Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Gerontologist. 2019 Sep 17;59(5):e433-e440. doi: 10.1093/geront/gny162.
The majority of aging adults with heart failure (HF) receive support from a family caregiver. Most literature has emphasized the stressors and burden of caregiving, with less focus on positive self-gains associated with caregiving.
Using an explanatory sequential design, we assessed self-gain by administering a survey to caregivers of a person with HF (n = 108) and then conducted qualitative semi-structured interviews with a subset (n = 16) of these caregivers. Quantitative results indicate spousal caregivers, and caregivers with higher preparedness and higher mastery had greater odds of reporting high self-gain. Content analysis of qualitative data revealed 3 themes of self-gain including (i) caregiving as a means to enhancing relationships, (ii) success in negotiating care and healthy behaviors with people with HF, and (iii) caregiving as a means of preparing caregivers for the future.
HF caregivers experience a range of positive self-gains and the ability to find meaning in the stressful caregiving role. Caregivers' ability to garner intrinsic gains from their role can have important benefits well after caregiving has ended.
大多数患有心力衰竭（HF）的老年患者都得到了家庭护理人员的支持。大多数文献都强调了护理工作的压力和负担，而较少关注与护理相关的积极的自我收获。
采用解释性序贯设计，我们通过对 HF 患者的护理人员（n=108）进行调查评估自我收获，然后对其中一部分（n=16）护理人员进行定性半结构访谈。定量结果表明，配偶护理人员、准备程度较高和掌握程度较高的护理人员报告高自我收获的可能性更大。定性数据分析揭示了自我收获的 3 个主题，包括（i）护理是增强人际关系的一种手段，（ii）成功地与 HF 患者协商护理和健康行为，以及（iii）护理是为护理人员未来做准备的一种手段。
HF 护理人员体验到一系列积极的自我收获，并能够在充满压力的护理角色中找到意义。护理人员从其角色中获得内在收益的能力在护理结束后很长一段时间内都有重要的益处。
