[对抚养孙辈的祖母照顾负担的研究:一项现象学研究]
[A study of the caregiving burden on grandmothers who raise their grandchildren: a phenomenological research].
作者信息
Kim Moonjeong
机构信息
Seoul National University, Jongno-gu, Seoul, Korea.
出版信息
Taehan Kanho Hakhoe Chi. 2007 Oct;37(6):914-23. doi: 10.4040/jkan.2007.37.6.914.
PURPOSE
This qualitative study aimed to identify the common, lived experiences of grandmothers who cared for their grandchildren as the primary caregivers.
METHODS
This study was based on the phenomenological method described by Colaizzi (1978).
RESULTS
Seven theme clusters emerged from the data as follows: "grandmother caregivers accept the parenting role of the incessant responsibilities and the distrust of non-kin caregivers.", "grandmother caregivers have a double maternal roles; an instrument-oriented maternal role to their own child and relationship-oriented maternal role to their grandchild.", "grandmother caregivers are partially authorized to make decisions in the matters of their grandchild.", "grandmother caregivers suffer a deterioration in their health by an acceleration of the aging process.", "caregiving causes grandmother caregivers to feel a sense of social isolation, and pursue various coping strategies to control this feeling.", "grandmother caregivers have a greater feeling of self-esteem, but they often conflict with their adult children if they don't feel appreciated by them.", "grandmother caregivers have limited social support and their health issues are often overlooked in the family context."
CONCLUSION
The results of this study can guide nurses and health care workers to understand the experiences of grandmother caregivers and to implement individualized nursing interventions suited for them.
目的
本定性研究旨在确定作为主要照料者照顾孙辈的祖母们的共同生活经历。
方法
本研究基于科莱齐(1978年)描述的现象学方法。
结果
数据中出现了七个主题集群,如下所示:“祖母照料者承担起育儿角色,肩负着持续不断的责任,且不信任非亲属照料者。”,“祖母照料者具有双重母亲角色;对自己的孩子是工具导向型母亲角色,对孙辈是关系导向型母亲角色。”,“祖母照料者在孙辈的事情上有部分决策权。”,“祖母照料者因衰老过程加速而健康状况恶化。”,“照料孙辈使祖母照料者感到社会孤立,并采取各种应对策略来控制这种感觉。”,“祖母照料者有更强的自尊感,但如果他们感觉不到成年子女的感激,就常常会与他们发生冲突。”,“祖母照料者的社会支持有限,他们的健康问题在家庭环境中常常被忽视。”
结论
本研究结果可指导护士和医护人员了解祖母照料者的经历,并实施适合他们的个性化护理干预措施。