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Conceptions of healthy ageing held by relatives of older people in Isan-Thai culture: A phenomenographic study
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Boromarajonani College of Nursing Udon Thani, Udon Thani, Thailand .ORCID iD: 0000-0003-0240-7122
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. School of Health and Welfare, Halmstad University, Halmstad, Sweden; VID Specialized University, Bergen, Norway .ORCID iD: 0000-0003-0017-5188
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-3307-6779
(English)In: Ageing & SocietyArticle in journal (Refereed) Submitted
Abstract [en]

Healthy ageing has been studied in various contexts. However, no studies have focused on healthy ageing from the perspective of children or grandchildren, who are the main informal caregivers for older people in northeast Thailand, also referred to as the Isan region. Therefore, this study aimed to describe the conceptions of healthy ageing harboured by children and grandchildren caring for older people in northeast Thailand. A qualitative descriptive design was performed using a phenomenographic approach with an epistemological basis in the lifeworld theory to understand the varying conceptions of healthy ageing based on participants’ lived experience. We conducted in-depth interviews comprising open-ended questions to gain an understanding of the conceptions of healthy ageing held by 14 children and grandchildren of older persons in northeast Thailand. The data collected during these interviews were analysed using the phenomenographic analysis method. The results of our analysis indicated that the conceptions of healthy ageing can be categorized into the following four descriptive categories: being independent, not being afflicted by diseases or illnesses, being a giver and a receiver, and being wise. These findings highlight that healthy ageing entails autonomy, interdependence and wisdom and emphasize the importance of holistic view on the meaning of healthy ageing. Healthcare providers should understand the different meanings of healthy ageing from the perspectives of children and grandchildren of older people and integrate their perspectives when collaborating with them to promote healthy ageing. The findings of this study may facilitate further research and ensure the provision of support to the relatives of older people to promote healthy ageing in northeast Thailand. 

Keyword [en]
healthy ageing, health promotion, older people, qualitative research, relatives
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-34557OAI: oai:DiVA.org:mdh-34557DiVA: diva2:1060388
Available from: 2016-12-28 Created: 2016-12-28 Last updated: 2017-01-17Bibliographically approved
In thesis
1. Understanding healthy aging in Isan-Thai culture
Open this publication in new window or tab >>Understanding healthy aging in Isan-Thai culture
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The older population in Thailand is growing, and the number of older people who suffer from health problems is increasing as well. The health situation of the older population challenges healthcare providers to care for older people. Healthy aging is key to promoting the health of older people and sustaining their well-being. However, little is known about healthy aging in Thailand, especially in northeastern Thailand, or the Isan region, where the number of older people is increasing. Thus, this thesis aims to understand the factors associated with perceived health and healthy aging and how older people and their relatives in the Isan region conceptualize healthy aging. This thesis also focuses on how community nurses experience the meaning and promotion of healthy aging in this region.

This thesis includes four studies. The first is a quantitative cross-sectional study with 453 participants aged 60 years or older. The second and third studies are qualitative with a phenomenographic approach that is based on lifeworld theory. Participants in the second and third studies include 17 older people and 14 relatives who are responsible for caring for older people, respectively. The fourth study is a qualitative study that involves focus group interviews with 36 community nurses who work with older people in the Isan region.

The findings of the first study show a variance (24.3%) in perceived health and healthy aging based on residential area, marital status and disability status. The meaning of healthy aging, which was derived from the second, third and fourth studies, was divided into three domains: being interconnected; being able to do something good and feeling strong; and thinking beyond the capacity and functions of body and mind. The promotion of healthy aging was described as “providing health assessments”, “sharing knowledge”, and “having limited resources”.

The findings of the first study revealed the key factors that will help healthcare providers promote healthy aging. The findings of the second, third and fourth studies revealed that older people, their children and grandchildren, and community nurses attach different meanings to healthy aging. The finding regarding promotion of healthy aging emphasizes that the person-centredness should be integrated in practice when promoting healthy aging. The results of this thesis will be useful to policymakers, who can apply this enhanced understanding of healthy aging to develop healthcare practices that promote healthy aging.

 

Place, publisher, year, edition, pages
Stockholm: E-Print AB, 2017
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 220
Keyword
cross-sectional study, focus group interviews, healthy aging, lifeworld theory, nursing, person-centred care, phenomenography, relatives, Thai nurses
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-34559 (URN)978-91-7485-307-0 (ISBN)
Public defence
2017-02-17, Filen, Mälardalen university, Eskilstuna Campus, Eskilstuna, 10:00 (English)
Opponent
Supervisors
Available from: 2016-12-28 Created: 2016-12-28 Last updated: 2017-01-20Bibliographically approved

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