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[痴呆症护理、家庭与就业的兼容性]

[Compatibility of caring in dementia, family and employment].

作者信息

Neubert Lydia, Gottschalk Sophie, König Hans-Helmut, Brettschneider Christian

机构信息

Institut für Gesundheitsökonomie und Versorgungsforschung, Hamburg Center for Health Economics, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

出版信息

Z Gerontol Geriatr. 2021 Nov;54(7):643-650. doi: 10.1007/s00391-020-01764-9. Epub 2020 Jul 27.

Abstract

BACKGROUND

Informal caregivers of people with dementia (PWD) are a vulnerable group, which is not only confronted with potential burdens due to caring but also with the demands of the family and working life. The state of national studies on experiencing the tensions between care, family and work is insufficient.

OBJECTIVE

This qualitative study is a reconstructive analysis of the compatibility between caregiving with the areas of family and working life, in which the primary and secondary caregivers of the PWD were taken into account.

METHODS

We conducted 14 narrative interviews with family caregivers of PWD. The analysis was based on Nohl's documentary method and led to the formation of different types.

RESULTS

In caring families of PWD, subjective relationship quality and task distribution are mutually dependent and this affects the family's care experiences. Stable relationships and fairly distributed tasks can facilitate caregiving, whereas conflict-ridden relationships and unfairly distributed or undivided tasks increase the family's care burden. Employed caregivers perceive the areas of life, caregiving and work as separate, conflicting or mutually supportive.

CONCLUSION

The burden of informal caregiving for PWD leads to impairments in family and working life, which can have negative consequences for the health of the family caregivers; however, family and work can also reduce the burden if caregivers are supported by, for example therapeutic services, to experience positive care experiences, such as strengthened family relationships and functionality and if employed caregivers experience work as a strengthening area of life.

摘要

背景

痴呆症患者的非正式照料者是一个弱势群体,他们不仅面临因照料带来的潜在负担,还面临家庭和工作生活的需求。关于在照料、家庭和工作之间体验紧张关系的国内研究状况不足。

目的

这项定性研究是对痴呆症患者照料与家庭和工作生活领域之间兼容性的重构性分析,其中考虑了痴呆症患者的主要和次要照料者。

方法

我们对痴呆症患者的家庭照料者进行了14次叙事访谈。分析基于诺尔的文献法,并形成了不同类型。

结果

在痴呆症患者的照料家庭中,主观关系质量和任务分配相互依存,这影响着家庭的照料体验。稳定的关系和公平分配的任务有助于照料,而充满冲突的关系以及不公平分配或未分担的任务会增加家庭的照料负担。有工作的照料者将生活、照料和工作领域视为相互独立、冲突或相互支持的。

结论

痴呆症患者的非正式照料负担会导致家庭和工作生活受损,这可能对家庭照料者的健康产生负面影响;然而,如果照料者得到例如治疗服务的支持,以体验积极的照料经历,如加强家庭关系和功能,并且如果有工作的照料者将工作视为生活中得到强化的领域,那么家庭和工作也可以减轻负担。

相似文献

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[Compatibility of caring in dementia, family and employment].[痴呆症护理、家庭与就业的兼容性]
Z Gerontol Geriatr. 2021 Nov;54(7):643-650. doi: 10.1007/s00391-020-01764-9. Epub 2020 Jul 27.

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