Qualitative Study on Important Elements of Life for Japanese and Thai Older Adults

Nobuko Shimizu, Takako Yamada, Nobuyuki Honda, Miyako Mochizuki, Mayumi Kato, Noboru Hasegawa, H. Sethabouppha, N. Suwankruhasn, Chalinee Suvanayos
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Abstract

Previous studies have demonstrated relationships between religiosity, physical and mental health-related outcomes, and healthy collective longevity. This qualitative study investigated the elements of pleasure and fulfillment in older adults living in the super-aged society of Japan and the rapidly super-aging society of Thailand. Semi-structured interviews were conducted with 14 older adults—seven from Japan, and seven from Thailand, covering five topics: (1) pleasures in daily life; (2) purpose in daily life; (3) thoughts about aging; (4) things they do actively for their health; and (5) things they worry about. Data were analyzed using the Steps for Coding and Theorization method. Japanese older adults mostly engaged in individually accomplished pleasures, whereas Thai older adults aimed to experience pleasures involving others. Thai older adults viewed aging as a natural phenomenon and stressed the importance of self-regulation. The Japanese participants, however, focused on activities that would avoid the burden of long-term care, maintain their current lifestyle, and help with self-improvement and lifetime learning. Although Thai older adults derived pleasure and fulfillment from being helpful toward others, Japanese older adults’ narratives indicated that they tended to worry about others. Differences between the two countries’ lifestyles, environments, beliefs, and religious contexts explain the differences in the mechanisms by which Japanese and Thai older adults experience joy, fulfillment, and purpose in life. These results suggest ways to improve quality of life, extend healthy life expectancy, and prevent cognitive decline in older adults thriving in aging societies.
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日本和泰国老年人重要生活要素的定性研究
先前的研究已经证明了宗教信仰、身心健康结果和健康的集体寿命之间的关系。这项定性研究调查了生活在日本老龄化社会和泰国快速老龄化社会的老年人的快乐和成就感要素。对14名老年人进行了半结构化访谈,其中7名来自日本,7名来自泰国,涵盖五个主题:(1)日常生活中的乐趣;(2) 日常生活目的;(3) 老龄化思想;(4) 他们为健康积极做的事情;以及(5)他们担心的事情。使用编码步骤和理论化方法对数据进行分析。日本的老年人大多从事个人完成的快乐,而泰国的老年人则致力于体验与他人有关的快乐。泰国老年人认为老龄化是一种自然现象,并强调自我调节的重要性。然而,日本参与者专注于避免长期护理负担、保持当前生活方式、帮助自我提升和终身学习的活动。尽管泰国老年人从帮助他人中获得快乐和满足感,但日本老年人的叙述表明,他们倾向于担心他人。两国生活方式、环境、信仰和宗教背景的差异解释了日本和泰国老年人体验快乐、成就感和人生目标的机制的差异。这些结果提出了提高生活质量、延长健康预期寿命和防止老龄化社会中老年人认知能力下降的方法。
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