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阿尔茨海默病及其他痴呆症患者和照护者撰写的博客叙事的主题分析。

Thematic analysis of blog narratives written by people with Alzheimer's disease and other dementias and care partners.

机构信息

University of South Carolina, USA.

出版信息

Dementia (London). 2019 Oct-Nov;18(7-8):3071-3090. doi: 10.1177/1471301218768162. Epub 2018 Apr 11.

Abstract

Limited research takes a socio-biographical approach to study the experiences and perspectives of individuals affected by Alzheimer’s disease and related dementias. The purpose of this study was to thematically analyze blog narratives written by people with Alzheimer’s disease and related dementia and care partners in order to increase understanding of their experiences. Nineteen blogs written by people with Alzheimer’s disease and related dementia and 44 blogs written by care partners were analyzed. The first two authors utilized line-by-line open coding to analyze five posts from each group for the development of a codebook. Using NVivo software, the first author proceeded to code the remaining blogs for emergent themes and subcategories. Emergent themes included (1) effects of Alzheimer’s disease and related dementia on the person with Alzheimer’s disease and related dementia and/or the care partner; (2) seeing the positives; (3) feeling out of control; (4) advocacy and empowerment; (5) coping mechanisms and compensatory strategies; and (6) candid descriptions of experiences with Alzheimer’s disease and related dementia. These themes also encompassed numerous subcategories that are discussed in this paper. Results from this study provide insights into the experiences of individuals affected by Alzheimer’s disease and related dementia. Writers discussed several topics that are consistent with research on illness narratives of individuals with chronic diseases, including loss of identity, strategies for coping, and poignant descriptions of life with the disease. This study provides information in the form of overlapping themes from first-person perspectives of numerous individuals affected by Alzheimer’s disease and related dementia. This type of data is crucial to understand the experiences of people who live with ADRD.

摘要

有限的研究采用社会传记方法来研究受阿尔茨海默病和相关痴呆症影响的个体的经历和观点。本研究的目的是对患有阿尔茨海默病和相关痴呆症的人和护理伙伴所写的博客叙述进行主题分析,以增加对他们经历的理解。分析了 19 篇患有阿尔茨海默病和相关痴呆症的人的博客和 44 篇护理伙伴的博客。前两位作者利用逐行开放式编码对每组的五篇帖子进行分析,以制定一个代码本。第一作者使用 NVivo 软件对其余的博客进行编码,以确定出现的主题和子类别。出现的主题包括:(1)阿尔茨海默病和相关痴呆症对患有阿尔茨海默病和相关痴呆症的人和/或护理伙伴的影响;(2)看到积极的一面;(3)失控感;(4)倡导和赋权;(5)应对机制和补偿策略;(6)对阿尔茨海默病和相关痴呆症经历的坦诚描述。这些主题还包含了本文讨论的许多子类别。这项研究的结果提供了对受阿尔茨海默病和相关痴呆症影响的个体经历的深入了解。作者讨论了几个与慢性疾病个体的疾病叙述研究一致的主题,包括身份丧失、应对策略以及对疾病生活的深刻描述。本研究以受阿尔茨海默病和相关痴呆症影响的许多个体的第一人称视角的重叠主题的形式提供信息。这种数据对于理解与 ADRD 一起生活的人的经历至关重要。

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