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日记作为阿尔茨海默病患者家庭照料者研究中的研究数据:方法学问题

Diaries as research data in a study on family caregivers of people with Alzheimer's disease: methodological issues.

作者信息

Välimäki Tarja, Vehviläinen-Julkunen Katri, Pietilä Anna-Maija

机构信息

Department of Nursing Science, University of Kuopio, Kuopio, Finland.

出版信息

J Adv Nurs. 2007 Jul;59(1):68-76. doi: 10.1111/j.1365-2648.2007.04273.x. Epub 2007 Jun 3.

Abstract

AIM

This paper is a discussion of the use of unstructured diaries and their benefits and limitations as primary research data in a study of family caregivers of people with Alzheimer's disease.

BACKGROUND

Caregivers' diaries have rarely been used to study family caregivers' subjective knowledge of life with a family member with Alzheimer's disease.

METHOD

Family caregivers wrote unstructured diaries for 2 weeks during the period 2002-2004, starting within 6 months after the diagnosis of Alzheimer's disease in a family member. The family caregivers (n = 83) were voluntary participants in an ongoing intervention study (patients n = 241 and caregivers n = 241). The diaries were analysed using content analysis.

FINDINGS

The diary data were categorized into the following four different types: meagre, reporting, descriptive and reflective. They described the family caregivers' experiential world and the changes taking place in it. Family caregivers found diary-writing a therapeutic and pleasant experience. The use of written diaries involves some limitations concerning high dependency on writers, and data solely in written form. An effort to confirm the quality of data should be made by personal contacts.

CONCLUSION

Diaries can be used as a primary method of data collection in nursing research, as they produce subjective knowledge of the experiences, emotions and meanings associated with caregiving. Their use can result in a high level of motivation, and ability to reflect on life promotes successful writing.

摘要

目的

本文探讨无结构式日记的使用及其作为主要研究数据在一项针对阿尔茨海默病患者家庭照料者的研究中的益处与局限性。

背景

照料者日记很少被用于研究家庭照料者对与患有阿尔茨海默病的家庭成员共同生活的主观认知。

方法

2002年至2004年期间,家庭照料者在其家庭成员被诊断为阿尔茨海默病后的6个月内开始,连续2周撰写无结构式日记。这些家庭照料者(n = 83)是一项正在进行的干预研究中的自愿参与者(患者n = 241,照料者n = 241)。采用内容分析法对日记进行分析。

研究结果

日记数据被分为以下四种不同类型:简略型、报告型、描述型和反思型。它们描述了家庭照料者的体验世界及其发生的变化。家庭照料者发现写日记是一种具有治疗作用且愉快的体验。使用书面日记存在一些局限性,即高度依赖撰写者,且数据仅为书面形式。应通过个人接触来努力确认数据的质量。

结论

日记可作为护理研究中数据收集的主要方法,因为它们能产生与照料相关的体验、情感和意义的主观认知。其使用可带来高度的积极性,而反思生活的能力有助于成功撰写日记。

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