Song Mi Ryeong, Lee Yong-Mi, Cheon Suk-Hee
Department of Nursing, Hoseo University, Asan, Korea.
J Korean Acad Nurs. 2010 Aug;40(4):482-92. doi: 10.4040/jkan.2010.40.4.482.
This study was a qualitative research study in which focus group interviews were used to collect data on the meaning of respite for family caregivers who are taking care of elders with dementia.
The focus group interviews and participants consisted of 2 family caregiver groups, for a total of 8 people taking care of their elders and 5 professional caregivers working in a geriatrics hospital or social welfare institutions. Content analysis was used and debriefing notes were referred in order to analyze the data.
The meaning of respite in this research was measured using 4 main categories: 'Temporary break from routine', 'direct help', 'psychological comfort', 'valuables which cannot be taken easily' and 9 subcategories: 'Temporary diversion of attention', 'temporarily free from my duty', 'taking care of oneself', 'receiving economic help', 'empathize with others', 'comfort based on trust', 'resting together with the elder', 'no time to rest', 'cannot get out of one's obligatory duty'.
The findings of the study show that rest means not only a temporary relief from caretaking, but also a real respite based on the patients' stable state and comfort. These results indicate a new meaning for respite, that the first step of respite program has to begin even when the caregivers do not recognize the need for respite.
本研究是一项定性研究,采用焦点小组访谈法收集照顾老年痴呆症患者的家庭照顾者对喘息服务意义的相关数据。
焦点小组访谈的参与者包括2个家庭照顾者小组,共有8名照顾长辈的人员以及5名在老年医院或社会福利机构工作的专业照顾者。采用内容分析法并参考汇报笔记来分析数据。
本研究中喘息服务的意义通过4个主要类别来衡量:“日常事务的暂时中断”“直接帮助”“心理安慰”“不易获得的宝贵之处”,以及9个子类别:“注意力的暂时转移”“暂时摆脱我的职责”“照顾自己”“获得经济帮助”“与他人共情”“基于信任的安慰”“与老人一起休息”“没有时间休息”“无法摆脱自己的义务”。
研究结果表明,喘息服务不仅意味着从照顾中暂时解脱,还意味着基于患者稳定状态和舒适度的真正喘息。这些结果为喘息服务赋予了新的意义,即即使照顾者没有意识到需要喘息服务,喘息服务项目的第一步也必须启动。