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巴西老年照护者及其照护经历:诠释现象学研究。

Older Brazilian caregivers and their lived experiences of caring-A hermeneutic phenomenological study.

机构信息

Nursing School of Universidade Federal da Bahia, Salvador, Brazil.

School of Philosophy and Human Sciences, Universidade Federal da Bahia, Salvador, Brazil.

出版信息

J Clin Nurs. 2018 Sep;27(17-18):3314-3323. doi: 10.1111/jocn.14207. Epub 2018 May 17.

DOI:10.1111/jocn.14207
PMID:29194844
Abstract

AIMS AND OBJECTIVES

To understand the lived experiences of older Brazilian carers.

BACKGROUND

For many caregivers, the practice of caregiving becomes their daily lives, embedding in their care and the experiences, beliefs, learning and techniques that contribute to the meanings these caregivers attach to their world. Studies have reported on the experiences of caregivers in general; however, few studies have addressed the unique characteristics of older caregivers.

METHOD

Phenomenological research was conducted in the homes of these persons who were registered in a public programme of home care. This study utilised recorded interviews with a guiding question and roadmap for characterisation. The transcribed interviews were analysed based on philosophical hermeneutics and on the understanding of the hermeneutic circle. The units of meaning were discussed from the perspective of Heidegger's phenomenology.

RESULTS

Six older primary caregivers participated, aged between 62-84 years. The following units of meaning were developed: the daily life of being in the world as an older person caring for another older person, the historicity and their disclosedness to the world of care.

CONCLUSIONS

The worldliness of these people is influenced by a taxing routine and being overloaded and lonely, which renders these caregivers vulnerable because of this routine and because of the inherent weaknesses induced by the ageing process.

RELEVANCE TO CLINICAL PRACTICE

This research can help health professionals better understand the worldliness of older caregivers. Such understanding will enhance the assistance available to caregivers, which must extend beyond the care of the sick person: interventions can reduce their overburden and risk of illness, improving their experiences as caregivers and their quality of life.

摘要

目的和目标

了解巴西老年护理者的生活体验。

背景

对于许多护理者来说,护理实践成为了他们的日常生活,融入了他们的护理以及有助于他们赋予自己世界意义的经验、信仰、学习和技巧。有研究报告了一般护理者的体验;然而,很少有研究涉及老年护理者的独特特征。

方法

在这些人居住的家中进行了现象学研究,这些人注册了家庭护理的公共计划。本研究使用了带有指导问题和特征描述路线图的记录访谈。对转录的访谈进行了基于哲学解释学的分析,并基于解释学循环的理解进行了分析。从海德格尔现象学的角度讨论了意义单位。

结果

有 6 名年龄在 62-84 岁之间的主要老年护理者参加了研究。得出了以下意义单位:作为一个照顾另一个老年人的老年人在世界上的日常生活、历史性以及他们对护理世界的揭示。

结论

这些人的世界性受到繁重日常工作、负担过重和孤独的影响,这种日常工作以及由衰老过程引起的固有弱点使这些护理者变得脆弱。

临床相关性

这项研究可以帮助卫生专业人员更好地理解老年护理者的世界性。这种理解将增强为护理者提供的帮助,不仅限于对病人的护理:干预措施可以减轻他们的负担过重和患病风险,改善他们作为护理者的体验和生活质量。

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