To help older adults stay healthy and independent, different stakeholders have developed self-management programmes that aim to support older adults in maintaining or improving physical and mental health. These programmes do not always match older adults’ needs and preferences. The aim of this study was to gain insight into independently living older adults’ views and support needs in self-managing physical and mental health. A qualitative study was performed to collect data. Sixteen independently living older adults from the eastern part of the Netherlands were recruited through purposive sampling. The interviews were audiotaped, transcribed verbatim and subjected to thematic analysis. The results demonstrate that older adults who live independently believe that maintaining physical and mental health is an important pre-condition for remaining independent and living a meaningful life. They are positive about their health, tend to keep on going with an optimistic attitude and choose activities that suit them regarding type and intensity. The older adults believe deterioration is a normal part of getting older. They focus on preservation and adapt to their natural decline. However, some older adults struggle with their deterioration but prefer self-management rather than seeking professional support. To reach the target group, it has been suggested that nurses and other healthcare professionals tailor their support to the way older adults view and manage the maintenance of both physical and mental health.

中文翻译：

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自我管理身心健康：关于荷兰老年人观点和支持需求的定性研究

为了帮助老年人保持健康和独立，不同的利益相关者制定了自我管理计划，旨在支持老年人维持或改善身心健康。这些计划并不总是符合老年人的需求和偏好。本研究的目的是深入了解独立生活的老年人在自我管理身心健康方面的观点和支持需求。进行了定性研究以收集数据。通过有目的的抽样招募了来自荷兰东部的 16 名独立生活的老年人。采访被录音，逐字转录并进行主题分析。结果表明，独立生活的老年人认为，保持身心健康是保持独立和过上有意义生活的重要前提。他们对自己的健康持积极态度，倾向于以乐观的态度继续前进，并根据类型和强度选择适合他们的活动。老年人认为恶化是变老的正常部分。他们专注于保护并适应自然衰退。然而，一些老年人与他们的恶化作斗争，但更喜欢自我管理而不是寻求专业支持。为了达到目标群体，建议护士和其他医疗保健专业人员根据老年人看待和管理身心健康的方式来调整他们的支持。