Dräger Dagmar, Geister Christina, Kuhlmey Adelheid
Institut für Medizinische Soziologie, Zentrum für Human- und Gesundheitswissenschaften, Berliner Hochschulmedizin, Freie Universität Berlin.
Pflege. 2003 Dec;16(6):342-8. doi: 10.1024/1012-5302.16.6.342.
In view of the demographic development the topic of "Nursing of elderly relatives" is gaining more and more importance within nursing research. The object of the investigation described in this paper was to assess the measures of the Pflegeversicherung [Long Term Care Insurance] with regard to its effects on care-giving daughters. This publication assesses one of the questions of the study--what part professional services play in the support of care-giving daughters. The data was collected by individual biographic-narrative interviews in the private household of care-giving daughters. The data was then evaluated according to the method of biographical case reconstruction developed by Gabriele Rosenthal. This way we were able to gain a deeper insight into the situation of care-giving daughters and analyse the consequences of the Pflegeversicherungsgesetz [Long Term Care Insurance Law] from an "inner perspective". The results of the study point to both the positive effects of the Pflegeversicherungsgesetz and its limits. We were able to show that the expansion of out patient services leads to an enhanced nursing infrastructure. In view of the part that professional nursing services play, however, the biographical access also made it clear that the Pflegeversicherung will not lead to far-reaching changes in nursing arrangements. In spite of Pflegeversicherung caregiving relatives still suffer from personal and emotional strain. Also the legal requirements are too narrow and allow hardly enough space for the consideration of the family environment and the history of life of relationship between daughter and mother.
鉴于人口结构的发展，“照顾老年亲属”这一主题在护理研究中越来越重要。本文所述调查的目的是评估长期护理保险的措施对提供护理的女儿们的影响。本出版物评估了该研究的其中一个问题——专业服务在支持提供护理的女儿们方面发挥了什么作用。数据是通过在提供护理的女儿们的私人住所进行的个人传记式叙述访谈收集的。然后，根据加布里埃莱·罗森塔尔开发的传记案例重建方法对数据进行评估。通过这种方式，我们能够更深入地了解提供护理的女儿们的情况，并从“内部视角”分析《长期护理保险法》的后果。研究结果既指出了《长期护理保险法》的积极影响，也指出了其局限性。我们能够表明，门诊服务的扩大导致了护理基础设施的改善。然而，从传记的角度来看，专业护理服务所起的作用也表明，长期护理保险不会导致护理安排发生深远变化。尽管有长期护理保险，提供护理的亲属仍然承受着个人和情感上的压力。此外，法律要求过于狭窄，几乎没有为考虑家庭环境以及女儿与母亲之间的生活关系历史留出足够的空间。
