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被看见的渴望:临终家庭护理中家庭照顾者的照顾角色体验。

A desire to be seen: family caregivers' experiences of their caring role in palliative home care.

机构信息

Valdemarsviks vårdcentral, Närsjukvården i Ostra Ostergötland, Landstinget i Ostergötland, Brogatan 4, S 615 30 Valdemarsvik, Sweden.

出版信息

Cancer Nurs. 2010 Jan-Feb;33(1):28-36. doi: 10.1097/NCC.0b013e3181af4f61.

Abstract

Primary health care is the base of Swedish healthcare, and many terminally ill patients are cared for at home. A dying relative has a profound impact on his/her family members' situation, including negative effects on roles, well-being, and health. The aim of this study was to explore how the informal carers of a dying relative in palliative home care experienced their caring role and support during the patient's final illness and after death. Fourteen family members were selected in 4 primary health care areas in Sweden. Data were collected using open, tape-recorded interviews. A hermeneutic approach was used to analyze the data. The findings revealed that being an informal carer was natural when a relative became seriously ill. More or less voluntarily, the family member took on a caring role of control and responsibility. The informal carers felt left out and had feelings of powerlessness when they did not manage to establish a relationship with the healthcare professionals. For the informal carers to feel seen, it was necessary for them to narrate about their own supporting role.

摘要

初级卫生保健是瑞典医疗保健的基础,许多绝症患者在家中得到护理。临终患者会对其家庭成员的状况产生深远影响,包括对角色、幸福感和健康产生负面影响。本研究旨在探讨在临终关怀家庭护理中,垂死患者的非正式照顾者在患者临终和去世后如何体验他们的照顾角色和支持。在瑞典的 4 个初级保健领域中选择了 14 名家庭成员。使用开放式、录音采访收集数据。采用诠释学方法对数据进行分析。研究结果表明,当亲属病重时,作为非正式照顾者是很自然的。或多或少是自愿的,家庭成员承担了控制和责任的照顾角色。当非正式照顾者未能与医疗保健专业人员建立关系时,他们会感到被排斥,感到无能为力。为了让非正式照顾者感到被看到,他们有必要讲述自己的支持角色。

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