Supaporn Kanyanat, Isaramalai Sang-Arun, Suttharangsee Wandee
PhD Student, Faculty of Nursing, Prince of Songkla University, Thailand.
Assistant Professor, Faculty of Nursing, Prince of Songkla University, Thailand.
Int J Palliat Nurs. 2019 Jul 2;25(7):326-332. doi: 10.12968/ijpn.2019.25.7.326.
Older people in Thailand receive general medical and social care at the end of life, and many rarely access palliative services. In light of this, improving the quality of care for the ageing population relies on addressing the needs of family caregivers, who provide the majority of care in a home setting. Understanding caregivers' perspectives when caring for a friend or relative will help to improve the quality of care that they provide.
To explore caregivers' perspectives on improving care for older people in Thailand in the palliative stage.
A qualitative study using in-depth interviews and observation of 10 older people in the palliative stage and their caregivers was undertaken. Data were analysed using content analysis.
Data analysis revealed three themes: caregivers cared to repay the older person's previous kindness, caregivers cared and changed their caregiving behaviour to minimise the older person's perception of being abandoned or being a burden, and to follow Thai ancestral traditions, so that the older person could die peacefully.
This study provides specific instructions for those who provide care for older Thai people in the palliative stage. Finding ways to address caregivers' perspectives on improving care quality could enhance the experience of care recipients.
泰国的老年人在生命末期接受一般医疗和社会护理，许多人很少能获得姑息治疗服务。鉴于此，提高老年人群的护理质量依赖于满足家庭护理人员的需求，他们在家庭环境中提供了大部分护理。了解护理人员在照顾朋友或亲属时的观点将有助于提高他们提供的护理质量。
探讨护理人员对改善泰国姑息治疗阶段老年人护理的观点。
采用定性研究方法，对10名处于姑息治疗阶段的老年人及其护理人员进行深入访谈和观察。采用内容分析法对数据进行分析。
数据分析揭示了三个主题：护理人员出于回报老年人先前的善意而进行护理；护理人员出于关心而改变其护理行为，以尽量减少老年人被遗弃或成为负担的感觉，并遵循泰国祖传传统，使老年人能够安详离世。
本研究为那些在姑息治疗阶段照顾泰国老年人的人提供了具体指导。找到解决护理人员对改善护理质量观点的方法可以提升护理接受者的体验。
