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首页> 美国卫生研究院文献>Behavioral Sciences >How Older Adults and Their Families Perceive Family Talk about Aging-Related EOL Issues: A Dialectical Analysis
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How Older Adults and Their Families Perceive Family Talk about Aging-Related EOL Issues: A Dialectical Analysis

机译：老年人及其家庭如何看待家庭谈论与年龄有关的EOL问题：辩证分析

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For older adults, approaching end-of-life (EOL) brings unique transitions related to family relationships. Unfortunately, most families greatly underestimate the need to discuss these difficult issues. For example, parents approaching EOL issues often struggle with receiving assistance from others, avoiding family conflict, and maintaining their sense of personhood. In addition, discussions of EOL issues force family members to face their parents’ mortality, which can be particularly difficult for adult children to process emotionally. This study explored aging issues identified by aging parents and their families as they traverse these impending EOL changes. Ten focus groups of seniors (n = 65) were conducted. Focus groups were organized according to race (African-American/European-American), gender, and whether the older adult was living independently or in an assisted care facility. When asked open-ended questions about discussing aging and EOL issues with family members, participants revealed tensions that led us to consider Relational Dialectics Theory as a framework for analysis. The predominant tension highlighted in this report was certainty versus uncertainty, with the two sub-themes of sustained life versus sustained personhood and confronting versus avoiding EOL issues. For these data, there were more similarities than differences as a result of gender, race, or living situation than one might expect, although culture and financial status were found to be influential in the avoidance of EOL discussions. The results of this study help to provide additional insight into relational dialectics related to aging, EOL, and the importance of communication in facilitating family coping.
机译：对于老年人，临终（EOL）带来了与家庭关系有关的独特转变。不幸的是，大多数家庭大大低估了讨论这些难题的必要性。例如，处理EOL问题的父母经常在获得他人帮助，避免家庭冲突以及保持人格意识方面挣扎。此外，对EOL问题的讨论迫使家庭成员面对父母的死亡，这对于成年子女进行情感上的处理尤其困难。这项研究探讨了年迈的父母及其家人在穿越即将到来的EOL变化时发现的年迈问题。进行了十个老年人焦点小组（n = 65）。根据种族（非裔美国人/欧洲裔美国人），性别以及老年人是独立生活还是在辅助护理设施中组织了焦点小组。当问及与家庭成员讨论衰老和EOL问题的开放式问题时，与会人员透露了紧张关系，这促使我们考虑将关系辩证法理论作为分析框架。本报告强调的主要紧张关系是确定性与不确定性，其中两个子主题是持续生活与持续人格，面对与避免停产问题。对于这些数据，由于性别，种族或生活状况而导致的相似性大于差异，这比人们预期的要多，尽管发现文化和财务状况对避免EOL讨论具有影响力。这项研究的结果有助于提供与年龄，EOL有关的关系辩证法的更多见解，以及在促进家庭应对中沟通的重要性。

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