A Qualitative Study of the Social and Lived Experiences of Homebound Older Adults

被引:7
作者
Cheng, Joyce M. [1 ,2 ]
Batten, George P. [1 ]
Yao, Nengliang [1 ,3 ,4 ]
机构
[1] Univ Virginia, Charlottesville, VA 22903 USA
[2] Johns Hopkins Univ, Baltimore, MD USA
[3] Home Ctr Care Inst, Schaumburg, IL USA
[4] Shandong Univ, Jinan, Peoples R China
关键词
home and community-based care and services; loneliness; self-concept; social support; well-being; PATIENT WORK SYSTEM; CARE; HEALTH; AUTONOMY;
D O I
10.1177/07334648211040383
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objective: The number of homebound older adults is increasing in the United States. We aimed to examine their social and lived experiences and to understand their perspectives on their situation, feelings, and coping mechanisms. Methods: We conducted a cross-sectional qualitative study using semi-structured interviews with 18 older homebound individuals in Central Virginia. Results: Homebound older adults experienced both physical and mental health challenges that restricted their ability to participate in activities of daily living, recreation, and social interactions. Participants often felt dependent, helpless, lonely, and socially isolated. Those who communicated regularly with friends, family, and health care providers reported positive benefits from these interactions. Discussion: Participants faced challenges to their physical, emotional, and mental well-being. Our findings might help clinicians, policymakers, and community organizations understand how to better support homebound older adults. We should provide educational opportunities, respect their autonomy, and implement initiatives to address their isolation and loneliness.
引用
收藏
页码:744 / 753
页数:10
相关论文
共 47 条
[1]  
Abedini N., 2019, HEALTH AFFAIRS BLOG, DOI 10.1377/hblog20190618.629601
[2]  
Agree E.M., 2018, Demography of aging and the family
[3]  
[Anonymous], 2019, FACT SHEET AGING US
[4]   Social Death [J].
Borgstrom, E. .
QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2017, 110 (01) :5-7
[5]   Coding In-depth Semistructured Interviews: Problems of Unitization and Intercoder Reliability and Agreement [J].
Campbell, John L. ;
Quincy, Charles ;
Osserman, Jordan ;
Pedersen, Ove K. .
SOCIOLOGICAL METHODS & RESEARCH, 2013, 42 (03) :294-320
[6]  
Centers for Medicare & Medicaid Services, 2013, CTR MED MED SERVICES
[7]   A qualitative study of health-care experiences and challenges faced by ageing homebound adults [J].
Cheng, Joyce M. ;
Batten, George P. ;
Cornwell, Thomas ;
Yao, Nengliang .
HEALTH EXPECTATIONS, 2020, 23 (04) :934-942
[8]   Improving Social Connectedness for Homebound Older Adults: Randomized Controlled Trial of Tele-Delivered Behavioral Activation Versus Tele-Delivered Friendly Visits [J].
Choi, Namkee G. ;
Pepin, Renee ;
Marti, C. Nathan ;
Stevens, Courtney J. ;
Bruce, Martha L. .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2020, 28 (07) :698-708
[9]  
Corporation for National & Community Service, 2012, HLTH BEN VOL OLD AM
[10]   Researching lived experience in health care: Significance for care ethics [J].
de Casterle, Bernadette Dierckx ;
Verhaeghe, Sofie T. L. ;
Kars, Marijke C. ;
Coolbrandt, Annemarie ;
Stevens, Marleen ;
Stubbe, Maaike ;
Deweirdt, Nathalie ;
Vincke, Jeroen ;
Grypdonck, Maria .
NURSING ETHICS, 2011, 18 (02) :232-242