Social Research with Deaf People Group, University of Manchester, UK.
British Deaf Association, UK.
Dementia (London). 2020 Jul;19(5):1381-1396. doi: 10.1177/1471301218798993. Epub 2018 Sep 17.
Deaf sign language users living with dementia and their carers, some of whom are Deaf, routinely face everyday barriers in accessing information, support (both formal and informal) and services. The familial care situation is further complicated given that most Deaf people will choose a life partner who is Deaf and most Deaf couples will have hearing children. This study focussed specifically on the everyday experiences of Deaf carers and the impact of caring for a loved one with dementia. Drawing on data from a wider consultation about dementia care, three Deaf carers were directly interviewed in British Sign Language by a Deaf researcher about their everyday experiences of care, support, and services. Thematic analysis focussed on: access is more than the provision of interpreters; effective care for the carers; and unknowing risk taking. Findings demonstrate the multifaceted effects of barriers to knowledge and information when the care partner is also Deaf, the urgent need for effective support for Deaf carers and unrecognised safeguarding concerns that are a result of lack of access to forms of basic knowledge about living with someone with dementia and potential coping strategies. Nonetheless, the participants demonstrated novel solutions and resilience in the face of these multiple challenges. Implications are drawn for future targeted services to supported Deaf carers of people affected by dementia.
聋人手势语使用者和他们的照顾者,包括一些聋人,在获取信息、支持(包括正式和非正式)和服务方面经常面临日常障碍。由于大多数聋人会选择聋人作为生活伴侣,而且大多数聋人夫妇都会有听力正常的孩子,因此家庭照顾情况更加复杂。这项研究专门关注聋人照顾者的日常经历以及照顾痴呆症患者的影响。本研究借鉴了更广泛的痴呆症护理咨询数据,一名聋人研究人员用英国手语直接采访了三名聋人照顾者,了解他们在护理、支持和服务方面的日常经历。主题分析集中在以下几个方面:获得支持不仅仅是提供翻译;为照顾者提供有效的护理;以及无意识的冒险行为。研究结果表明,当护理伙伴也是聋人时,知识和信息的获取存在多方面的障碍,这给聋人照顾者带来了紧迫的支持需求,以及由于缺乏关于与痴呆症患者生活相关的基本知识和潜在应对策略的了解而导致的未被识别的保护问题。尽管如此,参与者还是面对这些多重挑战展现出了新颖的解决方案和适应能力。这为未来针对受痴呆症影响的人的聋人照顾者的有针对性服务提出了启示。