Grounded Theory Approach to Health Care of Older Adults at a Doctorless Farm Village

일부 무의농촌 지역 노인의 건강관리경험: 신체적 변화를 스스로 견뎌내기

  • Published : 2004.08.01

Abstract

Purpose: The purpose of this study was to explore how older adults kept their health good at a doctorless farm village. Method: Data was collected through in-depth interviews with 32 participants who were over 65 years old and analyzed in terms of Strauss and Corbin's (1990) grounded theory methodology. Result: The Core Category of health care of older adults was identified as 'enduring physical changes by themselves'. The process of this could be divided into 4 stages: the stage of bearing, the stage of managing daily living activities, the stage of passively collecting information and the stage of minimally utilizing health care services. Older adults accepted the aging process positively but health sources limitation passively, so they managed daily living activities and used natural food for health. In addition, they collected information related to health care and used health care services minimally. Conclusion: We found that participants managed their health passively because of negative attitudes toward active health behaviors of older adults by themselves and the difficulty of access to health care services. Therefore, various community health services for older adults need to be developed to empower older adults in the community.

Keywords

References

  1. Allen, J. (1986). New lives for old : lifestyle change initiatives among older adults, Health Values, 10(6), 8-18
  2. Benzeval, M., Judge, K., & Whitehead, M. (1995). Tackling inequalities in health : an agenda for action. King's Fund, London
  3. Bryant, L. L., Corbett, K. K., & Kutner, J. S. (2001). In their Own Words: A model of healthy aging, Soc Sci Med, 53, 927-941
  4. Choi, Y. H. (1993). Qualitative nursing research. SooMoonSa
  5. Choi, Y. H., & Kim, S. Y. (1997). Development of Health Behavior Assessment tool of the Korean Elders, J Korean Acad Nurs, 27(3), 601-613
  6. Cheon, K. S. (2001). A Study on the Realities of Chronic disease of the Korean Rural Aged and Their Improvement Measures - Centering around the Ex-Iksan Gun Rural. Areas, Unpublished M. A. Thesis, WonKwang University
  7. Cho, M. O. (1993). An Enthnographic Study of Caring for the Elderly in a Traditional Community, Unpublished doctoral dissertation, Ewha Womans University of Korea, Seoul
  8. Community health research, Jennie, N., & Jane, W. (2001). Health Promotion Foundations for Practice (2ed). Gye Chuk Mun Wha Sa, Seoul
  9. Craig, C. C. (1994). Community Determinants of health for Rural elderly, Public Health Nurs, 11(4), 242-246 https://doi.org/10.1111/j.1525-1446.1994.tb00418.x
  10. Jeong, K, H., Cho, Y. J, O, Y. H., Byun, J. G., Byun, Y. C., & Moon, H. S. (1998). National Research on the Realities of Living and Welfare Need in the Elderly. Korea Institute for Health & Social Affairs
  11. Jung, M. S. (2001). A Study on the Real Problem of The Senior in the Rural Area and a Welfare Countermeasure for them, Unpublished M. A. Thesis, Kemyung University
  12. Kim, K. B. (1991). Ethnoscientific approach of health practice in korea, Unpublished doctoral dissertation, Ewha Womans University of Korea, Seoul
  13. Kim, M. J. (2000). Health Practices of the Elderly and Related Variables. J Korea Gerontological Society, 20(2), 169-182
  14. Kim, S. Y. (1996). A Study on the health behavior of korean elders, Unpublished doctoral dissertation, Ewha Womans University of Korea, Seoul
  15. Kim, Y. H. (2003). Exploring the health behavior of elderly women, Unpublished doctoral dissertation, Ewha Womans University of Korea, Seoul
  16. Korea National Statistics office. (2002). Statistical Data Base; KOSIS, Korea National Statistics office
  17. Lee, Y. H. (1993). Health Lifestyle of korean Elders, Unpublished doctoral dissertation, Ewha Womans University of Korea, Seoul
  18. McWilliam, C. L., Stewart, M. Brown, J. B., Desai, K., & Coderre, P. (1996). Creating health with chronic illness. ANS 18(3), 1-15
  19. Miller, M. P. (1991). Factors promoting wellness in the aged person: An Ethnographic study. ANS, 13(4), 38-51
  20. Miller, A. M., & Iris, M. (2002). Health promotion attitude and Strategies in older adults. Health Educ Behav, 29(2), 249-267
  21. Oh, J. J., Kim S. M., & Song, M. S. (1996). Health promoting behaviors and Factors contributing health practice of Korean urban elderly. J Korean Acad Adult Nurs, 8(2), 324-337
  22. Park, E. S., Kim, S. J., Kim, S. I., Chun, Y. J., Lee, P. S., Kim, H. J., Han, K. S. (1998). A Study of factors Influencing Health Promoting Behavior and Quality of life in the Elderly. J Korean Acad Nurs, 28(3), 638-649
  23. Prohaska, T. R., Leventhal, E. A., Leventhal H., & Keller, M. L. (1985). Health practice and Illness cognition in Young, Middle Aged and Elderly Adult. J Gerontol, 40(5), 569-578
  24. Suh, I. S. (2000). Health Knowledge Level and Health-Promoting Behavior of the Elderly. J Korea Gerontological Society, 20(2), 1-28
  25. Song, Y. S., Lee, M. R., & Ahn, E., K. (1997). The Study on Health promoting Lifestyle of the Elderly. J Korean Acad Nurs, 27(3), 541-549
  26. Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedure and techniques, CA : SAGE