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照顾帕金森病家庭成员的经历:一项元综合分析

Experiences of caring for a family member with Parkinson's disease: a meta-synthesis.

作者信息

Theed Rachael, Eccles Fiona, Simpson Jane

机构信息

a Division of Health Research , Lancaster University , Lancaster , United Kingdom.

出版信息

Aging Ment Health. 2017 Oct;21(10):1007-1016. doi: 10.1080/13607863.2016.1247414. Epub 2016 Nov 2.

Abstract

OBJECTIVE

The aim of this qualitative meta-synthesis was to search and then synthesise family caregivers' experiences of providing care to individuals with Parkinson's disease (PD).

METHOD

A systematic search resulted in the identification of 11 qualitative studies. Noblit and Hare's seven-stage approach was used to provide a higher-order interpretation of how family caregivers' experienced the effects of taking on a caregiving role.

RESULTS

The process of reciprocal translation resulted in four overarching themes: (1) the need to carry on as usual - 'the caregiver must continue with his life'; (2) the importance of support in facilitating coping - 'I'm still going back to the support group'; (3) the difficult balancing act between caregiving and caregiver needs - 'I cannot get sick because I'm a caregiver'; (4) conflicts in seeking information and knowledge - 'maybe better not to know'.

CONCLUSION

The themes reflected different aspects of family caregivers' lives that were affected as a result of caring for a relative diagnosed with PD and these raise challenges for more simplistic theories of family caring and appropriate support structures. The findings also highlight several recommendations for clinical practice.

摘要

目的

本定性元分析的目的是检索并综合家庭照顾者对帕金森病(PD)患者提供照顾的经历。

方法

系统检索后确定了11项定性研究。采用诺布利特和黑尔的七阶段方法,对家庭照顾者承担照顾角色的经历影响进行更高层次的解读。

结果

双向翻译过程产生了四个总体主题:(1)照常生活的必要性——“照顾者必须继续他的生活”;(2)支持在促进应对方面的重要性——“我仍然会回到支持小组”;(3)照顾与照顾者需求之间艰难的平衡行为——“我不能生病,因为我是照顾者”;(4)寻求信息和知识时的冲突——“也许最好不知道”。

结论

这些主题反映了家庭照顾者因照顾被诊断患有PD的亲属而受到影响的生活的不同方面,这些对更简单的家庭照顾理论和适当的支持结构提出了挑战。研究结果还突出了对临床实践的若干建议。

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