Ahlström Gerd, Markeling Nina Stååhl, Liljenberg Ulrika, Rosén Helena
Department of Health Sciences, Faculty of Medicine, Lund University, 221 00 Lund, Sweden.
Home Healthcare Unit, 275 31 Sjöbo, Sweden.
Healthcare (Basel). 2021 Jun 4;9(6):672. doi: 10.3390/healthcare9060672.
In aging societies worldwide, spouses take on great responsibility for care when their partner continues to live at home. Nursing home placement occurs when the partner becomes too frail due to multimorbidity, and this will cause a change in the spouse's life. This study aimed to explore the spouse's experience of their partner's move to a nursing home. Two interviews were conducted at 9-month intervals within the project entitled "Implementation of Knowledge-Based Palliative Care in Nursing Homes". Thirteen spouses from both urban and rural areas were included, with an age-range of 60-86 years (median 72). Qualitative content analysis was performed. The main findings were captured in two themes: Breaking up of close coexistence and Towards a new form of daily life. The first encompassed processing loneliness, separation and grief, exhaustion, increased burden, and a sense of guilt. The second encompassed a sense of freedom, relief, acceptance, support and comfort. Professionals in both home care and nursing home care need to develop and provide a support programme conveying knowledge of the transition process to prevent poor quality of life and depression among the spouses. Such a programme should be adaptable to individual needs and should ideally be drawn up in consultation with both partners.
在全球老龄化社会中，当伴侣继续居家生活时，配偶承担着巨大的照料责任。当伴侣因多种疾病缠身而变得过于虚弱时，就会将其安置到养老院，这将改变配偶的生活。本研究旨在探索配偶对于伴侣入住养老院的体验。在名为“养老院中基于知识的姑息治疗的实施”的项目中，每隔9个月进行两次访谈。纳入了13名来自城市和农村地区的配偶，年龄在60 - 86岁之间（中位数为72岁）。进行了定性内容分析。主要发现归纳为两个主题：亲密共处的瓦解和迈向新的日常生活形式。第一个主题包括处理孤独、分离和悲伤、疲惫、负担加重以及内疚感。第二个主题包括自由感、解脱感、接纳感、支持感和安慰感。居家护理和养老院护理的专业人员都需要制定并提供一个支持方案，传达有关过渡过程的知识，以防止配偶生活质量下降和出现抑郁情绪。这样的方案应该适应个体需求，理想情况下应在与伴侣双方协商后制定。
