Bangor University, UK.
Dementia (London). 2013 Sep;12(5):588-605. doi: 10.1177/1471301212437780. Epub 2012 Apr 8.
Informal caregiving for a person with dementia often takes place within a health care triad, whose members include the caregiver, the care-recipient and the health care-professional. The aim of the current study was to explore how the members work together with this triadic context. Six spousal caregiving dyads and the three Admiral Nurses who worked with the couples were interviewed. Transcripts of these interviews were analysed to form six case studies, each containing the perspectives of the three members of the triad. The processes emerging in these case studies were encompassed under an overarching dynamic process of 'negotiating the balance'. This describes the ongoing struggle of the members to balance the views of the other members against their own needs. Coalitions could occur as members worked together to tackle problems. The findings of this study highlight the importance of exploring the perspectives of all members of the triad. This should help health care professionals to improve the quality of the support they provide to caregivers and care-recipients.
对于痴呆症患者的非正式护理通常发生在医疗保健三方关系中，其成员包括护理者、被护理者和医疗保健专业人员。本研究的目的是探讨三方关系中成员如何共同协作。对六对夫妻护理者和与他们一起工作的三位海军上将护士进行了访谈。对这些访谈的转录本进行了分析，形成了六个案例研究，每个案例研究都包含了三方关系中三个成员的观点。这些案例研究中出现的过程涵盖了一个总体的动态过程，即“平衡协商”。这描述了成员们为了平衡其他成员的观点和自己的需求而进行的持续斗争。当成员们一起合作解决问题时，可能会形成联盟。这项研究的结果强调了探索三方关系中所有成员观点的重要性。这有助于医疗保健专业人员提高他们为护理者和被护理者提供的支持的质量。
