Hayder Daniela, Schnepp Wilfried
Universität Witten/Herdecke, Fakultät für Medizin, Institut für Pflegewissenschaften, Stockumer Str. 12, 58453, Witten, Germany.
Z Gerontol Geriatr. 2008 Aug;41(4):261-6. doi: 10.1007/s00391-008-0560-9. Epub 2008 Aug 4.
Urinary incontinence can be expected to present an issue in domestic care with various conditions and ways of dealing with the situation. This pilot study investigates the kinds of coping strategies developed by family caregivers of urinary incontinent persons. Therefore, it seeks to explore how family caregivers experience and shape everyday life with an incontinent family member.Based on a qualitative design, problem-centered interviews were carried out with 10 family caregivers (4 men, 6 women) and analyzed according to Grounded Theory.The results show that family caregivers place major emphasis on maintaining continence, which is conceived as an expression of concern for the care-dependent person. The data facilitated the development of four major concepts: incontinence as a cause of dependency, feelings of shame, striving for continence and coping with incontinence. These concepts indicate that family caregivers look for strategies to provide the incontinent family member with the opportunity of (self-) controlled excretion. Yet this kind of support is linked to feelings of shame on both parts.
尿失禁在家庭护理中可能会因各种情况和应对方式而成为一个问题。这项试点研究调查了尿失禁患者的家庭护理人员所制定的应对策略类型。因此，它旨在探索家庭护理人员如何与失禁的家庭成员一起体验和塑造日常生活。基于定性设计，对10名家庭护理人员（4名男性，6名女性）进行了以问题为中心的访谈，并根据扎根理论进行了分析。结果表明，家庭护理人员主要强调维持排尿节制，这被视为对依赖护理者的关心的一种表达。这些数据促成了四个主要概念的形成：失禁是依赖的原因、羞耻感、争取排尿节制和应对失禁。这些概念表明，家庭护理人员在寻找策略，以便为失禁的家庭成员提供（自我）控制排泄的机会。然而，这种支持在双方都与羞耻感有关。
