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老年痴呆症患者的非正式照料者:关系研究

Informal carers of the dementing elderly: a study of relationships.

作者信息

Clarke C, Watson D

出版信息

Nurs Pract. 1991;4(4):17-22.

PMID:1845381
Abstract

This study investigated the problems involved in caring for a dementing person in the community from the perspective of their resident informal carer. It also examined the informal carer's relationships with both the dementing person and the statutory and voluntary services. Symbolic interaction theory was applied to this study since it considers the social meanings that things have as a result of an interactional process. To investigate this process, a qualitative research methodology was employed, comprising a diary, interview and post-contact notes. The sample was gathered from multiple referral sources: health, social and voluntary services. The diagnosis of a dementia was confirmed by the individual's own GP. Many of the results from this study support previous work in the field and four recommendations arise from analysis of the data. These are that formal carers could have a greater awareness of the needs of different groups of informal carers, the needs of informal carers in the very early stages of caring for a dementing person, the informal carer's need for counselling and the different reactions to offers of respite and long-term care which are seen as depending upon the relationship between the informal carer and the dementing person.

摘要

本研究从社区中痴呆患者常住非正式照料者的角度,调查了照料痴呆患者所涉及的问题。研究还考察了非正式照料者与痴呆患者以及法定和志愿性服务机构之间的关系。本研究采用了符号互动理论,因为该理论考虑事物在互动过程中所具有的社会意义。为了调查这一过程,采用了定性研究方法,包括日记、访谈和接触后记录。样本来自多个推荐来源:卫生、社会和志愿性服务机构。痴呆症的诊断由患者自己的全科医生确认。本研究的许多结果支持了该领域以前的研究工作,并且通过数据分析得出了四项建议。这些建议是,正式照料者可以更深入地了解不同群体非正式照料者的需求、照料痴呆患者初期非正式照料者的需求、非正式照料者对咨询的需求,以及对喘息照料和长期照料提议的不同反应,这些反应被认为取决于非正式照料者与痴呆患者之间的关系。

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