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[男性作为妻子的照料者——两项关于家庭护理安排中男性主要照料者经历的现象学研究。第二部分:男性作为患有痴呆症妻子的照料者]

[Men as caregivers for their wives - two phenomenological studies of the experiences of male primary caregivers in home care arrangements. Part II: men as caregivers for their wives suffering from dementia].

作者信息

Bauernschmidt Dorothee, Dorschner Stephan

机构信息

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

出版信息

Pflege. 2014 Oct;27(5):297-306. doi: 10.1024/1012-5302/a000377.

Abstract

BACKGROUND

In Germany, men participate more and more in the extensive process of caring for their relatives.

AIM

Focus of the second study are husbands caring in home care for their wives suffering from dementia. 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 suffering from dementia? 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

Seven central issues evolved: "Dementia is a mischievous disease …" (disease as lingering crisis); "But there is a commitment …" (relationship); "Quarrel, that's not resolved without efforts …" (conflict); "Nothing's left from that …" (loss); "The amount of care, it didn't decrease, it's getting more …" (care); "The world's getting smaller …" (limitations); "I don't dislike it when someone's around supporting me …" (support). "Being bonded" emerged as a constitutive pattern, according to which caring husbands perceive their own life situation.

CONCLUSIONS

Caring husbands perceive and organise their wives' care situation individually. This includes their evaluation of professional assistance offers. Our findings point out the clear need for different offers of professional care givers when collaborating with caring husbands. Further research should focus on individual (long-time) care courses as well as reasons for declining professional assistance offers.

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。

目的

第二项研究的重点是在家照顾患有痴呆症妻子的丈夫。本研究的目的是分析以下问题,重点关注照顾妻子的丈夫:第一,照顾患有痴呆症妻子的丈夫如何体验这种照顾?第二,他们如何安排日常生活?

方法

对十位照顾妻子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

出现了七个核心问题:“痴呆症是一种棘手的疾病……”(疾病作为持续的危机);“但有一种承诺……”(关系);“争吵,不努力就无法解决……”(冲突);“那件事什么都没留下……”(损失);“护理量没有减少,反而越来越多……”(护理);“世界变得越来越小……”(限制);“有人在身边支持我,我并不讨厌……”(支持)。“被联系在一起”成为一种构成模式,照顾妻子的丈夫据此感知自己的生活状况。

结论

照顾妻子的丈夫会各自感知并安排妻子的护理情况。这包括他们对专业护理服务的评估。我们的研究结果指出,在与照顾妻子的丈夫合作时,显然需要专业护理人员提供不同的服务。进一步的研究应关注个体(长期)护理过程以及拒绝专业护理服务的原因。

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