“Maintaining symbiosis in conflict”: the quality of life of disabled elderly individuals in Chinese elderly care institutions – a grounded theory study

Background and Objectives Exploring the quality of life of disabled elderly individuals in eldercare facilities holds significant importance in the improvement of service quality, the allocation of eldercare resources, and the enhancement of the well-being of the elderly. This study, grounded in the subjective perspective of disabled elderly individuals, aims to investigate their quality of life within eldercare institutions. Research Design and Methods A grounded theory approach was employed, involving semi-structured interviews with 35 participants. Results Data analysis revealed that the quality of life of disabled elderly individuals in Chinese elderly care institutions is characterized by “maintaining symbiosis in conflict” and encompasses four dimensions: complex adaptation process, complexities in social interactions, physical pain and the lonely soul. Discussion and Implications Spending late years in elderly care institutions poses a trial and challenge for disabled elderly individuals, especially within a cultural environment that traditionally revolves around the “family” unit. In these institutions, disabled elderly individuals not only endure physical pain but also grapple with feelings of loneliness. They maintain the facade of family dignity by concealing true emotions, ensuring the harmonious and stable operation of the elderly care institution. Enhancing the quality of life for disabled elderly individuals requires not only an improvement in the service capabilities of elderly care institution staff but also collaborative efforts from policymakers and family members.