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Older people enacting resilience in stories about living alone and receiving home care
Ageing & Society ( IF 3.718 ) Pub Date : 2024-01-17 , DOI: 10.1017/s0144686x23000880
Kristin S. Voie , Janine Wiles , Bodil H. Blix , Margrethe Kristiansen , Ann Karin Helgesen , Kjersti Sunde Mæhre

Although older people who live alone might be in a vulnerable situation, they have often managed their everyday life for a long time, frequently with health challenges. In this article, we explore how nine older persons who live alone, who receive home care and are identified by home care professionals as being frail, manage their everyday lives by inquiring into their stories about living alone and receiving home care. We conducted three qualitative interviews with each of the nine participants over a period of eight months and analysed the data using thematic analysis and a narrative positioning analysis. Using the concept of resilience as our analytic lens, we identified three thematic threads: continuity, adaptation and resistance. In the narrative positioning analysis of three participants' stories, we identified that the participants used the processes of continuity, adaptation and resistance strategically and interchangeably. The study thus provides insight into how older people who live alone and use home care services narrate their balancing of strengths and vulnerabilities, and engage in the construction and maintenance of a sense of self through positioning in relation to master narratives. Older people's narrations are nuanced and complex, and this study indicates that encouraging storytelling and engaging with older people's narrations might support how older people enact resilience and thus their management of everyday life when living alone and ageing in place.



中文翻译:

老年人在独居和接受家庭护理的故事中表现出韧性

尽管独居老年人可能处于弱势地位,但他们往往长期管理自己的日常生活,经常面临健康挑战。在本文中,我们通过调查九名独居老年人的独居和接受家庭护理的故事,探讨他们如何管理自己的日常生活,他们接受家庭护理并被家庭护理专业人士认定为体弱。我们在八个月的时间内对九名参与者中的每一位进行了三次定性访谈,并使用主题分析和叙述定位分析来分析数据。使用复原力的概念作为我们的分析镜头,我们确定了三个主题线索:连续性、适应和抵抗。在对三个参与者故事的叙事定位分析中,我们发现参与者战略性地、交替地使用了连续性、适应和抵抗的过程。因此,该研究深入了解独居和使用家庭护理服务的老年人如何平衡优势和劣势,并通过与主叙事相关的定位来构建和维护自我意识。老年人的叙述细致入微且复杂,这项研究表明,鼓励讲故事和参与老年人的叙述可能有助于老年人在独居和就地养老时如何表现出适应能力,从而支持他们对日常生活的管理。

更新日期:2024-01-17
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