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运动神经元病患者的伴侣的个人经历。

The personal experience of partners of individuals with motor neuron disease.

机构信息

Birmingham and Solihull Mental Health Foundation Trust, Birmingham, UK.

出版信息

Amyotroph Lateral Scler Frontotemporal Degener. 2013 Jan;14(1):39-43. doi: 10.3109/17482968.2012.719236. Epub 2012 Sep 14.

Abstract

Most research on partners' experiences of living with a person with MND is questionnaire-based with no qualitative study focusing on the period between diagnosis and end-of-life care. This study aimed to provide an in-depth qualitative exploration of the experience of living with, and caring for, a partner with MND. Semi-structured interviews were conducted with eight individuals, and transcripts analysed from an interpretative phenomenological perspective. Two main themes were derived. 'Impact on life' included having concern for partner's safety, having social restrictions, being continually tired, struggling with anger and frustration, loss of intimacy and uncertainty around the future; while 'Adjusting to the situation' included trying to be strong, retaining a sense of normality, appreciation of specialist services, adopting a problem-solving approach, living day to day and ability to remain positive. In conclusion, experiences of stress and loss are illustrated in this sample of partners of those with MND, and it is suggested both these aspects should be integrated into understanding of carers' experiences. Carers appear to inhibit their grief in order to appear strong. Greater understanding of the consequences of this would help in providing appropriate emotional support.

摘要

大多数关于与肌萎缩侧索硬化症患者共同生活的伴侣经历的研究都是基于问卷调查,没有定性研究集中在诊断和临终关怀之间的时期。本研究旨在深入探讨与肌萎缩侧索硬化症患者共同生活和照顾患者的经历。采用半结构化访谈的方法对 8 名个体进行了访谈,并从解释现象学的角度对转录本进行了分析。得出了两个主要主题。“对生活的影响”包括担心伴侣的安全、社交受限、持续疲劳、愤怒和沮丧、亲密关系丧失和对未来的不确定性;而“适应这种情况”包括努力保持坚强、保持正常感、对专业服务的感激、采用解决问题的方法、过好每一天和保持积极的态度。总之,本研究样本中的肌萎缩侧索硬化症患者的伴侣经历了压力和失落,这表明应该将这两个方面纳入对照顾者经历的理解中。照顾者为了表现得坚强而抑制自己的悲伤。更深入地了解这一后果将有助于提供适当的情感支持。

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