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如同一个大家庭:老年护理人员在基于信息通信技术的医疗服务中使用书面信息进行交流时所形成的关系。

Like an extended family: Relationships that emerge when older caregivers use written messages to communicate in an ICT-based healthcare service.

作者信息

Solli Hilde, Bjørk Ida Torunn, Hvalvik Sigrun, Hellesø Ragnhild

机构信息

a Department of Health Science , University College of Southeast Norway , Porsgrunn , Norway.

b Department of Nursing Science , University of Oslo , Blindern , Oslo , Norway.

出版信息

Inform Health Soc Care. 2018 Mar;43(2):207-217. doi: 10.1080/17538157.2017.1364245. Epub 2017 Oct 16.

Abstract

OBJECTIVE

To explore the relationships that emerge amongst caregivers of persons with dementia and stroke when caregivers use written messages as their communication tool in a closed information and communication technology (ICT)-based support group.

METHODS

An explorative design with a qualitative approach was used that applied systematic text condensation (STC) to analyse 173 written messages extracted from a web forum.

RESULTS

Empathetic, empowering and familiar relationships emerged amongst peers of older caregivers when the caregivers used written messages as their communication tool. The empathetic relationship was characterised by sincerity and openness when the caregivers shared emotions related to caregiving. The empowering relationship reflected a fellowship based on solidarity influenced by a sense of optimism and a willingness to share knowledge to support one another in overcoming challenges. In the familiar relationship, the caregivers were thoughtful and good-humoured with one another and displayed an attitude of consideration towards one another, as in an extended family.

PRACTICE IMPLICATION

The use of computer-mediated communication in health care service will change the context of establishing and maintaining interpersonal relationships. Therefore, greater knowledge regarding how the peers of caregivers interact with one another is vital so nurses may better support and educate ICT-based support groups.

摘要

目的

探讨在一个基于封闭信息通信技术(ICT)的支持小组中,当照顾者使用书面信息作为沟通工具时,老年痴呆症患者和中风患者的照顾者之间出现的关系。

方法

采用定性方法的探索性设计,应用系统文本浓缩(STC)来分析从网络论坛中提取的173条书面信息。

结果

当照顾者使用书面信息作为沟通工具时,在老年照顾者的同龄人之间出现了共情、赋能和亲密的关系。共情关系的特点是照顾者在分享与照顾相关的情感时真诚且开放。赋能关系反映了一种基于团结的情谊,受到乐观情绪和分享知识以相互支持克服挑战的意愿的影响。在亲密关系中,照顾者彼此体贴、幽默,表现出像大家庭中那样相互体谅的态度。

实践意义

在医疗保健服务中使用计算机介导的沟通将改变建立和维持人际关系的背景。因此,深入了解照顾者的同龄人如何相互交流至关重要,这样护士才能更好地支持和指导基于ICT的支持小组。

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