中国全科医学2024，Vol.27Issue(25)：3143-3149,7.DOI:10.12114/j.issn.1007-9572.2023.0618
社区共病老年人居家疾病体验的质性研究
A Qualitative Study of Community-dwelling Elderly People'Experience of Multimorbidity
摘要
Abstract
Background In the face of the serious challenges posed by the high prevalence of chronic diseases among the elderly and the coexistence of multiple chronic diseases,the health problems of community-dwelling elderly people'with multimorbidity require urgent attention.The comorbidity management model is being explored and practiced.Disease experience,as self-reported health information from patients,is expected to become a key component of the patient-centered community multimorbidity management model.Objective This study aimed to gain a deeper understanding of the real disease experience of community-dwelling elderly people with multimorbidity and provide a basis for personalized health management and supportive strategies of the group.Methods This study used purposive sampling and maximum difference sampling to select eligible interviewees from four communities under the jurisdiction of a community health service center in Zhengzhou City from August to September in 2022.Based on the principle of information saturation,20 subjects were ultimately included.Based on the research objective,literature review,and expert consultation results,the preliminary interview outline was formulated,and the final interview outline was determined after interviewing 2 patients.Semi-structured interviews were conducted with the study participants,guided by the phenomenological research methodology.Golaizzi analysis was used to analyse the data.Results Four themes and eleven sub-themes had been extracted from this study,including mainly long-standing symptomatic distress(physical dysfunction,fatigue,sleep disorders,and pain),negative psychological experiences(feelings of helplessness and worry about future life,reduced sense of social value and self-identity,and loneliness with altered social activities),positive mindset of coexisting harmoniously with multimorbidity(being grateful for being satisfied,and positively adapting),and aspirations in times of adversity(hoping for improvement in functioning,and seeking multi-directional social support).Conclusion Physical dysfunction,sleep disturbances,fatigue,and pain are the most concerning health disturbances for community-dwelling elderly people with multimorbidity.The symptom management and multiple social support of the multimorbidity need to be strengthened.In the future,it is expected that multidimensional data would be used for dynamic health assessment to explore the common and individual patterns of multimorbidity,and to achieve precise management and intervention of elderly multimorbidity in the community.关键词
慢性病/慢性病共病/患者报告结局评价/老年人/疾病体验/质性研究Key words
Chronic disease/Multiple chronic conditions/Patient reported outcome measures/Aged/Illness experience/Qualitative studies分类
医药卫生引用本文复制引用
赵婷,张艳,吴兰心,孟李雪,刘莉..社区共病老年人居家疾病体验的质性研究[J].中国全科医学,2024,27(25):3143-3149,7.基金项目
国家自然科学基金资助项目(71874162) （71874162）
