THE MEANING AND PRACTICE OF SELF-CARE BY OLDER ADULTS - A QUALITATIVE ASSESSMENT

被引:22
作者
DILL, A
BROWN, P
CIAMBRONE, D
RAKOWSKI, W
机构
[1] BROWN UNIV,DEPT COMMUNITY HLTH,PROVIDENCE,RI 02912
[2] BROWN UNIV,CTR GERONTOL & HLTH CARE RES,PROVIDENCE,RI 02912
关键词
D O I
10.1177/0164027595171002
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
Drawing on material from qualitative interviews, this article examines self-care as a response to physical symptoms commonly experienced by older people. The analysis indicates that older persons approach, interpret, and treat their symptoms within both biomedical and psychosocial frameworks. Self-care responses appear to be learned early in life, reinforced throughout the life cycle, and formed in consultation with professional as well as lay persons. Symptom responses reflect and reinforce the meaning of social relations in individuals' lives, providing a symbolic medium for the assessment of present and past relationships, cross-generational connections, and past troubles and issues of personal identity. Findings suggest that categorizing sources of care into professional, informal, or self overly simplifies the symptom experience of older adults. Self-care goes beyond the acknowledgement of discomfort and subsequent treatment of symptoms; it involves the representation and interpretation of the self.
引用
收藏
页码:8 / 41
页数:34
相关论文
共 29 条
[1]  
[Anonymous], 1981, SOCIAL CONTEXTS HLTH
[2]   PHYSICAL AND MENTAL-HEALTH SYMPTOMS OF OLDER-PEOPLE - WHO DO THEY TELL [J].
BRODY, EM ;
KLEBAN, MH .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1981, 29 (10) :442-449
[3]   THE SOCIOLOGY OF CHRONIC ILLNESS - A REVIEW OF RESEARCH AND PROSPECTS [J].
BURY, M .
SOCIOLOGY OF HEALTH & ILLNESS, 1991, 13 (04) :451-468
[4]  
Chappell N L, 1988, Compr Gerontol B, V2, P92
[5]  
CHAPPELL NL, 1987, HLTH AGING SOCIOLOGI, P159
[6]  
Charmaz K., 1991, GOOD DAYS BAD DAYS S
[7]   SELF-CARE RESPONSES TO ILLNESS - A SELECTED REVIEW [J].
DEAN, K .
SOCIAL SCIENCE & MEDICINE PART A-MEDICAL SOCIOLOGY, 1981, 15 (05) :673-687
[8]   LAY CARE IN ILLNESS [J].
DEAN, K .
SOCIAL SCIENCE & MEDICINE, 1986, 22 (02) :275-284
[9]  
Dean K, 1992, AGING HLTH BEHAV, P27
[10]   THE ILLUSION OF WHOLENESS - CULTURE, SELF, AND THE EXPERIENCE OF INCONSISTENCY [J].
EWING, KP .
ETHOS, 1990, 18 (03) :251-278