Self-regulatory coping among community dwelling older adults with multiple chronic conditions

被引：0

作者：

Bankole, Ayomide Okanlawon ^{[1
]}

Gill, Sara L. ^{[2
]}

McSharry, Jenny ^{[3
]}

White, Carole L. ^{[2
]}

Aniemeke, Chidinma ^{[3
]}

Wallington, Sherrie Flynt ^{[4
,5
]}

Addo-Mensah, Dorothy Ewurabena ^{[1
]}

Braden, Carrie Jo ^{[2
]}

机构：

[1] Univ N Carolina, Sch Nursing, Carrington Hall,Campus Box 7460, Chapel Hill, NC 27599 USA

[2] Univ Texas Hlth Sci Ctr, San Antonio Sch Nursing, San Antonio, TX USA

[3] Natl Univ Ireland, Sch Psychol, Hlth Behav Change Res Grp, Galway, Ireland

[4] George Washington Univ, Sch Nursing, Washington, DC USA

[5] George Washington Univ, Sch Publ Hlth, Milken Inst, Washington, DC USA

来源：

JOURNAL OF MULTIMORBIDITY AND COMORBIDITY | 2023年 / 13卷

关键词：

Coping; self-regulation; multiple chronic conditions; older adult; qualitative research; COMMON-SENSE MODEL; ILLNESS REPRESENTATIONS; DECISION-MAKING; RATED HEALTH; MULTIMORBIDITY; MANAGEMENT; ASSOCIATION; HOSPITALIZATION; INTERVENTIONS; PERCEPTIONS;

D O I：

10.1177/26335565231207538

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

ObjectivesMany older adults with multiple chronic conditions (MCC) frequently experience hospitalizations, functional limitations, and poor quality of life. Outcomes may be improved by promoting self-regulation, which may individuals respond to health threats and manage their health conditions. The aim of this study was to describe self-regulatory coping among older adults with MCC.MethodsA qualitative descriptive study using semi-structured interviews and content analysis and guided by the Common-Sense Self-Regulation Model. Seventeen community-dwelling older adults with two or more chronic conditions participated in our study.ResultsThree themes were developed from the analysis: (1) "I don't think about it unless something happens": coping in the absence of a health event, (2) "doing what I am supposed to do": coping during a health event, and (3) "How do I know if what I did works?": appraisal of coping success.DiscussionSelf-regulatory coping was influenced by individual beliefs and experiences (illness representations), context, self-efficacy and availability of support and resources to cope with MCC. These findings suggest implications for clinical practice and future self-regulation interventions for older adults with MCC.

引用

页数：13