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A Qualitative Exploration of Older Patients' Experiences With Frailty and Related Management Strategies

摘要


Background: Frailty is highly prevalent in hospitalized older patients and may increase the risk of adverse health outcomes. Understanding the experiences of older patients and the management strategies they use to recover from frailty is crucial to developing appropriate interventions. Purpose: This study was designed to explore the frailty experiences of older adults and the management strategies they use to recover from frailty. Methods: Using purposive sampling, semistructured, face-to-face interviews were conducted with 16 older patients with frailty. Data were analyzed using content analysis. Results: The experiences of participants were classified into three phases, including the (a) individual sensing phase, (b) daily-living-threatening phase, and (c) acclimatization and acceptance phase. When experiencing frailty, the participants developed management strategies to facilitate recovery, which manifested in three phases: (a) making flexible adjustments to the daily routine, (b) using adequate support systems, and (c) adopting positive thinking. Conclusions/Implications for Practice: The results indicate that familial support and positive thinking are important management strategies for successful recovery in frail individuals. Older patients require adequate support systems. Positive thinking was also found to be an effective management strategy for recovery. Healthcare professionals should not only focus on providing supportive resources but also provide support to older patients to facilitate their adoption of positive thinking to face life changes brought on by frailty.

參考文獻


Li, P. S., Hsieh, C. J., & Miao, N. F. (2020). A study of physical activity, frailty, and health-related quality of life among community-dwelling older adults in Taiwan. The Journal of Nursing Research, 28(6), Article e124. https://doi.org/10.1097/JNR.0000000000000402
Liu, B. S., & Huang, H. C. (2009). Family care for the elderly and The importance of filial piety. The Journal of Nursing, 56(4), 83-88. https://doi.org/10.6224/JN.56.4.83 (Original work published in Chinese)
Teng, W.-C. (2019). Unbearable burden: The caretakers' self-perceived burden and counseling interventions. The Journal of Long-Term Care, 23(1), 75-90. https://doi.org/10.6317/LTC.201907_23(1).0007 (Original work published in Chinese)
Åhlund, K., Bäck, M., Öberg, B., & Ekerstad, N. (2017). Effects of comprehensive geriatric assessment on physical fitness in an acute medical setting for frail elderly patients. Clinical Interventions in Aging, 12, 1929-1939. https://doi.org/10.2147/CIA.S149665
Archibald, M., Lawless, M., Ambagtsheer, R. C., & Kitson, A. (2020). Older adults' understandings and perspectives on frailty in community and residential aged care: An interpretive description. BMJ Open, 10(3), Article e035339. https://doi.org/10.1136/bmjopen-2019-035339

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