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Wang YR, Lee HF, Hsieh PL, Chang CH, Chen CM. Relationship between physical activity and perceptions of ageing from the perspective of healthy ageing among older people with frailty with chronic disease: a cross-sectional study. BMC Nurs 2023; 22:319. [PMID: 37716946 PMCID: PMC10504752 DOI: 10.1186/s12912-023-01481-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 09/04/2023] [Indexed: 09/18/2023] Open
Abstract
BACKGROUND In Taiwan, the 2019 Elderly Frailty Assessment found that 11.2% of older people have frailty problems. Some researchers have found that older persons' negative perspectives on ageing aggravate the progression of frailty, thereby increasing their risk of disability. This study aimed to investigate associations of physical activity and perceptions of ageing on perspectives of healthy ageing in older people with frailty and chronic diseases and to compare the differences in their frailty status. METHODS This study used a descriptive cross-sectional design. Participants were recruited from community long-term care stations. The inclusion criteria were (1) no severe cognitive impairment and ability to communicate in Mandarin and Taiwanese; (2) over 65 years old; (3) at least one chronic disease; and (4) at least one debilitating item in the Study of Osteoporotic Fracture index. A total of 312 participants were recruited. The Brief Ageing Perceptions Questionnaire Chinese version, Healthy Ageing Perspectives Questionnaire, and Physical Activity Scale for the Elderly Chinese Version were used for measurement. RESULTS The study results found that demographic variables, perceptions of ageing, and physical activity were significantly correlated with perspectives on healthy ageing, including age, Activities of Daily Living, education, all domains of perceptions of ageing, and household- and work-related physical activity. With regard to the frailty status level, prefrailty was better than frailty from the perspective of healthy ageing in older people with chronic disease (t = 5.35, p < 0.05). Hierarchical regression analysis was used to predict the healthy ageing perspectives of older persons with chronic disease involving a chronic time-line, positive control, health-related changes, and work-related activities. Those domains could predict 21% of the variance in healthy ageing perspectives. CONCLUSION It is suggested that in community long-term care stations, health care providers can arrange activities to improve the perception of ageing that are acceptable for older people with frailty and chronic diseases and encourage older people to participate in service activities to achieve a sense of social participation.
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Affiliation(s)
- Yu-Rung Wang
- Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Taiwan
| | - Huan-Fang Lee
- Department of Nursing, College of Medicine, National Cheng Kung University, Tainan City, Taiwan
| | - Pei-Lun Hsieh
- Department of Nursing, College of Health, National Taichung University of Science and Technology, Taichung City, 40343, Taiwan
| | - Chia-Hsiu Chang
- Department of Nursing, Hungkuang University, Taichung City, 433304, Taiwan
| | - Ching-Min Chen
- Department of Nursing, College of Medicine, National Cheng Kung University, Tainan City, Taiwan.
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Han G, Kim JS, Park YH, Kang SH, Kim HR, Hwangbo S, Chung TY, Shin HY, Na DL, Seo SW, Lim DH, Kim HJ. Decreased visual acuity is related to thinner cortex in cognitively normal adults: cross-sectional, single-center cohort study. Alzheimers Res Ther 2022; 14:99. [PMID: 35879770 PMCID: PMC9310451 DOI: 10.1186/s13195-022-01045-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 07/13/2022] [Indexed: 11/10/2022]
Abstract
Abstract
Background
Decreased visual acuity (VA) is reported to be a risk factor for dementia. However, the association between VA and cortical thickness has not been established. We investigated the association between VA and cortical thickness in cognitively normal adults.
Method
We conducted a cross-sectional, single-center cohort study with cognitively normal adults (aged ≥ 45) who received medical screening examinations at the Health Promotion Center at Samsung Medical Center. Subjects were categorized as bad (VA ≤ 20/40), fair (20/40 < VA ≤ 20/25), and good (VA > 20/25) VA group by using corrected VA in the Snellen system. Using 3D volumetric brain MRI, cortical thickness was calculated using the Euclidean distance between the linked vertices of the inner and outer surfaces. We analyzed the association between VA and cortical thickness after controlling for age, sex, hypertension, diabetes, dyslipidemia, intracranial volume, and education level.
Results
A total of 2756 subjects were analyzed in this study. Compared to the good VA group, the bad VA group showed overall thinner cortex (p = 0.015), especially in the parietal (p = 0.018) and occipital (p = 0.011) lobes. Topographical color maps of vertex-wise analysis also showed that the bad VA group showed a thinner cortex in the parieto-temporo-occipital area. These results were more robust in younger adults (aged 45 to 65) as decreased VA was associated with thinner cortex in more widespread regions in the parieto-temporo-occipital area.
Conclusion
Our results suggest that a thinner cortex in the visual processing area of the brain is related to decreased visual stimuli.
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Anantanasuwong D, Pengpid S, Peltzer K. Prevalence and Associated Factors of Successful Ageing among People 50 Years and Older in a National Community Sample in Thailand. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10705. [PMID: 36078421 PMCID: PMC9518576 DOI: 10.3390/ijerph191710705] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 08/22/2022] [Accepted: 08/26/2022] [Indexed: 06/15/2023]
Abstract
The aim of the study was to assess the prevalence and associated factors of successful ageing (SA) among people 50 years and older in Thailand. We analyzed national cross-sectional data (5092 men and women 50 years or older) from the Health, Aging and Retirement in Thailand (HART) study in 2015. The SA measures included (1) life satisfaction, (2) social engagement, (3) no major illness, (4) no probable depression, and (5) absence of functional disability. The sample included 5092 participants (median age 67 years, interquartile range 60 to 78 years). The prevalence of SA was 60.0% in adults 50 years and older, ranging from 43.8% in Krabi province to 80.2% in Pathum Thani province, 58.1% (≥60 years), and 56.3% (≥65 years), and the prevalence of the components of SA was 92.3% without major illness, 96.1% without functional disability, 87.5% without probable depression, 91.3% social engagement, and 82.3% high life satisfaction. In multivariable Poisson regression analysis, Buddhist religion (adjusted Prevalence Ratio (aPR): 1.50, 95% Confidence Interval (CI): 1.25 to 1.79), high subjective economic status (aPR: 1.29, 95% CI: 1.11 to 1.49), and physical activity (≥150 min/week) (aPR: 1.11, 95% CI: 1.01 to 1.24) were positively associated and increasing age (aPR: 0.993, 95% CI: 0.989 to 0.997) was negatively associated with SA. Almost two in three older adults in Thailand were successfully ageing. Factors associated with SA included being Buddhist, younger age, higher subjective economic status, and higher engagement in physical activity. These identified factors should be incorporated into health promotion intervention programs in Thailand.
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Affiliation(s)
- Dararatt Anantanasuwong
- Center for Aging Society Research (CASR), National Institute of Development Administration (NIDA), Bangkok 10240, Thailand
| | - Supa Pengpid
- Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand
- Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria 0208, South Africa
| | - Karl Peltzer
- Department of Psychology, University of the Free State, Bloemfontein 9300, South Africa
- Department of Psychology, College of Medical and Health Science, Asia University, Taichung 413305, Taiwan
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Solhi M, Pirouzeh R, Zanjari N. Perspectives on healthy aging in middle age: Evidence for health promotion interventions. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:5. [PMID: 35281398 PMCID: PMC8893087 DOI: 10.4103/jehp.jehp_972_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/09/2020] [Accepted: 09/14/2020] [Indexed: 06/14/2023]
Abstract
CONTEXT Understanding how middle-aged people perceive healthy aging and what they need to do to stay healthy as they age can help public policy planning to enhance the lifestyles of middle-aged and elderly people. AIMS The purpose of this study was to clarify the concept of healthy aging and strategies to achieve it from the perspective of middle-aged people in Tehran, Iran. SETTING AND DESIGN This qualitative study was performed on 21 middle-aged people aged 45-59 years of Tehran in 2019. SUBJECTS AND METHODS The data collection was carried out through semi-structured and in-depth interviews; the interviews were audiotaped, transcribed. Sampling was carried out gradually until data saturation through purposive sampling was achieved. STATISTICAL ANALYSIS USED Data collection and analysis were performed simultaneously. Data were analyzed using conventional content analysis. To establish the reliability and validity of findings, Graneheim and Landman criteria were considered. RESULTS The middle-aged perspective on healthy aging was included in four main themes: having good physical and mental health, having financial well-being, having social support. Strategies for achieving healthy aging were included in five themes: future financial planning, promoting physical health, promoting psychological health, maintaining and improving communication. CONCLUSION From the middle-aged perspective, healthy aging and strategies to achieve it are multidimensional. Planning for promotional interventions to have a healthy old age should be including all dimensions and done from the years before old age.
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Affiliation(s)
- Mahnaz Solhi
- Department of Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran
| | - Razieh Pirouzeh
- PhD Candidate of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran
| | - Nasibeh Zanjari
- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Chantakeeree C, Sormunen M, Estola M, Jullamate P, Turunen H. Factors Affecting Quality of Life among Older Adults with Hypertension in Urban and Rural Areas in Thailand: A Cross-Sectional Study. Int J Aging Hum Dev 2021; 95:222-244. [PMID: 34931879 PMCID: PMC9316351 DOI: 10.1177/00914150211050880] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
This study explored factors affecting quality of life in older adults with
hypertension by comparing those living in urban and rural areas. A
cross-sectional study was conducted on 420 older adults living in urban and
rural areas in Thailand. Data were collected using the WHOQOL-OLD and
Health-Promoting Lifestyle Profile-II tools, which measured quality of life and
health-promoting behaviors among the participants. Older adults in urban areas
had higher quality of life scores than those in rural locations.
Health-promoting behaviors significantly predicted higher quality of life for
all residents. A high perceived health status predicted increase of quality of
life in urban residents, whereas the presence of comorbidity effects decreased
quality of life. A longer hypertension duration predicted higher quality of life
in rural residents. These findings suggest that healthy behaviors and
self-management interventions are critical to improve quality of life in older
Thai adults with hypertension.
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Affiliation(s)
- Chonticha Chantakeeree
- Department of Nursing Science, Faculty of Health Sciences, 101232University of Eastern Finland, Box 1627, 70211, Kuopio, Finland.,Gerontological Nursing Division, Faculty of Nursing, 37688Burapha University, 169 Long-Hard Bangsaen Road, Tambon Saensook, Amphur Muang, Chonburi, 20131, Thailand
| | - Marjorita Sormunen
- Institute of Public Health and Clinical Nutrition, Department of Medicine, Faculty of Health Sciences, 205537University of Eastern Finland, Box 1627, 70211, Kuopio, Finland
| | - Matti Estola
- Faculty of Social Sciences (Joensuu Campus), 122208University of Eastern Finland, Box 111, 80101, Joensuu, Finland
| | - Pornchai Jullamate
- Gerontological Nursing Division, Faculty of Nursing, 37688Burapha University, 169 Long-Hard Bangsaen Road, Tambon Saensook, Amphur Muang, Chonburi, 20131, Thailand
| | - Hannele Turunen
- Department of Nursing Science, Faculty of Health Sciences, 101232University of Eastern Finland, Box 1627, 70211, Kuopio, Finland.,60650Kuopio University Hospital, Box 100, 70029 KYS
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Wagg E, Blyth FM, Cumming RG, Khalatbari-Soltani S. Socioeconomic position and healthy ageing: A systematic review of cross-sectional and longitudinal studies. Ageing Res Rev 2021; 69:101365. [PMID: 34004378 DOI: 10.1016/j.arr.2021.101365] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 03/25/2021] [Accepted: 05/13/2021] [Indexed: 12/20/2022]
Abstract
BACKGROUND The association between socioeconomic position (SEP) and health is well-established. However, the association between SEP and healthy ageing as a multidimensional construct is unclear. METHODS We conducted a systematic review of peer-reviewed cross-sectional and longitudinal studies on the associations between SEP and multidimensional healthy ageing measures. Studies were identified from a systematic search across major electronic databases from inception to February 2021. RESULTS Fourthy-five articles met inclusion criteria (26 cross-sectional and 19 longitudinal studies). There was no consistency in method of operationalizing healthy ageing across studies, domains included in the healthy ageing measures, or in the definition and number of levels of SEP indicators. Overall, regardless of heterogeneity between studies, a positive association between educational level (85.0 % of studies) and income/wealth (81.4 % of studies) and healthy ageing was evident. Regarding occupational position, evidence from 11 studies was inconclusive. The number of studies including home ownership, parenteral SEP, or composite SEP scores was insufficient to be able to draw a conclusion. CONCLUSIONS There is evidence that socioeconomic inequalities, as assessed by educational level and income/wealth, are associated with healthy ageing. These findings, and the broader evidence base on SEP and healthy ageing, highlight the importance of addressing inequality through integrated health and social policies and strategies.
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Affiliation(s)
- Emma Wagg
- The University of Sydney School of Public Health, Faculty of Medicine and Health, New South Wales, Australia
| | - Fiona M Blyth
- The University of Sydney School of Public Health, Faculty of Medicine and Health, New South Wales, Australia; ARC Centre of Excellence in Population Ageing Research (CEPAR), University of Sydney, Sydney, Australia
| | - Robert G Cumming
- The University of Sydney School of Public Health, Faculty of Medicine and Health, New South Wales, Australia; ARC Centre of Excellence in Population Ageing Research (CEPAR), University of Sydney, Sydney, Australia
| | - Saman Khalatbari-Soltani
- The University of Sydney School of Public Health, Faculty of Medicine and Health, New South Wales, Australia; ARC Centre of Excellence in Population Ageing Research (CEPAR), University of Sydney, Sydney, Australia.
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Cardoso RB, Caldas CP, de Souza PA, Brandão MAG, Santana RF. Proposal of Nursing Diagnosis "Readiness for Enhanced Healthy Aging": A Concept Analysis. Int J Nurs Knowl 2020; 32:134-143. [PMID: 32592527 DOI: 10.1111/2047-3095.12296] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Revised: 06/09/2020] [Accepted: 06/09/2020] [Indexed: 11/28/2022]
Abstract
PURPOSE To analyze the concept of healthy aging and propose the development of a nursing diagnosis METHODS: Concept analysis using the method proposed by Walker and Avant FINDINGS: Four bibliographic databases were searched, and 36 articles were included in the analysis. Seven antecedents, seven attributes, and three consequences for "healthy aging" were identified. CONCLUSIONS The concept analysis supported the development of the new nursing diagnosis "readiness for enhanced healthy aging," which can assist nurses in implementing actions aimed at promoting the health of older adults. IMPLICATION FOR NURSING PRACTICE The establishment of a nursing diagnosis may provide nurses the opportunity to implement interventions that promote the maintenance of functional and cognitive capacity, psychological and spiritual well-being, and social engagement, aiming at healthy aging with high quality of life.
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Affiliation(s)
- Rosane Barreto Cardoso
- Rosane Barreto Cardoso, MS, is a PhD student in Nursing, University of the State of Rio de Janeiro - UERJ, Rio de Janeiro, Brazi
| | - Célia Pereira Caldas
- Célia Pereira Caldas, RN, PhD, is a Full Professor at Public Health Department, Nursing College, University of the State of Rio de Janeiro - UERJ, Rio de Janeiro, Brazil
| | - Priscilla Alfradique de Souza
- Priscilla Alfradique De Souza, RN, PhD, is an Assistant Professor at the Alfredo Pinto School of Nursing, Federal University of the State of Rio de Janeiro - UNIRIO, Rio de Janeiro, Brazil
| | - Marcos Antônio Gomes Brandão
- Marcos Antônio Gomes Brandão, RN, MSN, PhD, is an Associate Professor at Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Rosimere Ferreira Santana
- Rosimere Ferreira Santana, RN, PhD, is an Associate Professor at the School of Nursing, Federal Fluminense University, Niterói, Rio de Janeiro, Brazil
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Lu W, Pikhart H, Sacker A. Domains and Measurements of Healthy Aging in Epidemiological Studies: A Review. THE GERONTOLOGIST 2020; 59:e294-e310. [PMID: 29897451 PMCID: PMC6630160 DOI: 10.1093/geront/gny029] [Citation(s) in RCA: 65] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Indexed: 01/07/2023] Open
Abstract
Purpose of the Study Few studies have recommended the essential domains of healthy aging and their relevant measurement to assess healthy aging comprehensively. This review is to fill the gap, by conducting a literature review of domains and measures of healthy aging in epidemiological studies. Design and Methods A literature search was conducted up to March 31, 2017, supplemented by a search of references in all relevant articles in English. We made a final selection of 50 studies across 23 countries or regions. Results Nineteen studies applied Rowe and Kahn’s three standards to assess healthy aging. Thirty-seven studies measured physical capabilities mainly by (instrumental) activities of daily living. Cognitive functions were included in 33 studies. Nineteen of them applied Mini-Mental State Examination (MMSE). Twenty-six studies considered metabolic and physiological health, but they mainly asked the self-reported absence of diseases. Twenty-four studies assessed psychological well-being by employing diverse scales. Questions about participation in social activities were mainly asked to measure social well-being in 22 studies. Sixteen studies considered individuals’ general health status, which was mainly measured by self-rated health. Security questions were asked in five studies. Health behaviors were taken into account by three studies. Fifteen studies either applied SF-12/36 or developed health indices to assess healthy aging. Implications This review summarizes detailed scales or methods that have been used to assess healthy aging in previous epidemiological studies. It also discusses and recommends the essential domains of healthy aging, and the relevant instruments for further epidemiological research to use in the assessment of healthy aging.
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Affiliation(s)
- Wentian Lu
- Research Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, United Kingdom
| | - Hynek Pikhart
- Research Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, United Kingdom
| | - Amanda Sacker
- Research Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, United Kingdom
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Wu F, Sheng Y. Social support network, social support, self-efficacy, health-promoting behavior and healthy aging among older adults: A pathway analysis. Arch Gerontol Geriatr 2019; 85:103934. [PMID: 31466024 DOI: 10.1016/j.archger.2019.103934] [Citation(s) in RCA: 92] [Impact Index Per Article: 18.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 08/01/2019] [Accepted: 08/06/2019] [Indexed: 11/18/2022]
Abstract
AIMS To determine the pattern of relationships among social support network, social support, self-efficacy, health-promoting behavior and healthy aging in older adults. METHODS Totally, 485 community-dwelling participants aged 60 years and older were recruited from four districts of Beijing, China. Data were obtained from July to November, 2017 using a questionnaire containing general information items, the Lubben Social Network Scale-18, the Medical Outcomes Study Social Support Survey-Chinese version, the Self-rated Abilities for Health Practices Scale, the Health-Promoting Lifestyle Profile II and a Healthy Aging Instrument. Path analysis was applied to examine the pattern of relationships between one's social support network and healthy aging. RESULTS The influence of a neighbor network on healthy aging was stronger than that of a family and friend network. Friend network had greater impact than family network on health-promoting behavior and self-efficacy. However, support from family members had a stronger effect than friend support and neighbor support on health-promoting behavior, self-efficacy and healthy aging. Furthermore, the finding revealed that self-efficacy had the stronger effect on healthy aging than that of health-promoting behavior. CONCLUSION These findings demonstrate that one's social support network plays an important role in promoting healthy aging. In China, medical and human resources for community healthcare systems are often limited. We propose that community nurses, as the "gatekeepers" to the healthcare system, should actively collaborate with older adults' social network resources to promote healthy aging. Moreover, nurses should develop efficient programs which focus on the ways of improving self-efficacy.
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Affiliation(s)
- Fan Wu
- School of Nursing, Peking Union Medical College, 33 Ba DaChu Road, Beijing 100144, People's Republic of China.
| | - Yu Sheng
- Department of Fundamental Nursing Teaching-Research, School of Nursing, Peking Union Medical College, 33 Ba DaChu Road, Beijing 100144, People's Republic of China.
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Križaj T, Roberts A, Warren A, Slade A. Early Hour, Golden Hour: an Exploration of Slovenian Older People's Meaningful Occupations. J Cross Cult Gerontol 2019; 34:201-221. [PMID: 31062170 DOI: 10.1007/s10823-019-09369-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
People are occupational beings and enabling older people to engage in meaningful occupations contributes to their health and well-being. Experiences of engagement and meaning in an occupation may differ in different socio-cultural contexts. The aim of this study was to explore Slovenian older people's individual experiences of engagement in occupation, with a particular emphasis on their meaningful occupations. The study employed a phenomenological research approach. Semi-structured interviews were conducted with ten Slovenian older adults, living independently in their home environment. Interpretative Phenomenological Analysis was used to approach and analyze the data. The findings highlighted that meaningful occupations and daily rituals represented an important part of the participants' identities. The meanings they attached to their occupations were informed by Slovenian socio-cultural, historical and physical context. A range of people and places were identified as significant in generating and maintaining these meanings. Participants gave particular significance to the role of productive, health-promoting and family-related occupations. The study contributes new occupational science knowledge and the findings support the case for increased recognition of the importance of meaningful occupation for older people.
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Affiliation(s)
- Tanja Križaj
- Faculty of Health and Human Sciences, School of Health Professions, University of Plymouth, PAHC, Derriford Road, Plymouth, Devon, PL6 8BH, UK.
| | - Anne Roberts
- Faculty of Health and Human Sciences, School of Health Professions, University of Plymouth, PAHC, Derriford Road, Plymouth, Devon, PL6 8BH, UK
| | - Alison Warren
- Faculty of Health and Human Sciences, School of Health Professions, University of Plymouth, PAHC, Derriford Road, Plymouth, Devon, PL6 8BH, UK
| | - Anita Slade
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK
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Voraroon S, Hellzen O, Enmarker I, Meebunmak Y, Devik SA. The impact of shareholding networks for facilitating care in rural Thailand. Geriatr Nurs 2019; 40:392-398. [PMID: 30765176 DOI: 10.1016/j.gerinurse.2019.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 01/06/2019] [Accepted: 01/09/2019] [Indexed: 11/19/2022]
Abstract
This study explored the existential meaning of being a participant in shareholding networks for the care of older people in Thailand. Ten older persons were interviewed about their experiences of participating in the networks. A reflective lifeworld perspective based on phenomenological philosophy was used. The findings show that participating in shareholding network activities entails an always-present existence of aging intertwined with life. Its constituents further describe the essential meaning of the phenomenon: "experience of improved self-management", "feeling of increased self-esteem", and "bridging a gap in the care of older people". Participation in shareholding network activities means keeping contact with oneself and being able to have a life that corresponds to how one perceives oneself to be and must therefore be understood from a holistic perspective. The present study recommends that older persons' need for support include places where safe and profound reflection on existential issues.
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Affiliation(s)
- Supaporn Voraroon
- Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Boromarajonani College of Nursing, Suphanburi, Thailand.
| | - Ove Hellzen
- Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Ingela Enmarker
- Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden
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