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1.
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2.
Understanding of the lived experiences of geriatric clients with pets, particularly in the Western cultures, has been the subject of many studies. However, little is known about how Asian cultures, particularly the Filipino elderly, view their experiences with their pets in regard to their self-esteem and self-perceived health. This phenomenological study purports to capture the essence of the lived experiences of a select group of Filipino elderly with their pet companions in relation to their self-perceived health and self-esteem. A total of five Filipino elderly recruited from the Luzon area were involved in this study and were chosen through the snowballing technique. A three-part instrument was made by the researchers to gather data, namely robotfoto, semistructured interviews, and doodling activities. Field texts were analyzed via structural analysis through the aid of dendogram. Results of both cool and warm analysis have eidetically and interestingly described how the new coinage of petmanship, as introduced in the study, surfaced the functional and the instrumental views of pets relative to the elderly's self-esteem, vis-a-vis their Self-Efficacy Booster and Social Proactivity Builder roles in regard to self-perceived health. The metaphorical images drawn by the Filipino elderly surfaced the Roles Syndrome of Petmanship and the Rules Syndrome of Petmanship.  相似文献   

3.
With the growing number of older adults becoming a global concern, many countries have focused on education as a means of promoting successful aging. Although third age learning is gaining substantial ground in other countries, it is not well-established in the Philippines. The overall intent of this experimental study was to assess the effectiveness of community-based third age learning programs on the life satisfaction, self-esteem, and level of depression of a select group of Filipino elderly in a community setting. A pre- posttest study design was used on 40 community dwelling Filipino elderly who were randomly assigned to either the experimental or control group. Both groups accomplished the Life Satisfaction Index for the Third Age Short Form (LSITA-SF), Rosenberg's Self-esteem Scale (RSES), and the Geriatric Depression Scale (GDS). The experimental group was exposed to a four-month program consisting of wellness, physical fitness, and livelihood training activities facilitated by volunteer faculty from a local university; the control group received no intervention. The results of t tests showed statistically significant group differences between the experimental and control group, with the former posting higher life satisfaction, self-esteem, and lower depression level compared to the control group. Findings of this study add to the knowledge base that active participation in third age learning programs—which include opportunities for physical activity, cognitive learning, recreation, and social interaction—can improve the psychological and psychosocial health of an older adult.  相似文献   

4.
Affective Containment has been recognized as a means to manage negative experience by projecting emotions to others. To date, there are no known literatures on the process of affective containment in the elderly context; hence, this grounded theory investigation. This study aims to describe the process by which affective containment is experienced by a select group of institutionalized Filipino elderly. To achieve the overall intent of this study, Strauss and Corbin’s Grounded Theory design was employed. Face-to-face, semi-structured interviews were carried out among 20 institutionalized Filipino elderly. Field texts were subjected to thematic analysis involving open, axial, and selective coding. The overall validity of the findings was ensured through member checking procedure. An interesting set of phases emerged relative to the layer of experience, namely: Holding-up, Gearing-up, and Opening-up; collectively known as the 3-Stage Analogy of Elderly Affective Containment. Said model describes how emotions can be contained to other individuals through interactions inside the institution. The study has eidetically described and examined the process of affective containment among the institutionalized Filipino elderly. Findings of the study invite nurses to put premium to nurse–patient relationship and provide timely interventions with a view to improving emotional health.  相似文献   

5.
The overall intent of this study is to examine the relationship among several factors that influence the malnutrition of a select group of Filipino elderly in institutionalized setting. A total of 102 residents were purposively recruited from three different institutionalized care settings at the national capital region of the Philippines. A multi-aspect questionnaire was used to characterize the demographic and nutrition profiles of the participants. Data were treated statistically using the partial least square design. Notably, the study showed that 48.0% of the elderly residents in institutions were at risk of malnutrition, 36.3% were malnourished, and 15.7% have normal nutritional status. Malnutrition was found to be prevalent among the female group, aged >70 years old, functional impairment (p = <0.01), poor eating habits (p = 0.01), lower dietary intake (p = 0.01), and eating difficulties (p = 0.04). However, statistically significant relationships between eating habits (p = 0.08) and dietary intake and comorbidities (p = 0.32) and malnutrition were not established. Impliedly, administrators of homecare institutions are invited to pay greater attention to the nutritional status of the elderly by institutionalizing nutrition assessment and evaluation practices and nutrition care planning that respond to the identified nutritional needs and concern of the elderly.  相似文献   

6.
ABSTRACT

The centrality of social relationship for older adults living in prison cannot be underestimated. While previous studies have investigated the loss of social functioning among older prisoners, there is no known information pertaining to how engagement is experienced among this vulnerable group. This grounded study purports to describe the process by which engagement is experienced among a select group of incarcerated Filipino elderly. Strauss and Corbin’s Grounded Theory design was utilized. A total of 25 incarcerated Filipino elderly in the largest penitentiary in the country were purposively chosen to participate in semi-structured interviews. Field texts were subjected to thematic analysis involving open, axial, and selective coding. Finally, themes were validated via member checking procedure. Interestingly, the study afforded the development of de Guzman, Herrera, Hernando, Hipe, and Valdez Zipper of Engagement Theory among incarcerated elderly. Interestingly, three phases relative to engagement emerged, namely: Initiating, Connecting, and Enabling. Primarily, the Initiating phase involves feelings of fear and nervousness as the incarcerated elderly familiarize themselves with the prison environment. The Connecting phase typifies recognition of the benefits of engagement leading to voluntary participation in activities. Finally, in the Enabling phase, inmates empower themselves and others to grow as they fully acquire the sense of engagement. Gerontological education and research implications are discussed.  相似文献   

7.
While nursing care has been investigated in the context of patient satisfaction, health care delivery, nursing skill, and patient centered care, elderly patients’ nursing care preferences have not been fully explored nor identified from the lens of utility analysis. This study is a purposive sample of 300 Filipino geriatric patients from the regions of Calabarzon and National Capital Region (NCR) participated and were asked to rank cards from 1 to 12 relative to the following five attributes: waiting response time, nursing uniform, empathetic capacity through time spent and eye contact, and nursing skill based on their preferences. Results of conjoint analysis via Sawtooth Software 18 indicated that nurse attire was the most important attribute (57.26%) while empathetic capacity through eye contact was least important to Filipino elderly (2.27%). Significant differences were found in the respondents’ profile. Among the given attributes, nursing uniform had the most impact in determining an elderly choice of services. Conversely, eye contact had minimal importance. In the health care setting, utilization of this study would allow nursing care to refocus nursing care delivery to maximize satisfaction and hospital loyalty. Future research may explore the cultural and regional differences in terms of preferences among the elderly.  相似文献   

8.
Subjective memory complaints are one of the major concerns of the elderly and remain a challenging area in gerontology. There are previous studies that identify different factors affecting subjective memory complaints. However, an extended model that correlates life-space on subjective memory complaints remains a blank spot. The objective of this study is to investigate the role of life-space, social activity and depression on subjective memory complaints among the selective group of Filipino elderly in the community. To test the factors affecting subjective memory complaints, a structural equation modeling was employed among all parameters. One hundred eighty-nine Filipino elderly aged 60 years and above located in Parañaque City, Makati City and Malabon City were given a multiaspect questionnaire consisting of a robotfoto, Life-Space Assessment (LSA), Research and Development (RAND) Social Health Battery, Geriatric Depression Scale (GDS), and Subjective Memory Questionnaire (SMQ). Results revealed that life-space and social activity inversely affect depression while subjective memory complaints are directly affected by depression. New pathways emerged suggesting the interrelationship between life-space and social activity. Additionally, social activity directly affects subjective memory complaints. This study provides a confirmation of the impact of the factors affecting subjective memory complaints. Incorporation of these factors into the existing practice can help the health care providers in optimizing the quality of care rendered and quality of life of the elderly.  相似文献   

9.
Previous studies have indicated that major transitions in life such as retirement or exit from working life may contribute to the normative decline in self-esteem. A growing trend on elderly’s labor force beyond retirement invites the conduct of more empirical studies on the dynamics of self-esteem among the elderly group. Anchored on the Self-Determination Theory, this study is an attempt to test a model that examines the impact of social support, health promotion, activities of daily living and anxiety on the self-esteem of a select group of Filipino elderly working beyond the retirement age. Two-hundred eighteen (218) working elderly from the capital of the Philippines participated in this exploratory study. Data gathered from a multi-aspect questionnaire were analyzed using SPSS version 19 and AMOS version 19. Results of structural equation model (SEM) indicated that social support; activities of daily living and health promotion have direct effects on self-esteem, thus supporting the hypotheses. A direct relationship exists between elderly activities of daily living and their social support and anxiety. Notably, an inverse relationship exists between elderly anxiety and factors such as health promotion and self-esteem. The emerged model in this study could serve as valuable tool for nurses in enhancing nursing care aimed at promoting the psychological-well-being and occupational health among the elderly.  相似文献   

10.
Ego integrity, the last developmental task in Erikson's psychological theory, develops naturally among older people. However, the presence of loss–like physical disability–can considerably affect the quality of life, interactions, and well being of older adults. Hence, older people with physical disabilities need more assistance in accomplishing tasks of ego integrity. This study aimed to utilize traditional Filipino art to capture the essence of the lived experiences of a select group of older people with physical disabilities in relation to their ego integrity. Four Filipino elderly with physical disabilities were purposely selected for this study. Picture prompting and doodling sessions were held as pretest and posttest to ascertain the effectiveness of puni-making in facilitating ego integrity of participants. A series of interviews were pursued to elicit experiences and feelings of participants regarding their disability and old age. From the analysis of the triangulated set of data, two findings emerged. First, four activators of ego integrity, namely: work, family, belief in self and belief in God, were identified as essentials in the formation of the participants' ego-integrity. Second, shifts related to the activators were identified indicating ego integrity's source, meaning and connection elements have become more grounded, certain and integrated. The influence of puni-making in understanding the ego integrity of older people with disabilities was found to be a sound and novel recreational therapy. It can stimulate a select group of Filipino elderly for openness to share their subjective and yet illuminating life experiences.  相似文献   

11.
This grounded study examined the process of acclimatization or the process of changing perspectives of a person so as to get used to or feel “at home” among a select group of Filipino elderly in a nursing care facility. As institutionalization of the elderly is not typical in the Philippine context, varied responses were analyzed to understand the factors and the course that an elderly person undergoes over a set period of time to achieve acclimatization. Twenty elderly (n = 20) residents were purposively recruited and subjected to an in-depth interview that chronicled their experiences on their previous and present lives and on the process by which they were able to adjust to a relatively new setting. Preliminarily, a robotfoto was devised to obtain demographic data including visitation frequencies and familial relationships, and this was followed by an in-depth interview. Through the constant comparison method, an interesting model called the Hourglass of Acclimatization emerged. This model yielded two distinct phases contributing to successful acclimatization. One is the Conversion phase, or imbibing the main notion of transforming one's perspectives of him or herself and his or her environment; there is also the Immersion phase, which describes how an elderly involves him or herself completely into the life he or she is supposed to live. This emerged model can contribute to the development of nursing interventions focusing on elderly experiences in the entire course of relocation to a new environment other than what they call “home.”  相似文献   

12.
The impact of prison upon incarcerated individuals is considerably destructive and may lead to low mental health resiliency. Despite a large body of literature on resiliency, little is known about the process that the elderly go through in developing resiliency in the penal setting—hence, this grounded theory investigation. The overall intent of this investigation is to describe the process by which older male adults develop resiliency while in prison. The study used a grounded theory design. To gather the needed data, a two-part research instrument that included a robotfoto and a semistructured interview was employed. A total of 25 incarcerated Filipino elderly in New Bilibid Prison in Muntinlupa City, Philippines were purposively selected. Field text was subjected to thematic analysis following Corbin and Strauss coding procedure. Interestingly, this study yielded the Maze Theory of Resiliency, which describes the Filipino elderly’s road to achieving resiliency. Initially, they go through the sending up phase in which they feel condemnation and uncertainty. The sending off phase captures the moments in which prisoners show signs of optimism and readiness to experience life in their new environment. Lastly, the sending in phase, prisoners became accustomed to the dynamics of penal environment—thus, achieving their sense of resiliency. The emerged theory from this study could help nurses in the early recognition of psychological deterioration and in providing counseling services to the incarcerated elderly without any prejudice. And at the same time, the theory could help implement nursing interventions appropriate for each stage of resiliency.  相似文献   

13.
The societal view that regards geriatrics as a period of decline may not be congruent to the views of elderly people themselves. This gives rise to the need for further understanding of how elderly individuals evaluate their lives. A phenomenological design was employed for purposes of discovering and characterizing the essence behind the life experiences and disposition of a select group of Filipino elderly and its role in shaping their attitudes toward death. Five individuals aged 65 and above were purposively chosen to participate. Interviews were tape-recorded, transcribed, and examined, applying both processing and scrutiny techniques. A set of themes representing the elderly's lived experiences was surfaced through warm and cool analyses. The study revealed that geriatrics is a period of intersection of the three dimensions of elderly's lived experience—reminiscence, living disposition, and end-of-life views. The respondents viewed their families as their main source of support and guidance, values, principles, and beliefs. Accepting problems as integral to life, they have found a driving force that made them surpass these challenges. New beliefs and attitudes were acquired, resulting in providing self-control, strength, appreciation, genuine spirituality, gratitude, fulfillment, and self-worth. In their end-of-life views, dignity was a major issue which must be recognized and reinforced prior to embracing one's destiny to die. The present study maintains that the three dimensions of elderly's lived experiences are equally important in geriatric care practice. This offers valuable insights and reflections for a better understanding of geriatrics as a neglected field in the health-care delivery system.  相似文献   

14.
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15.
A considerable number of studies have been carried out to explore the experiences of the elderly engaging in third age education, however, most of these investigations have focused on elderly motivation, the benefits accruing from their participation, and the barriers they have encountered during their lifelong learning experience. However, there has been little attempt to probe into the experiences of the elderly engaging in third age education and how they view themselves during that time. This grounded theory study purported to describe the processes through which a select group of Filipino elderly experienced community-based third age learning programs. A series of in-depth interviews were conducted on 24 Filipino elderly who participated in a 4-month third age education program. Interestingly, this study revealed four distinct and yet interrelated stages of Holding Back, Opening Up, Moving Forward and Empowering which were embedded in the model H.O.M.E: A Pulley Model of Elderly Participation in Third Age Education Program. The emerged model is a valuable compass for gerontologists as they provide meaningful and geriatric-friendly programs, projects and activities that not only address the growing needs of the elderly but also facilitate their smooth entry to and completion of their third age learning participation.  相似文献   

16.
Nurses play a significant role in geriatric care. However, as the aging population and demand for geriatric nurses increase worldwide, shortages of nurses seem to arise. This creates the need to assess and address the motivation and attitudes of nurses toward geriatric care. The intent of this qualitative study is to surface the essence or the “lebenswelt” that describe the motivation and attitudes of a selected group of Filipino nurses toward geriatric care. A total of six registered nurses who had experienced taking care of elderly patients voluntarily participated as respondents of this study. A two-part instrument developed by the researchers was made to elicit necessary data and information. The first part comprised of the robotfoto intended to establish the baseline characteristics of nurses under study. The second part consisted of a semistructured individual in-depth interview using “aide memoire” to probe into the motivation and attitudes of the nurse respondents. Field texts were phenomenologically reduced via repertory grid. Two distinct and interesting themes, namely Geriatric Service Motivation Typology and the Yin-Yang of Geriatric Attitudes emerged. The first theme includes the Single Loop and Double Loop type of motivation The former involves a transactional and unidirectional process, while the latter constitutes a two-way relational and transformational process. The second theme consists of a harmonious combination of the two sides of the nurses' attitudes toward geriatric care. Through this study, the human side of nursing is seen and captured, thus increasing the awareness and knowledge of nurses, improving provision of optimum geriatric care, and inspiring nurses to pursue geriatric nursing with a yearning to serve the elderly with and from the heart.  相似文献   

17.
This article presents the first segment of a qualitative study that explores the feasibility of integrating traditional arts in Philippine art and design education. The views of educators on traditional arts were sought to provide an impetus for the study and a springboard for discussion regarding the relevance of traditional Filipino arts in a predominantly Westernised educational system. The educators’ views and opinions on the central question, ‘Why and how should the study of traditional Filipino arts be integrated in the art and design programme?’ will be used to guide a trial integration of the learning of traditional arts in tertiary art and design classes. They will form part of the multiple perspectives that will be gathered from various sectors throughout the course of research. This phenomenological study, on the whole, seeks to uncover the potentials of traditional arts as a rich resource for learning, particularly for students of art and design.  相似文献   

18.
ABSTRACT

Emotional geography defines how emotions affect the interaction of individuals within their setting. Considering that prison has been described as a place saturated with negative emotions, previous studies have only dwelt on the negative impact of incarceration on the emotional well-being and interactions of the inmates. However, no attempt has been made that dilates on how emotional geography facilitates the establishment of good relationships inside the penal institution, hence this investigation. The overall intent of this investigation is to describe the process of emotional geography among a select group of incarcerated Filipino elderly. This study utilized the qualitative, grounded theory design. A purposive sample of 25 incarcerated Filipino elderly from the New Bilibid Prison in Muntinlupa City, Philippines participated in this study. Interestingly, this study afforded the development of de Guzman, Henson, Gumba, Fradejas, and Valdez Shoelace Model of Emotional Geography which describes how the incarcerated Filipino elderly’s emotions affect their interactions in achieving positive relationships with other inmates while inside the penal institution. This emerged model is comprised of three phases, namely: isolating (embracing a wall of mistrust), integrating (making connections through shared stories), and intertwining (strengthening the bonds thru emotional understanding). The emerged theoretical model has successfully described the process of emotional geography, which can be utilized by gerontological workers, nurses and other health professionals in addressing and accommodating the social and custodial needs of this vulnerable group.  相似文献   

19.
While adherence to medication remains a problematic area in the care of chronically ill elderly, an extended model that incorporates the interaction of studied variables remains a blank spot. Anchored on Ajzen's Theory of Planned Behavior, this article details our efforts to develop and test a model of medication adherence among Filipino elderly relative to their medication belief, follow-up visits, consultation satisfaction, memory task, trust with physician, perceived stress, memory strategies, social support, memory load, depression, length of time taking the medication, number of conditions, and self-efficacy with medication adherence. Structural equation modeling (SEM) was employed to study causalities among all parameters. With the participation of 325 older adults located in District IV, Sampaloc, Manila, data needed were gathered through a multiaspect questionnaire consisting of a robotfoto, a memory strategy usage measure, an eight-scale Morisky Medication Adherence Scale, a 15-item Geriatric Depression Scale, a General Self-efficacy Scale, a Consultation Satisfaction Questionnaire, and a Perceived Stress Scale. Data were analyzed using AMOS version 19. Results revealed that depression, trust with physician, and number of conditions affect adherence positively, while event-based memory, consultation satisfaction, memory load, and external memory strategy affect it otherwise. Some suggested variables were found to have no impact at all. As this study reveals, careful consideration should be given to multiple factors, and their interrelationship should be examined well. Because many factors can influence medication adherence behavior of the elderly, and because the reasons for their noncompliance are also varied, multifaceted solutions must be developed.  相似文献   

20.
ABSTRACT

To date, little to no attempt has been made yet to describe how people experience agony, specifically, the elderly population in the penal setting and how exactly this experience of agony affects these marginalized communities. This grounded theory paper aspires to contribute to the understanding of the complexity of agony specifically, shedding light on what happens to incarcerated elderly when they experience this process of agonizing in prison. The Strauss and Corbin grounded theory method of analysis was utilized to generate theories from systematically obtained and analyzed data. A total of 25 respondents were selected using inclusion criteria and chosen through purposive sampling. Subsequently, a two-part data gathering tool was used consisting of a robotfoto and individual interviews. Lastly, the emerged themes were further subjected to member checking procedures to establish the credibility of the data collected. From the vertical and horizontal analyses of the verbalizations and sharings of a select group of elderly prisoners, the Splash Model of Agony has emerged which describes the Triggering, Escalating, and Plummeting phases of their agony while in prison.  相似文献   

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