' was interpreted as facing physical, psychological and social barriers for overcoming loneliness. The theme Hopelessness' reveals the experience when not succeeding in overcoming these barriers, including seeing loneliness as a constant state. A positive co-existing dimension of loneliness, offering independence, was reflected in the theme Freedom'.ConclusionThe findings suggest that future strategies for intervening should target the frail older persons' individual barriers and promoting the positive co-existing dimension of loneliness. When caring, a person centred approach, encompassing knowledge regarding physical and psychological aspects, including loneliness, is recommended.