Strengths Promoting the Recovery Process in Older Adults with Depression
Strengths Promoting the Recovery Process in Older Adults with Depression
复制标题
促进患有抑郁症的老年人康复过程的优势
DOI：
10.1111/jocn.14359
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发表时间：
2018
影响因子：
4.2
通讯作者：
Tanaka Koji
中科院分区：
文献类型：
--
作者：
福田守良;田端恵子;角谷暁子;大桑麻由美;福田守良;Tanaka Koji
目的和目标为了澄清优势，促进老年人抑郁症在日本的恢复过程中。背景随着全球人口老龄化，老年人抑郁症的护理和治疗已引起世界各地越来越多的关注。很明显，内在力量与老年人的抑郁症呈负相关，使用内在力量正在成为一个关键的概念，在照顾老年人与depression.DesignQualitative描述性design.MethodsParticipant观察和叙述性访谈的背景下进行单独与12个老年人与抑郁症在护理为基础的和日常生活设置。所获得的数据进行了专题分析，采用叙事方法提取的主题和subthemes.ResultsA共3个主题和12个subthemes阐明。发现的优势，以促进恢复过程中的老年人抑郁症是（一）的情感联系的感觉，（二）与生活的对话和（iii）discoversionsStrengths促进恢复过程从一个完整的人的角度进行了澄清，概念化的经验，老年人抑郁症的优势取向。情感联系的感觉构成了促进康复过程的基础。与生活和发现的对话被认为代表了在老年和抑郁症的经历中发现的智慧和灵性。与临床实践的相关性虽然将本研究结果视为基础知识，关注受试者对疾病和康复的个人叙述，将为老年抑郁症患者提供以力量为导向的护理实践的可能性。并提供促进康复的护理。
Aims and objectivesTo clarify strengths for promoting the recovery process among older adults with depression in Japan.BackgroundWith the ageing of the global population, care and treatment of older adults with depression has been attracting increased attention around the world. It has become clear that the inner strength is inversely related to depression in older adults and that the use of inner strength is becoming a key concept in the context of caring for older adults with depression.DesignQualitative descriptive design.MethodsParticipant observation and narrative interviews were conducted individually with 12 older adults with depression in care‐based and daily life settings. The data obtained were subjected to thematic analysis using the narrative method to extract themes and subthemes.ResultsA total of three themes and 12 subthemes were elucidated. Strengths found to promote the recovery process in older adults with depression were (i) asense of emotional connection,(ii)dialogue with lifeand (iii)discovery.ConclusionsStrengths promoting the recovery process from a whole‐person perspective were clarified by conceptualising the experiences of older adults with depression with a strength orientation. Asense of emotional connectionconstituted a basis for promoting the recovery process.Dialogue with lifeanddiscoverywere thought to represent the wisdom and spirituality found in the experience of old age and depression.Relevance to clinical practiceWhile regarding the results of this study as basic knowledge, focusing on subjects’ individual narratives of illness and recovery will open the possibility of a strength‐oriented nursing practice for older adults with depression and lead to the provision of care that promotes recovery.