Volume 4, Issue 4 (Autumn 2018)                   JCCNC 2018, 4(4): 231-239 | Back to browse issues page


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Rezaei M, Izadi-Avanji F S, Safa A, Fernanda Cal S. The Impact of Resilience on the Perception of Chronic Diseases From Older Adults' Perspective. JCCNC 2018; 4 (4) :231-239
URL: http://jccnc.iums.ac.ir/article-1-191-en.html
1- Autoimmune Disease Research Center, Faculty of Nursing & Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
2- Trauma Nursing Research Center, Faculty of Nursing & Midwifery, Kashan University of Medical Sciences, Kashan, Iran. , fs.izadi@gmail.com
3- Trauma Nursing Research Center, Faculty of Nursing & Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
4- Department of Medicine, Escola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.
Abstract:   (2428 Views)
Background: Older adults with chronic illnesses face many challenges related to their diseases and need higher resilience capacities to overcome. Resilience, as a mediator among various dimensions of health, can lead to positive health outcomes in such people. The current study aimed at discovering the impact of resilience on the perception of chronic disease from older adults' perspective. 
Methods: The current qualitative study was conducted in specialized clinics of Shahid Beheshti Hospital, Kashan, Iran. A total of 25 older adults with chronic diseases were recruited by purposive sampling. Data were generated by semi-structured interviews and continued until data saturation. All interviews were transcribed verbatim and coded by MAXQDA7 software. Data were analyzed based on Graneheim and Lundman approach. 
Results: Three main themes were extracted from the data including achieving spiritual transcendence (approaching God, appreciate the beauty around); creating peace and balance (controlling the inner stress, maintaining solidarity of family); overcoming the disease (compliance with treatment, building effective interpersonal relationships).
Conclusion: The themes indicated that effective interventions such as teaching stress management, communication skills, and adherence to treatment should be provided by healthcare providers and policy makers to improve the resilience of the older adults with chronic diseases.
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● The main impacts of resilience in older people are achieving spiritual transcendence, creating peace and balance, and overcoming the disease.
● Approaching God and appreciate the beauty around were elements of achieving spiritual transcendence.
● Controlling the inner stress and maintaining the solidarity of family were the constituents of creating peace and balance.
● Compliance with treatment and building effective interpersonal relationships were the constituents of overcoming the disease.
Plain Language Summary
Because of the many problems that occur for the elderly with chronic illnesses, they need higher resilience to overcome their disease. Resilience can lead to positive health outcomes in these people. We investigated the concept of resilience on the perception of chronic disease in a group of older adults. After analyzing the collected data, we found that achieving spiritual transcendence, creating peace and balance, and overcoming the disease are outcomes of resilience in these people.

Type of Study: Research | Subject: General
Received: 2018/03/28 | Accepted: 2018/08/10 | Published: 2018/11/1

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