1 Florida State University, Tallahassee, Florida, USA.
2 Emporia State University, Emporia, Kansas, USA.
Qual Health Res. 2018 Mar;28(4):633-647. doi: 10.1177/1049732317743238. Epub 2017 Nov 24.
This article presents themes emerging from semistructured interviews with dementia family caregivers in rural communities who participated in an integrative, cognitive-behavioral and spiritual counseling intervention, and with faith community nurses (FCNs) who delivered the intervention. The primary objectives of the counseling intervention were to ameliorate dementia caregivers' depressive affect and the severity of their self-identified caregiving and self-care problems. The qualitative portion of the study was intended to elicit caregivers' and FCNs' perceptions of the benefits and drawbacks of the intervention. We conducted interviews with seven FCN/caregiver pairs 4 times during the 6-month counseling process, totaling 56 interviews. Themes emerging from the interviews included caregivers' perception of burden and care partners' problem behavior; formation of therapeutic alliance between FCNs and caregivers; problem-solving skills, tools, and resources; caregivers' use of problem-solving strategies; spirituality in caregiving and counseling processes; FCNs' prior professional experience; and caregiver and FCN time constraints.
这篇文章呈现了半结构化访谈的主题，访谈对象是参与认知行为和精神综合咨询干预的农村社区痴呆症家庭照顾者，以及提供干预的信仰社区护士 (FCN)。咨询干预的主要目标是改善痴呆症照顾者的抑郁情绪，以及他们自我识别的照顾和自我保健问题的严重程度。该研究的定性部分旨在了解照顾者和 FCN 对干预措施的益处和缺点的看法。我们在 6 个月的咨询过程中与 7 对 FCN/照顾者进行了 4 次访谈，共进行了 56 次访谈。访谈中出现的主题包括照顾者对负担和照顾对象问题行为的看法；FCN 与照顾者之间的治疗联盟的形成；解决问题的技巧、工具和资源；照顾者使用解决问题的策略；照顾和咨询过程中的灵性；FCN 的先前专业经验；以及照顾者和 FCN 的时间限制。
