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老年抚养残疾子女的经历。

The Experience of Parenting a Child With Disability in Old Age.

作者信息

Band-Winterstein Tova, Avieli Hila

机构信息

Associate Professor, Department of Gerontology, University of Haifa, Haifa, Israel.

Assistant Professor, Department of Criminology, Ariel University, Ariel, Israel.

出版信息

J Nurs Scholarsh. 2017 Jul;49(4):421-428. doi: 10.1111/jnu.12305.

DOI:10.1111/jnu.12305
PMID:28692780
Abstract

BACKGROUND

There are growing numbers of older parents providing ongoing care for adults with disabilities. A parent's aging calls for a redefinition of parental care practices and roles in light of his or her own changing needs.

PURPOSE

The current study aims to highlight the ways in which aging parents perceive and construct their parental role to adult children with disabilities at this point in their lives.

METHODS

An interpretive phenomenological analysis perspective was used. Data collection was performed through in-depth, semistructured interviews with 20 aging parents of children with developmental disabilities, followed by a content analysis.

RESULTS

Four patterns of parental identity emerged: "Being happy is his responsibility; I did my part," embracing aging needs; "I can do part-time worrying," a gradual letting go of parental roles; "I'm worn out, but I keep going. What choice do I have?" bearing the brunt; "I'm an old woman changing diapers," full-time parents.

CONCLUSIONS

The findings enable a deeper understanding of the various ways in which parents cope with aging alongside caring for an adult child with disability. Hence, this study can serve as a framework for developing tailored and differential intervention methods for these families.

CLINICAL RELEVANCE

As the world's people experience longer life expectancy, of both individuals with disabilities and their parents, nurses' education and practice should be challenged by the double sensitivities of elder's caregiving and address the unique needs of this unique population.

摘要

背景

越来越多的老年父母持续照料残疾成年人。鉴于自身需求的不断变化,父母的老龄化要求重新定义育儿方式和角色。

目的

本研究旨在突出老年父母在其人生的这个阶段如何看待并构建他们对残疾成年子女的父母角色。

方法

采用解释现象学分析视角。通过对20位发育障碍儿童的老年父母进行深入的半结构化访谈来收集数据,随后进行内容分析。

结果

出现了四种父母身份模式:“让他快乐是他的责任;我已尽我所能”,接纳老龄化需求;“我可以偶尔担忧”,逐渐放手父母角色;“我疲惫不堪,但我继续前行。我别无选择”,首当其冲;“我是个换尿布的老妇人”,全职父母。

结论

这些发现有助于更深入地理解父母在照料残疾成年子女的同时应对老龄化的各种方式。因此,本研究可为针对这些家庭制定量身定制的差异化干预方法提供框架。

临床意义

随着世界人口预期寿命的延长,包括残疾人和他们的父母,护士的教育和实践应受到老年人护理双重敏感性的挑战,并满足这一特殊人群的独特需求。

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