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Coping with multimorbidity in old age--a qualitative study.

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  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100967792 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2296 (Electronic) Linking ISSN: 14712296 NLM ISO Abbreviation: BMC Fam Pract Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2000-2021]
    • الموضوع:
      Adaptation, Psychological* ; Health Behavior*; Activities of Daily Living/*psychology ; Aging/*psychology ; Chronic Disease/*psychology; Aged ; Aged, 80 and over ; Aging/physiology ; Chronic Disease/therapy ; Comorbidity ; Family Characteristics ; Female ; Germany ; Humans ; Interviews as Topic ; Male ; Narration ; Patient Acceptance of Health Care/psychology ; Personal Autonomy ; Qualitative Research ; Self Care/methods ; Self Care/psychology ; Social Class
    • نبذة مختصرة :
      Background: Comparatively few studies address the problems related to multimorbidity. This is surprising, since multimorbidity is a particular challenge for both general practitioners and patients. This study focuses on the latter, analyzing the way patients aged 65-85 cope with multimorbidity.
      Methods: 19 narrative in-depth interviews with multimorbid patients were conducted. The data was analysed using grounded theory. Of the 19 interviewed patients 13 were female and 6 male. Mean age was 75 years. Participating patients showed a relatively homogeneous socio-economic status. Patients were recruited from the German city of Hamburg and the state of North Rhine-Westphalia.
      Results: Despite suffering from multimorbidity, interviewees held positive attitudes towards life: At the social level, patients tried to preserve their autonomy to the most possible extent. At the emotional level, interviewees oscillated between anxiety and strength - having, however, a positive approach to life. At the practical level, patients aimed at keeping their diseases under control. The patients tended to be critical in regards to medication.
      Conclusions: These findings might have implications for the treatment of multimorbid patients in primary care and further research: The generally presumed passivity of older individuals towards medical treatment, which can be found in literature, is not evident among our sample of older patients. In future, treatment of these patients might take their potential for pro-active cooperation more strongly into account than it is currently the case.
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    • الموضوع:
      Date Created: 20120530 Date Completed: 20120928 Latest Revision: 20240612
    • الموضوع:
      20240612
    • الرقم المعرف:
      PMC3403868
    • الرقم المعرف:
      10.1186/1471-2296-13-45
    • الرقم المعرف:
      22639848