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关怀的技艺:对晚期痴呆亲属的家庭照料

The craft of care: family care of relatives with advanced dementia.

作者信息

de la Cuesta Carmen

机构信息

University of Antioquia, Colombia.

出版信息

Qual Health Res. 2005 Sep;15(7):881-96. doi: 10.1177/1049732305277805.

Abstract

Family caregiving is attracting more attention from policy makers and service providers, but managing a chronic condition in the home is a very complex activity that usually remains invisible to health care professionals. The study's purpose was to identify strategies family caregivers used in the home to care for their relatives who have dementia. The author collected data from interviews with 18 caregivers and 2 health care professionals, and from participant observation in caregivers' support groups and homes. She used constant comparison analysis and describes the Craft of Care, a category that emerged during qualitative analysis. Caregivers craft care by creating ruses in care, a language to communicate, and spaces and devices for caregiving. They sustain the humanity of the patient in the midst of a condition that tends to destroy it.

摘要

家庭护理正吸引着政策制定者和服务提供者越来越多的关注,但在家中管理慢性病是一项非常复杂的活动,而医护人员通常对此并不了解。该研究的目的是确定家庭护理人员在家中照顾患有痴呆症亲属时所采用的策略。作者通过对18名护理人员和2名医护人员的访谈,以及对护理人员支持小组和家庭的参与观察来收集数据。她运用持续比较分析法,描述了护理技巧,这是定性分析过程中出现的一个类别。护理人员通过在护理中创造策略、一种沟通语言以及护理空间和设备来精心打造护理。他们在一种往往会摧毁人性的疾病中维持患者的人性。

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