Community-dwelling older adults who are low-income and disabled weathering financial challenges.

Community-dwelling older adults who are low-income and disabled weathering financial challenges.
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DOI:
10.1016/j.gerinurse.2021.04.025
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发表时间:
2021-07
期刊:
Geriatric nursing (New York, N.Y.)
影响因子:
--
通讯作者:
Szanton SL
Szanton SL
中科院分区:
其他
文献类型:
--
作者:
Samuel LJ;Wright R;Granbom M;Taylor JL;Hupp C;Roberts Lavigne LC;Szanton SL

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尽管干预措施旨在改善经历财务挑战的老年人的结果,但人们对面临的挑战和应对这些挑战的策略知之甚少。本研究调查了年龄≥65岁的低收入成年人的财务挑战经历。采用主题分析对11个半结构化访谈进行分析。总体主题是“我想这是平衡的”,捕捉了在压力、不确定性和限制下保持希望和积极应对挑战的尝试。平衡在四个领域得到了证明,包括认知带宽(“多想”与“我不会纠结于此”),情感体验(“沮丧”与“感恩”),习得弹性(“这是一个震惊”与“总有办法”),以及满足日常需求(“我们学会了不做”与“拿一美元并把它伸长”)。参与者描述了自己经受住了挑战,并主要使用高强度的应对策略来应对挑战。这些发现呼吁加强对面临经济挑战的老年人的安全网。
Despite interventions aiming to improve outcomes among older adults experiencing financial challenges, the challenges and strategies employed to handle them are poorly understood. This study examined the experiences of financial challenges among low-income adults aged ≥65 years. Eleven semi-structured interviews were analyzed using thematic analyses. An overarching theme was “I guess it balances”, capturing attempts to maintain hope and proactively address challenges despite stress, uncertainty and limitations. Balancing was demonstrated within four domains, including cognitive bandwidth (“think a lot” versus “I don’t dwell on that”), emotional experience (“depressing” versus “be thankful”), learned resilience (“that was a shock” versus “there’s always a way”), and meeting daily needs (“we learned to do without” versus “take a dollar and stretch it”). Participants described being weathered by challenges and using predominately high-effort coping strategies to weather the challenges. These findings call for strengthening the safety net for older adults facing financial challenges.
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