Understanding Physical Health of Older Adults with Schizophrenia Building and Eroding Trust
Understanding Physical Health of Older Adults with Schizophrenia Building and Eroding Trust
复制标题
DOI：
10.3928/00989134-20091103-99
复制
发表时间：
2010-05-01
影响因子：
1.3
通讯作者：
Wallhagen, Margaret I.
中科院分区：
文献类型：
--
作者：
Leutwyler, Heather C.;Wallhagen, Margaret I.
患有精神分裂症的成年人寿命更长，数据表明，他们面临着医疗保健方面的差距，这导致身体健康状况不佳。本文介绍了一项研究的结果，该研究探索了老年精神分裂症患者对身体健康的理解。其中一个目标是了解影响经历过的医疗保健差距的因素。这项扎根的理论研究使用了半结构化访谈和参与者观察，对28名生活在不同环境中的老年精神分裂症患者进行了研究。信任演变为一个动态的过程，它建立在尊重、关怀、倡导和一致性因素的基础上，并通过不尊重、不被倾听、缺乏时间和提供者不作为和污名化等因素而受到侵蚀。当提供者、医疗保健系统和患有精神分裂症的老年人之间建立和接受信任时，成年人的身体健康结果可能会改善，医疗保健差距可能会缩小。这些发现为促进最佳身体健康结果提供了见解。
Adults with schizophrenia are living longer, and data suggest they face health care disparities contributing to poor physical health. This article presents findings from a study that explored the understanding of physical health among older adults with schizophrenia. One goal was to understand factors that influence experienced health care disparities. This grounded theory study used semi-structured interviews and participant observation and was conducted among 28 older adults with schizophrenia living in a variety of settings. Trust evolved as a dynamic process that was built with factors of respect, caring, advocacy, and consistency and eroded through factors of disrespect, not being heard, lack of time and provider inaction, and stigmatization. When trust is given and received between providers, the health care system, and the older adult with schizophrenia, the adult's physical health outcomes may improve and health care disparities may decline. These findings provide insights to promote optimal physical health outcomes.