Where Did I Put My Glasses? The Lived Experience Of Older Adults Seeking Medical Help For Perceived Memory Problems

DISABILITY AND REHABILITATION(2020)

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摘要
Purpose: This study aimed to examine the lived experience of older adults who seek medical help for perceived memory problems, defined as "help-seekers." We examined how they make sense of their experience of memory problems, the effect on everyday life and the role of personal and environmental factors. Materials and methods: A qualitative approach was used. Twelve help-seekers recruited from geriatric clinics participated in qualitative interviews, using thematic analysis with an interpretative phenomenological analysis. Results: Four themes emerged: (1) memory problems in daily life; (2) negative beliefs and emotional responses; (3) coping with memory problems; and (4) memory problems in context. The study describes the implications of memory problems on engagement in meaningful and self-defining occupations, and the negative beliefs and emotions embedded in the experience of memory loss. The results revealed three types of coping responses: active problem solving, reframing perception of the problem and avoidant behaviors. The study highlights the importance of both the social environment and aging process in the lived experience of help-seekers. Conclusions: Multiple personal and social factors interacted and mediated the meaning of memory loss in help-seekers. The study reveals a complex clinical picture that may impede successful occupational engagement of help-seekers.
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关键词
Subjective cognitive decline, subjective memory complaints, aging, geriatric clinic, qualitative research
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