J Gerontol Nurs. 2020 Aug 1;46(8):17-27. doi: 10.3928/00989134-20200527-02. Epub 2020 Jun 3.
Today, biomedical advancements allow older adults, including those with dementia, to live longer, with most living at home with a lay caregiver. Recent research details the stressful role of caregiving to persons with dementia (PWD). The current qualitative phenomenological study describes the lived experience of caregivers caring for PWD, including their experience with palliative care. A community sample of lay caregivers (N = 11) underwent recorded individual interviews. Interviews were analyzed following van Manen's approach to isolate thematic statements. Most caregivers were older (mean age = 71, SD = 9.6; range = 53 to 84 years) and female (n = 10). Study themes included: (a) Uncertainty: The Slippery Slope, (b) The Sense of Loneliness, (c) Complexities of Frustration, and (d) On the Other Side of the Spectrum. Findings show these caregivers are dealing with a dynamic range of feelings about their experiences. Opportunities exist for health care professionals to discuss such feelings and refer caregivers to supportive services, including palliative care. [Journal of Gerontological Nursing, 46(8), 17-27.].
如今,生物医学的进步使包括痴呆症患者在内的老年人能够活得更久,大多数人都在家中由非专业护理人员照顾。最近的研究详细描述了照顾痴呆症患者(PWD)的护理人员的压力大的角色。本研究采用社区抽样的方法,对 11 名非专业护理人员进行了记录的个人访谈。访谈按照范马南的方法进行分析,以分离出主题陈述。大多数护理人员年龄较大(平均年龄 = 71 岁,标准差 = 9.6;范围为 53 至 84 岁)且为女性(n = 10)。研究主题包括:(a)不确定性:不稳定的斜坡,(b)孤独感,(c)挫折的复杂性,以及(d)光谱的另一面。研究结果表明,这些护理人员正在处理其经历带来的一系列复杂的感受。医疗保健专业人员有机会讨论这些感受,并将护理人员转介给支持性服务,包括姑息治疗。[老年护理杂志,46(8),17-27。]