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Accepting the inevitable: A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study
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2021 (Engelska)Ingår i: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 92, artikel-id 104275Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: As the group of very old persons will form an increasing part of society, the study of how well-being is described and affected by specific factors will be of importance to meet the future needs of these persons. The aim of the study was to increase knowledge of well-being in very old persons by combining assessments and perceptions using the Philadelphia Geriatric Morale Scale (PGCMS).

Method: In a mixed method, convergent parallel design, 52 persons 80 years or older were assessed and interviewed using the PGCMS to combine assessment of morale and descriptions of perceptions of well-being using a mixed method approach.

Results: Quantitative and qualitative results converged in four areas: not feeling lonely and being included, rating and perceiving health as good, high physical function/ability and being physically active, living in own house and feeling at home. Areas perceived as important to well-being captured only in qualitative analysis were having freedom and engagement. An example of insights not achievable from the quantitative or qualitative analysis alone was that individuals with high morale expressed anxiety about losing their health due to potential ageing-related threats and that individuals with low morale struggled with acceptance. Acceptance was the key strategy for handling adverse consequences of ageing in all described areas.

Conclusion: When using standardized assessment scales in clinical practice, it could be useful to combine quantitative and qualitative data. Acceptance was key for well-being; however, acceptance could be resigned or reorienting in nature.

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Elsevier, 2021. Vol. 92, artikel-id 104275
Nyckelord [en]
Well-being, Quality of life, Oldest old, Subjective well-being, Life satisfaction
Nationell ämneskategori
Omvårdnad Gerontologi, medicinsk/hälsovetenskaplig inriktning
Identifikatorer
URN: urn:nbn:se:umu:diva-179070DOI: 10.1016/j.archger.2020.104275ISI: 000600899700010PubMedID: 33032185Scopus ID: 2-s2.0-85092063262OAI: oai:DiVA.org:umu-179070DiVA, id: diva2:1522486
Tillgänglig från: 2021-01-26 Skapad: 2021-01-26 Senast uppdaterad: 2023-03-24Bibliografiskt granskad

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