ประสบการณ์ชีวิตของผู้สูงอายุที่มีภาวะการรู้คิดบกพร่องเล็กน้อย: การสังเคราะห์อภิมานงานวิจัยเชิงคุณภาพ

Patcharaporn  Wongarsa; Yuttachai  Chaiyasit; Paiwan Kotta; Khwanprapat  Chanbunlawat

Authors

Patcharaporn Wongarsa Faculty of Nursing, Ubon Ratchathani Rajabhat Univesity
Yuttachai Chaiyasit
Paiwan Kotta
Khwanprapat Chanbunlawat

Keywords:

life experiences, meta-ethnography, mild cognitive impairment, older persons

Abstract

Objective: To synthesise data on experiences of older persons with mild cognitive impairment (MCI)
Design: A qualitative meta-ethnography approach
Methodology: This article is based on a search of qualitative research articles published in Thai and English between 2010 and 2020 in international nursing science and multidisciplinary journal databases, namely, CINAHL, Pubmed, Science, Direct, Google scholar, TCI and ThaiLIS, following the PICO framework. The selected articles were qualitatively assessed using the Critical Appraisal Skills Programme (CASP) and their meta-synthesis dependability and credibility were evaluated using the ConQual approach.
Results: In total, 1,083 articles were collected, eight of which satisfed the inclusion criteria. Based on the meta-ethnographic examination of these eight articles, a conceptual defnition of life experience of older persons with mild cognitive impairment was synthesised. The synthesised defnition involves three major conditions, namely, 1) predominant mild cognitive impairment symptoms as perceived by older persons; 2) effects of mild cognitive impairment symptoms as perceived by older persons; and 3) adjustment of lifestyle by older persons with mild cognitive impairment. The ConQual evaluation rated these articles’ meta-synthesis dependability and credibility as being at a high level.
Recommendations: It is recommended that care for older persons with mild cognitive impairment be adjusted in line with their perceived life experiences of MCI predominant symptoms and effects, and with necessary lifestyle adjustment.

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