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配偶照顾者照顾脑肿瘤伴侣时的痛苦经历:一项定性研究

Spouse Caregivers' Experiences of Suffering in Relation to Care for a Partner With Brain Tumor: A Qualitative Study.

作者信息

Francis Sara R, Hall Elisabeth O C, Delmar Charlotte

机构信息

Author Affiliations: Department of Public Health, Nursing, Health Faculty, Aarhus University, Denmark (Ms Francis and Drs Hall and Delmar); Section of Health Science and Nursing, University of the Faroe Islands, Tórshavn (Dr Hall); and VID, Oslo and Bergen, Norway (Dr Delmar).

出版信息

Cancer Nurs. 2022;45(2):E320-E328. doi: 10.1097/NCC.0000000000000935.

Abstract

BACKGROUND

Spouses often undertake the main caring role for a partner with primary malignant brain tumor (PMBT). Yet, demanding and challenging caring responsibilities especially because of the partner's cognitive declines can affect the spouse caregiver's well-being.

OBJECTIVE

The aim of this study was to investigate spouses' experiences of suffering in their role as main caregiver of a partner with PMBT.

METHODS

A hermeneutical qualitative design was used to collect and analyze data. Ten spouses (aged 36-76 years) were interviewed in depth twice 1 year apart, using semistructured interview guides.

RESULTS

The spouse caregivers' experiences of suffering in their role as their partner's main caregiver were interpreted according to 3 central themes: "Enduring everyday life," "Being overlooked and hurt," and "Being acknowledged and feeling good."

CONCLUSION

Spouse caregivers of a partner with PMBT are suffering from exhaustion and suppression of their own emotions to endure the caring responsibilities. They need support to manage their everyday hardship; however, their experiences seem to be easily overlooked. This causes disappointment and hurts their dignity. Acknowledgment through simple acts of practical help or time to talk are consoling and alleviate their experiences of suffering.

IMPLICATIONS FOR PRACTICE

An intervention that supports healthcare professionals to facilitate the spouse caregivers' suffering is welcoming. The focus of the intervention may involve a sensitive awareness toward the spouse caregiver's individual resources and limitations and the relational and communicative competences of the healthcare professionals in their encounters with spouse caregivers that avoid hurting the spouse caregiver's dignity.

摘要

背景

配偶通常承担着照顾原发性恶性脑肿瘤(PMBT)伴侣的主要责任。然而,尤其是由于伴侣认知能力下降而带来的苛刻且具有挑战性的照顾责任,可能会影响配偶照顾者的幸福感。

目的

本研究旨在调查配偶作为PMBT伴侣的主要照顾者时所经历的痛苦。

方法

采用诠释学质性设计来收集和分析数据。使用半结构化访谈指南,对10名配偶(年龄在36 - 76岁之间)进行了为期1年、间隔为1年的两次深度访谈。

结果

配偶照顾者作为其伴侣主要照顾者所经历的痛苦,根据三个核心主题进行了解读:“忍受日常生活”、“被忽视和伤害”以及“被认可和感觉良好”。

结论

PMBT伴侣的配偶照顾者因疲惫不堪且压抑自己的情感而承受着照顾责任。他们需要支持来应对日常困难;然而,他们的经历似乎很容易被忽视。这会导致失望并伤害他们的尊严。通过简单的实际帮助行为或交谈时间给予认可,能起到安慰作用并减轻他们的痛苦经历。

对实践的启示

一种支持医护人员帮助配偶照顾者缓解痛苦的干预措施是受欢迎的。干预的重点可能包括敏锐地意识到配偶照顾者的个人资源和局限性,以及医护人员在与配偶照顾者接触时的关系和沟通能力,以避免伤害配偶照顾者的尊严。

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