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A Study on Experiences of Health Problems and Coping in Middle-aged and Elderly Women in the Community: Focusing on Focus Group Interview Approach

지역사회 중년 및 고령여성의 건강문제와 대처경험: 포커스 그룹 인터뷰를 중심으로

  • Jeong, Yeo Won (Department of Nursing, College of Medicine, Dongguk University) ;
  • Kang, Kyung Im (Department of Nursing, College of Medicine, Dongguk University) ;
  • Lee, Byeong Ju (Department of Nursing, Andong Science College)
  • 정여원 (동국대학교 의과대학 간호학과) ;
  • 강경림 (동국대학교 의과대학 간호학과) ;
  • 이병주 (안동과학대학교 간호학과)
  • Received : 2020.02.06
  • Accepted : 2020.04.13
  • Published : 2020.06.30

Abstract

Purpose: The aim of this qualitative study is to explore the health problems and coping experiences of middle-aged and elderly women in the community. Methods: A total of five focus group interviews were conducted with three groups of middle-aged and two groups of elderly women. All interviews were recorded and transcribed. Data were analyzed using the content analysis method. Results: Health problems were categorized as confusion caused by problems that are difficult to handle alone in the middle-aged group and suffering originated by confronting changes in roles and environment in the elderly group. The health problems included stress, suffering, anxiety and social withdrawal as subcategories for the middle-aged women, and the stress, sense of loss, fear, and limited social activities caused by their life events for the elderly women. Meanwhile, the contents of categories about coping were revealed as the beginning of care for the body and mind for healthy life in the middle-aged group and active practice with insight into a healthy lifestyle in the elderly group. While the middle-aged women focused on themselves, attempted changes and started to take care of themselves, the elderly women interacted with the outside world, hardened their mind, made efforts for a dignified death, and managed health by their own methods. Conclusion: There were differences in the experiences of middle-aged and elderly women in accepting their health problems and coping. Nursing interventions reflecting these findings can help to manage and promote the health of middle-aged and elderly women based on an integrated perspective.

Keywords

References

  1. Park S-Y, Park S-Y. A longitudinal study on ecological determinants associated with middle-aged and elderly women's life satisfaction and depressive symptoms. Health and Social Welfare Reivew. 2018;38(4):129-163. https://doi.org/10.15709/hswr.2018.38.4.129
  2. Chrisler JC, Barney A, Palatino B. Ageism can be hazardous to women's health: Ageism, sexism, and stereotypes of older women in the healthcare system. Journal of Social Issues. 2016; 72(1):86-104. https://doi.org/10.1111/josi.12157
  3. Park CH, Park JY, Bae Y. Meta-analysis for Korean elderly women on physical activity and health: Focusing on social network analysis of keywords in academic articles. Journal of Korean Association of Physical Education and Sport for Girls and Women. 2016;30(4):71-87. https://doi.org/10.16915/jkapesgw.2016.12.30.4.71
  4. Kim EH. A study on anxiety about aging of middle aged and elderly women. The Journal of Korean Academic Society of Nursing Education. 2007;13(2):192-202.
  5. Kang Y-S, Chung M-J, Park Y-S, Lee Y-S, Kim H-S, Lee D-M, et al. An analysis of articles for health promotion behaviors of Korean middle-aged. Journal of Korean Academy of Community Health Nursing. 2009;20(1):75-86.
  6. Lee YJ, Kim SY, Kang SY, Kang YJ, Jin L, Jung HY, et al. Trend analysis of research articles published in the Korean journal of women health nursing from 2013 to 2017. Korean Journal of Women Health Nursing. 2018;24(1):90-103. https://doi.org/10.4069/kjwhn.2018.24.1.90
  7. Spiteri K, Broom D, Bekhet AH, de Caro JX, Laventure B, Grafton K. Barriers and motivators of physical activity participation in middle-aged and older-adults - A systematic review. Journal of Aging and Physical Activity. 2019;27(6):929-944. https://doi.org/10.1123/japa.2018-0343
  8. Kim MA, Choi SE, Moon JH. Effect of heath behavior, physical health and mental health on heath-related quality of life in middle aged women: By using the 2014 Korea Health Panel Data. Journal of Korean Academic Society of Home Health Care Nursing. 2019;26(1):72-80. https://doi.org/10.22705/jkashcn.2019.26.1.72
  9. Kim H-S, Park Y-H, Kim Y-S. Research trend of the healthcare and medical care for elders in the journal of the Korea gerontological society. Journal of the Korean Gerontological Society. 2018;38(3):705-723. https://doi.org/10.31888/JKGS.2018.38.3.705
  10. Elo S, Kyngas H. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62(1):107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  11. Kowal P, Dowd JE. Definition of an older person. Proposed working definition of an older person in Africa for the MDS Project. Geneva: World Health Organization; 2001. 4 p.
  12. Morgan DL. Deciding on group size. In: Morgan DL, Krueger RA, editors. The Focus Group kit 2: Planning focus groups. Thousand Oaks, CA; SAGE Publications, Inc.; 1998. p. 71-76.
  13. Carlsen B, Glenton C. What about N? A methodological study of sample-size reporting in focus group studies. BMC Medical Research Methodology. 2011;11(1):26. https://doi.org/10.1186/1471-2288-11-26
  14. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco: Jossey-Bass; 1981.
  15. Huang F-J, Chien D-K, Chung U-L. Effects of Hatha yoga on stress in middle-aged women. Journal of Nursing Research. 2013;21(1):59-66. https://doi.org/10.1097/jnr.0b013e3182829d6d
  16. Choi YM, Choi SH, Ahn O. The influence of aging anxiety and successful aging on retirement preparation in middle aged women. Journal of Muscle and Joint Health. 2019;26(3):175-183. https://doi.org/10.5953/JMJH.2019.26.3.175
  17. Kim E-S, Chung E-J. The relationship between the married middle-aged women's life stress and depression - The mediating effects of distress tolerance and rumination. The Journal of the Korea Contents Association. 2019;19(4):638-650. https://doi.org/10.5392/JKCA.2019.19.04.638
  18. Lee H, Shin E. The effect of work-family conflict, fatigue and perceived health on the health promoting behavior of married working women a rural population. The Korean Journal of Stress Research. 2016;24(3):167-176. https://doi.org/10.17547/kjsr.2016.24.3.167
  19. Hong ES, Min KH. Adult attachment and psychological distress in middle-aged women: The mediating roles of decentering and acceptance. Korean Journal of Woman Psychology. 2016;21(4):587-611. https://doi.org/10.18205/kpa.2016.21.4.001
  20. Shankar A, McMunn A, Banks J, Steptoe A. Loneliness, social isolation, and behavioral and biological health indicators in older adults. Health Psychology. 2011;30(4):377-385. https://doi.org/10.1037/a0022826
  21. Reiner K, Tibi L, Lipsitz JD. Do mindfulness-based interventions reduce pain intensity? A critical review of the literature. Pain Medicine. 2013;14(2):230-242. https://doi.org/10.1111/pme.12006
  22. Chung MS, Kim Y-H, Lim K-C. The influence of health status and type of health management on depression in middle-aged women. The Journal of Korean Academic Society of Nursing Education. 2018;24(3):250-258. https://doi.org/10.5977/jkasne.2018.24.3.250
  23. Tanaka H, Sasazawa Y, Suzuki S, Nakazawa M, Koyama H. Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: A seven-year follow-up of the Komo-Ise cohort study. BMC Psychiatry. 2011; 11(1):20. https://doi.org/10.1186/1471-244x-11-20
  24. Choi YS. A study on the current situation of adult children cohabiting with their parents and an exploration of the frame of analysis. Journal of Korean Home Management Association. 2014;32(4):75-89. https://doi.org/10.7466/jkhma.2014.32.4.75
  25. Tzeng HM, Okpalauwaekwe U, Yin CY. Older adults' suggestions to engage other older adults in health and healthcare: A qualitative study conducted in western Canada. Patient Preference and Adherence. 2019;13:331-337. https://doi.org/10.2147/ppa.s182941
  26. Srivarathan A, Jensen AN, Kristiansen M. Community-based interventions to enhance healthy aging in disadvantaged areas: Perceptions of older adults and health care professionals. BMC Health Services Research. 2019;19(1):7. https://doi.org/10.1186/s12913-018-3855-6
  27. Kang YJ. Late middle-aged women's life experiences in transition to old age: How do they adapt to "aging" in Korean society? Family and Environment Research. 2004;42(7):145-164.
  28. Chon MY, Kim MH, Cho CM. Subjectivity on aging: A coorientational approach. Journal of Korean Society for the Scientific Study of Subjectivity. 2007(14):129-145.
  29. Lee S. Age of unstable labor in youth. Hwanghae Reivew. 2019(103):20-43.
  30. Sa HJ, Lee CW, Kim MJ. The relationship among fun factor, leisure satisfaction and quality of life for female active senior. Journal of Korean Association of Physical Education and Sport for Girls and Women. 2017;31(2):93-108. https://doi.org/10.16915/jkapesgw.2017.06.31.2.93