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存在行动障碍时的主观成功老龄化

Subjective Successful Aging in the Presence of Mobility Disability.

作者信息

Khamzina Madina, Rogers Wendy A

机构信息

College of Applied Health Sciences, University of Illinois Urbana-Champaign, Champaign, Illinois, USA.

School of Public Health, University of Maryland College Park, College Park, Maryland, USA.

出版信息

Gerontologist. 2024 Dec 13;65(1). doi: 10.1093/geront/gnae087.

Abstract

BACKGROUND AND OBJECTIVES

Researchers often define successful aging as freedom from disability and disease, yet the perceptions of older adults living with disability challenge this conception, demonstrating that they can indeed age successfully. This paper adapts a framework of successful aging with disability, basing it on the subjective assessment of key components contributing to success among older adults living with mobility disability due to multiple sclerosis.

RESEARCH DESIGN AND METHODS

Employing a qualitative, theory-grounded methodology, we conducted semistructured interviews with 20 individuals aged 60-75 who live with mobility disability attributed to multiple sclerosis. The open-ended questions explored their perspectives on the aging process, their definition of successful aging, and the coping strategies they employ in navigating challenges associated with age and their condition.

RESULTS

Despite facing mobility disabilities, the majority (16 out of 20) expressed a sense of successful aging, identifying 5 key themes: accepting reality, maintaining a positive attitude, fostering independence, nurturing a social life, and preserving cognitive abilities. They achieved successful aging by focusing on alternatives, relying on external support, having a good attitude and faith, and accepting their challenges.

DISCUSSION AND IMPLICATIONS

The themes identified in this research contribute to redefining successful aging in future studies and facilitating the development of interventions aimed at improving the quality of life for older adults coping with mobility disability.

摘要

背景与目标

研究人员通常将成功老龄化定义为无残疾和疾病,然而,残疾老年人的观念对这一概念提出了挑战,表明他们确实能够成功老龄化。本文采用了一个针对残疾的成功老龄化框架,该框架基于对因多发性硬化症导致行动不便的老年人成功老龄化的关键因素的主观评估。

研究设计与方法

我们采用定性的、基于理论的方法,对20名年龄在60至75岁之间、因多发性硬化症而行动不便的个体进行了半结构化访谈。开放式问题探讨了他们对衰老过程的看法、对成功老龄化的定义,以及他们在应对与年龄和自身状况相关的挑战时所采用的应对策略。

结果

尽管面临行动不便的问题,但大多数人(20人中的16人)表达了成功老龄化的感觉,确定了5个关键主题:接受现实、保持积极态度、培养独立性、培养社交生活和保持认知能力。他们通过关注替代方案、依靠外部支持、拥有良好的态度和信念以及接受挑战来实现成功老龄化。

讨论与启示

本研究中确定的主题有助于在未来的研究中重新定义成功老龄化,并促进旨在提高应对行动不便的老年人生活质量的干预措施的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e778/11879511/a61553fc0673/gnae087_fig1.jpg

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