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[男性作为妻子的照料者——两项关于男性主要照料者在家务安排中经历的现象学研究。第1部分:中风后男性作为妻子的照料者]

[Men as caregivers for their wives - two phenomenological studies of the experiences of male primary caregivers in home arrangements. Part 1: men as caregivers for their wives after stroke].

作者信息

Dorschner Stephan, Bauernschmidt Dorothee

机构信息

Georg-Streiter-Institut für Pflegewissenschaft der Ernst-Abbe-Fachhochschule Jena.

出版信息

Pflege. 2014 Aug;27(4):257-67. doi: 10.1024/1012-5302/a000372.

Abstract

BACKGROUND

In Germany, men participate more and more in the extensive process of caring for their relatives. The ongoing discourse in nursing sciences, however, reflects poorly on this increasing number of male principal caregivers.

AIM

Objective of the present study is to analyse the following questions, with focus on caring husbands: Firstly, how do caring husbands experience caring for their wives after stroke? And secondly, how do they organise daily life?

METHOD

Narrative interviews with ten caring husbands were conducted. Analysis was performed using a modified phenomenological-interpretative approach as described by Diekelmann (1992).

RESULTS

Six central issues evolved: "I never thought something like that'd happen to us …" (disease as acute crisis); "I see her just the way she was when we first met …" (relationship); "… since then I got her in home care." (care); "… this work, it's never been easy" (work and burden); "This new situation, well, you've got to adapt …" (adaptation); "… because I do need some time for myself!" (support and relief). "Being responsible" emerged as a constitutive pattern, according to which caring husbands perceive their own life situation.

CONCLUSION

Professional nurses should take this constitutive pattern seriously and should align their work to it when collaborating with male principal care givers. For this purpose, further research is needed to develop new approaches to this special situation and its implications.

摘要

背景

在德国,男性越来越多地参与到照顾亲属的广泛过程中。然而,护理科学领域目前的讨论对越来越多的男性主要照顾者关注不足。

目的

本研究的目的是分析以下问题,重点关注身为照顾者的丈夫:第一,照顾中风妻子的丈夫在照顾过程中有何体验?第二,他们如何安排日常生活?

方法

对十位身为照顾者的丈夫进行了叙事访谈。分析采用了迪克尔曼(1992年)描述的改良现象学解释方法。

结果

出现了六个核心问题:“我从没想到这种事会发生在我们身上……”(疾病作为急性危机);“我看她就像我们初次见面时那样……”(关系);“……从那时起,我为她安排了家庭护理。”(护理);“……这份工作,从来都不容易”(工作与负担);“这种新情况,嗯,你得去适应……”(适应);“……因为我确实需要一些属于自己的时间!”(支持与缓解)。“承担责任”成为一种构成模式,照顾妻子的丈夫据此来认识自己的生活状况。

结论

专业护士应认真对待这种构成模式,并在与男性主要照顾者合作时使其工作与之相适应。为此,需要进一步研究以开发针对这种特殊情况及其影响的新方法。

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