Lifeworld perspectives of people with dementia: a meta-aggregation of qualitative studies

BMC Geriatrics

Research

Ellen Karine Grov¹  Knut Engedal²  Siren Eriksen³ 

[1] Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway;The Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway;Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway;The Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway;Lovisenberg Diaconal University College, Oslo, Norway;

关键词: Dementia;    Lifeworld;    Interview;    Experience;    Space;    Relations;    Body;    Time;    Van Manen;   

DOI  :  10.1186/s12877-022-03660-w

 received in 2022-06-05, accepted in 2022-11-28,  发布年份 2022

来源: Springer

【 摘 要 】

ObjectivesThis meta-aggregation aims to interpret and synthesize present knowledge on the lifeworld perspectives of people with dementia and develop a model for guidance in clinical practice.MethodThe data consist of four meta-syntheses describing different lifeworld perspectives in accordance with van Manen’s existentials: lived relations, lived space, lived time and lived body. The meta-aggregation summarizes a range of views expressed by people with dementia in qualitative, interview-based studies, with the aim of generating a reliable model based on the studies’ findings.ResultsIn total, 88 studies among 1,191 persons with dementia were included. Sixteen areas of focus were found, representing four perspectives: (a) lived relations, consisting of connectedness, independence, equality and competence; (b) lived space, consisting of belonging, meaningfulness, safety and security, and autonomy; (c) lived time, consisting of being rooted in the past, being in the present, viewing the future and being in process; and (d) lived body, consisting of being functional, trustworthy, adaptable and presentable. A model shaped as a tree trunk captures the lifeworld perspectives of people with dementia.ConclusionSixteen areas were revealed from this meta-aggregation and form the basis of a model. This model may be used as a guide for health care personnel to ensure the overall lifeworld-perspectives of people with dementia in care for the target group and conduct lifeworld-preserving care with a person-centred approach.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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