Dorell Åsa, Isaksson Ulf, Östlund Ulrika, Sundin Karin
Umea University, Department of Nursing, Campus Ornskoldsvik, Box 843, SE-901 87 Umeå, Sweden.
Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden.
Open Nurs J. 2017 Feb 28;11:14-25. doi: 10.2174/1874434601711010014. eCollection 2017.
Having a family member living in a residential home affects the entire family and can be hard to handle. Family members require encouraging and open communication support from nurses during and after relocation to a residential home. A Family Systems Nursing intervention, "Family Health Conversations" (FamHC) was conducted in order to strengthen the health of families having relatives at residential home for older people.
The aims of this study were to evaluate the responses to the Family Health Conversations in families with a member living at a residential home for older people and to integrate the empirical results with a theoretical assumption upon which the intervention was based.
A mixed methods research design was used. The Swedish Health-Related Quality of Life Survey and the Family Hardiness Index were administered before and 6 months after the intervention. Qualitative data was collected by semi-structured interviews with each family 6 months post-intervention. The sample included 10 families comprising 22 family members.
Main finding was that FamHCs helped family members process their feelings about having a member living at a residential home and made it easier for them to deal with their own situations. FamHCs helped to ease their consciences, improve their emotional well-being, and change their beliefs about their own insufficiency and guilt. Seeing problems from a different perspective facilitated the families' thinking in a new way.
These findings showed that FamHC could be an important type of intervention to improve family functioning and enhance the emotional well-being.
家中有家庭成员居住在养老院会影响整个家庭,且难以应对。在家庭成员入住养老院期间及之后,他们需要护士给予鼓励和开放的沟通支持。开展了一项家庭系统护理干预措施“家庭健康对话”(FamHC),以增进家中有亲属居住在养老院的家庭的健康。
本研究旨在评估家中有成员居住在养老院的家庭对家庭健康对话的反应,并将实证结果与该干预措施所基于的理论假设相结合。
采用混合方法研究设计。在干预前和干预后6个月进行瑞典健康相关生活质量调查和家庭坚韧性指数评估。干预后6个月,通过对每个家庭进行半结构化访谈收集定性数据。样本包括10个家庭,共22名家庭成员。
主要发现是,家庭健康对话帮助家庭成员处理了对有成员居住在养老院的感受,使他们更容易应对自身情况。家庭健康对话有助于减轻他们的内疚感,改善情绪健康,并改变他们对自身不足和内疚的看法。从不同角度看待问题促进了家庭以新的方式思考。
这些发现表明,家庭健康对话可能是改善家庭功能和增进情绪健康的一种重要干预方式。