| Description |
Osteoarthritis (OA) is the most prevalent chronic disease affecting older people and a major cause of disability and utilization of healthcare resources. Coping and self-management behaviors may have a decisive impact on the physical, psychological, and social outcomes of experience with OA. The purpose of this study was to describe the process and pattern of OA representation, coping, and its impacts among older Koreans in the United States. This study employed an exploratory descriptive design. Data were collected using a semistructured interview method. Participants of the study were 18 older Koreans living in southern California. The findings of the study indicated that representation, coping, and coping appraisal were interconnected concepts in the management of OA. Participants' representation was categorized into symptoms, name, cause and cure of their illness, and concerns for the future. Coping with OA included seeking healthcare providers, using folk remedies, exercising, controlling the mind, praying, comparing to others, accepting destiny, and developing their own healing methods. Participants evaluated the process and outcome of coping and reset their treatment goals. OA affects older Koreans' daily living, financial status, family relationships, social activities, and perceptions of life. Older Koreans were very familiar with OA even before they experienced any initial symptoms. They believed that OA was an incurable, painful illness that caused difficulties in their daily lives and tremendous financial burdens. They were concerned about becoming a burden on their families in the future. They tried most treatments suggested by friends and families and finally adopted or developed their own healing methods. They accepted OA as their destiny, and they were living with it. They were still happy because they were loved and cared for by their family, friends, church, and God. The major significance of the study is its contribution to understanding health behavior among older Koreans in the United States. It is important to provide nursing care in a manner that respects the individuality of each client who has unique life experiences and cultural backgrounds. |
