Arpanantikul Manee
Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Nurs Health Sci. 2018 Dec;20(4):494-501. doi: 10.1111/nhs.12541. Epub 2018 Jul 5.
The number of people with chronic illness who need home-based care is increasing globally. Home-based care is socially constructed to be work carried out by women. However, little attention has been paid to the opinions of middle-aged women caring for family members with chronic illness at home. In this study, Thai women's perspectives on home-based care for family members with chronic illness using interpretive phenomenology were identified. Fifteen middle-aged women were interviewed twice, and the data were analyzed using thematic analysis. Four major themes emerged: (i) role obligation; (ii) social life change; (iii) doing good things; and (iv) lack of support. Important findings were that care was considered a woman's duty owing to cultural beliefs. Most participants sacrificed their own needs to care for others, as doing good things is considered an important Buddhist belief. Caring for others decreased women's social networks, but they cared more for their own health. Support with finances, information, workplaces, and care recipients should be provided to women with care responsibilities. These results can help nurses to better understand women's caring roles and the consequences of home-based care that influence woman's health.
全球范围内,需要居家护理的慢性病患者数量正在增加。居家护理在社会观念中被视为女性的工作。然而,很少有人关注在家照顾慢性病家庭成员的中年女性的看法。在本研究中,采用解释现象学方法确定了泰国女性对居家照顾慢性病家庭成员的观点。对15名中年女性进行了两次访谈,并采用主题分析法对数据进行了分析。出现了四个主要主题:(i)角色义务;(ii)社会生活变化;(iii)做好事;(iv)缺乏支持。重要发现是,由于文化信仰,护理被视为女性的职责。大多数参与者为了照顾他人牺牲了自己的需求,因为做好事被认为是一项重要的佛教信仰。照顾他人减少了女性的社交网络,但她们更关心自己的健康。应该为承担护理责任的女性提供经济、信息、工作场所和护理对象方面的支持。这些结果可以帮助护士更好地理解女性的护理角色以及居家护理对女性健康的影响。