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

Autor:	Yueh FR; MS, RN, Doctoral Student, International Doctoral Program in Nursing, Department of Nursing, College of Medicine, National Cheng Kung University; and Assistant Head Nurse, Department of Nursing, National Cheng Kung University Hospital, Taiwan, ROC., Pan JH; MS, RN, Clinical Nursing Teacher, Department of Nursing, College of Pharmacy & Health Care, Tajen University, Taiwan, ROC., Lee HF; PhD, RN, Associate Professor, Department of Nursing, College of Medicine, National Cheng Kung University, Taiwan, ROC., Yen M; PhD, RN, Professor, International Studies Department of Nursing, Department of Nursing, College of Medicine, National Cheng Kung University, Taiwan, ROC., Hu FW; PhD, RN, Associate Professor, College of Nursing, Kaohsiung Medical University, Taiwan, ROC.
Jazyk:	angličtina
Zdroj:	The journal of nursing research : JNR [J Nurs Res] 2023 Aug 01; Vol. 31 (4), pp. e283. Date of Electronic Publication: 2023 Aug 01.
DOI:	10.1097/jnr.0000000000000565
Abstrakt:	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. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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