"It's a toss up between my hearing, my heart, and my hip": prioritizing and accommodating multiple morbidities by vulnerable older adults.
"It's a toss up between my hearing, my heart, and my hip": prioritizing and accommodating multiple morbidities by vulnerable older adults.
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DOI：
10.1353/hpu.0.0115
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发表时间：
2009-02
影响因子：
1.4
通讯作者：
Edwards W
中科院分区：
文献类型：
--
作者：
Schoenberg NE;Leach C;Edwards W
近四分之三的老年人患有多种疾病（MM）。这项研究调查了老年人优先考虑哪些疾病，为什么以及他们如何适应这些条件，重点是患有两种或两种以上慢性病和社会经济地位低的老年人。对41名老年人进行了深入采访（大多数是来自美国东南部的非洲裔美国妇女，患有两种或两种以上的慢性疾病）。许多参与者报告说，他们最担心的是心脏病、糖尿病和残疾/行动不便问题，以及它们的协同效应。许多人担心，这可能会使他们陷入螺旋式下降。参与者在关节炎和糖尿病上花费的时间和金钱最多。很少有人得到帮助;当他们这样做的时候，亲戚们帮助关节炎/移动性，糖尿病和中风的影响。加强正式护理协调，更多地利用技术创新，了解老年人的优先事项，是改善自我护理/管理和生活质量的必要条件。
Nearly three quarters of older adults have multiple morbidities (MM). This study investigated which morbidities older adults prioritize, why, and how they accommodate these conditions, focusing on elders with two or more chronic conditions and low socioeconomic status. In-depth interviews were conducted with 41 older adults (most-being African American women from the southeastern U.S., with two or more chronic illnesses). Many participants reported worrying most about their heart disease, diabetes, and disability/mobility problems, and about their synergistic effects. Many worried that MMs might tip them into a downward spiral. Participants spent the most time and money on arthritis and diabetes. Few received help; when they did, relatives assisted with arthritis/ mobility, diabetes, and effects of stroke. Enhanced formal care coordination, increased use of technological innovations, and understanding elders’ priorities are necessary to improve self-care/management and quality of life.
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