Abstract
Purpose
This study aimed to investigate a successful aging experience of aged on the in-home benefits of longterm care insurance.
Methods
The participants included 12 aged individuals receiving such benefits. Data were collected using in-depth interviews from November of 2016 to July of 2017. The qualitative analysis process followed the grounded theory method by Strauss and Corbin.
Results
The research results indicate that the core category was “ living my life in my home using my remaining abilities”. The phenomenon was “ recognizing the limitations of my body”, and causal conditions were “ old and sick body” and “ depression”. The interaction strategies were “ examining my body”, “ engaging in self-reflection”, “ controlling my mind”, “ taking care of my health according to the illnesses I experience”, “ managing my remaining abilities”, “ connecting with a supportive network”, and “ spending time”. The outcomes were “ living by adapting to my limited body conditions”, “ leading my life with the help of others”, “ sharing the meaning of life with others”, and “ reestablishing my life values”.
REFERENCES
1. National Health Insurance Service. Act on longterm care insurance in 2008 [Internet]. Seoul: National Health Insurance Service;2008. [cited 2017 June 20]. Available from:. http://www.longtermcare.or.kr/npbs/d/m/000/moveBoardView?menuId=npe0000000930&bKey=B0018.
2. Baek K-S, Kwon Y-S. The effect of community care service for the aged on psychological well-being. Journal of Welfare for the Aged. 2009; 46:337–56.
3. Hwang SJ, Kim HS. A phenomenological study on life of the using elderly in longterm home care service. Conference Pro-ceeding of the Korean Gerontological Society. 2010; 2010:166–86.
4. Lee IJ. The level and correlates of depression in home care elders: focused on comparison with community dwelling elders who do not use home care. Health and Social Welfare Review. 2012; 32(4):31–65. https://doi.org/10.15709/hswr.2012.32.4.31.
5. Rowe JW, Kahn RL. Successful aging. The Gerontologist. 1997; 37(4):433–40. https://doi.org/10.1093/geront/37.4.433.
6. Depp CA, Jeste DV. Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. The American Journal of Geriatric Psychiatry. 2006; 14(1):6–20. https://doi.org/10.1097/01.JGP.0000192501.03069.bc.
7. Romo RD, Wallhagen MI, Yourman L, Yeung CC, Eng C, Micco G, et al. Perception of successful aging among diverse elders with late-life disability. The Gerontologist. 2012; 53(6):939–49. https://doi.org/10.1093/geront/gns160.
8. Strawbridge WJ, Wallhagen MI, Cohen RD. Successful aging and well-being: self-rated compared with Rowe and Kahn. The Gerontologist. 2002; 42(6):727–33. https://doi.org/10.1093/geront/42.6.727.
9. Ouwehand C, de Ridder DTD, Bensing JM. A review of successful aging models: proposing proactive coping as an important additional strategy. Clinical Psychology Review. 2007; 27(8):873–84. https://doi.org/10.1016/j.cpr.2006.11.003.
10. Choi HK. The level of community-residing elderly's successful aging and their predictor: focusing on Korean concept of successful aging. Journal of Institute for Social Sciences. 2013; 24(1):193–217.
11. Tate RB, Swift AU, Bayomi DJ. Older men's lay definitions of successful aging over time: the Manitoba follow-up study. The International Journal of Aging and Human Development. 2013; 76(4):297–322. https://doi.org/10.2190/AG.76.4.b.
12. Ahn O, Cha HG, Chang SJ, Kim HS, Jang EH. Factors affecting successful aging in rural elderly people. The Journal of Digital Policy & Management. 2013; 11(11):499–508. https://doi.org/10.14400/JDPM.2013.11.11.499.
13. Kim D. The study on the development of the Korean elderly's successful aging scale. Korean Journal of Social Welfare. 2008; 60(1):211–31. https://doi.org/10.20970/kasw.2008.60.1.009.
14. Park HR. Korea older adults successful aging process [dissertation]. Seoul: Korea University;2011. p. 90.
15. Sato-Komata M, Hoshino A, Usui K, Katsura T. Concept of successful ageing among the community-dwelling oldest old in Japan. British Journal of Community Nursing. 2015; 20(12):586–92. https://doi.org/10.12968/bjcn.2015.20.12.586.
16. Strauss AL, Corbin JM. Basics of qualitative research: techni-ques and procedures for developing grounded theory. 2nd ed.Thousand Oaks, CA: SAGE Publications;1998. p. 312.
17. Corbin JM, Strauss AL. Basics of qualitative research: techni-ques and procedures for developing grounded theory. 3rd ed.Thousand Oaks, CA: SAGE Publications;2008. p. 400.
18. Baltes PB, Baltes MM. Psychological perspectives on successful aging: the model of selective optimization with compensation. Baltes PB, Baltes MM, editors. Successful aging: perspective from the behavioral science. Cambridge, UK: Cambridge University Press;1993. p. 1–34.
19. Kim HJ. Development of an assessment tool for remaining functional ability in nursing home residents [dissertation]. Seoul: Korea University;2016. p. 80.
20. Wahl H-W, Oswald F. Environmental perspective on aging. Dannefer D, Phillipson C, editors. The SAGE handbook of social gerontology. Thousand Oaks, CA: Sage Publications;2010. p. 111–24.
21. Baik OM. The meaning and experiences of home to Korean older adults: comparison with an aging-in-place group and a relocation group. Korean Journal of Gerontological Social Welfare. 2016; 71(4):267–301.
22. Shin YS, Kim SJ, Kim J-W. Grounded theory approach on the adaptation process in facility of longterm care elderly. Korean Journal of Social Welfare. 2013; 65(3):155–82. https://doi.org/10.20970/kasw.2013.65.3.007.
23. Walker C, Curry LC, Hogstel MO. Relocation stress syndrome in older adults transitioning from home to a longterm care facility: myth or reality? Journal of Psychosocial Nursing and Mental Health Services. 2007; 45(1):38–45.
24. Montross LP, Depp C, Daly J, Reichstadt J, Golshan S, Moore D, et al. Correlates of self-rated successful aging among community-dwelling older adults. The American Journal of Geriatric Psychiatry. 2006; 14(1):43–51. https://doi.org/10.1097/01.JGP.0000192489.43179.31.
25. Young Y, Frick KD, Phelan EA. Can successful aging and chronic illness coexist in the same individual? A multidimensional concept of successful aging. Journal of the American Medical Directors Association. 2009; 10(2):87–92. https://doi.org/10.1016/j.jamda.2008.11.003.
26. Jeong YJ, Chong YS, Yu NY, Kim B-A, Shin HJ. A metaanalysis of moderating effects and sub dimensions of successful aging. Journal of the Korean Gerontological Society. 2015; 35(3):627–42.
27. Phelan EA, Anderson LA, LaCroix AZ, Larson EB. Older adults' views of "successful aging"-how do they compare with researchers' definitions? Journal of American Geriatrics Society. 2004; 52(2):211–6. https://doi.org/10.1111/j.1532-5415.2004.52056.x.
28. Kim S-Y, Kim S, Lee J-S. The effect on housing on health. Health and Social Science. 2013; 34:109–33.
29. Tornstam L. Gerotranscendence: the contemplative dimension of aging. Journal of Aging Studies. 1997; 11(2):143–54. https://doi.org/10.1016/S0890-4065(97)90018-9.
30. Flood M. Successful aging: a concept analysis. Journal of Theory Construction and Testing. 2002; 6(2):105–8.
31. Ahn H-J. The meaning of 'aging' and 'aging well' for the Korean elderly: a critical approach to the concept of successful aging [master's thesis]. Seoul: Chung-Ang University;2013. p. 76.
32. Lee M-J. The effects of life satisfaction on successful aging among the elderly with disabilites: focusing on the moderate role of disability duration. Korean Journal of Gerontological Social Welfare. 2016; 71(4):367–89.