Wennerberg Mia M T, Eriksson Monica, Danielson Ella, Lundgren Solveig M
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Homecare Health and Nursing, Municipality of Orust, Henån, Sweden.
Scand J Caring Sci. 2016 Sep;30(3):602-13. doi: 10.1111/scs.12292. Epub 2015 Nov 3.
Interlinked aspects, as demographic changes, accentuation on home-based community care, increase the amount of informal caregivers to older adults. To preserve and enhance their health are subsequently essential and a reoccurring topic on political agendas. How this may be achieved is vividly debated and mainly focused on elimination of risks and stresses associated with caregiving. Within health promotion, the salutogenic approach focusing on resources to health is recognised and this approach was used to acquire necessary knowledge to enhance caregivers' health 'the salutogenic way'.
To present Generalised and Specific Resistance Resources (GRRs/SRRs) described by caregivers as stemming from themselves and their carerecipients.
To unravel caregivers' GRRs/SRRs, a theory-driven, explorative design guided by definitions of GRRs/SRRs was utilised. Data were collected through salutogenically guided interviews with 32 Swedish caregivers in one municipality. Inductively, data were analysed using content analysis to identify each caregiver's SRRs and thereafter deduction to identify the population's GRRs.
The synthesis of findings, caregivinghood, encompasses several domains of GRRs seemingly involved in caregivers' movements towards health. In the caregiver domain, 'Being someone significant in my own eyes' unites the essence of having access to GRRs stemming from oneself and 'Being "blessed" with a co-operative co-worker' that of having access to GRRs stemming from the carerecipient. This may be the core in an orientation to life which creates positive life experiences, since it enables caregivers to find a 'fit' between the possible and desired when resolving challenges.
Health-promoting initiatives should be conducted as partnerships between formal and informal sources due to the versatility of GRRs. It also seems essential to empower both parties so that they may make sense of their situation and use their available GRRs/SRRs in this 'joint venture' of managing. Thereby, their motivation to continue the journey through Caregivinghood may be enhanced.
相互关联的因素，如人口结构变化、对居家社区护理的重视，增加了老年人非正式照料者的数量。维护和增进他们的健康随后变得至关重要，并且是政治议程上反复出现的话题。如何实现这一点引发了激烈的争论，主要集中在消除与照料相关的风险和压力上。在健康促进领域，关注健康资源的健康生成方法得到认可，并且这种方法被用于以“健康生成方式”获取必要知识以增进照料者的健康。
呈现照料者描述为源于自身及其照料对象的广义和特定抗逆资源（GRRs/SRRs）。
为了揭示照料者的GRRs/SRRs，采用了一种由GRRs/SRRs定义指导的理论驱动的探索性设计。通过对一个市镇的32名瑞典照料者进行健康生成导向的访谈收集数据。通过归纳法，使用内容分析法分析数据以识别每个照料者的SRRs，然后进行演绎以识别总体的GRRs。
研究结果的综合，即照料生活，涵盖了几个似乎与照料者走向健康的过程相关的GRRs领域。在照料者领域，“在自己眼中是重要的人”将获得源于自身的GRRs的本质与“有幸拥有合作的同事”（即获得源于照料对象的GRRs）结合在一起。这可能是一种生活取向的核心，它创造积极的生活体验，因为它使照料者在应对挑战时能够在可能与期望之间找到“契合点”。
由于GRRs的多样性，促进健康的举措应作为正式和非正式来源之间的伙伴关系来开展。赋予双方权力似乎也很重要，以便他们能够理解自己的处境，并在这种“共同管理”的过程中利用现有的GRRs/SRRs。从而，他们继续照料生活之旅的动力可能会增强。
