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照顾机构中老年人的人对跌倒的恐惧。

The fear of falls in the caregivers of institutionalized elders.

机构信息

Escola Superior de Enfermagem de Lisboa (ESEL), Lisboa, Portugal.

Politécnico de Leiria, Escola Superior de Saúde, Center for Innovative Care and Health Technology. Leiria, Portugal.

出版信息

Rev Gaucha Enferm. 2021 Jul 16;42:e20200258. doi: 10.1590/1983-1447.2021.20200258. eCollection 2021.

Abstract

AIMS

To understand how the fear of falls emerges and manifests itself in caregivers of institutionalized elders.

METHOD

It is a qualitative study, based on the Grounded Theory and carried out with 24 informal caregivers, 5 nurses, 2 physicians and 2 directors of two Portuguese nursing homes. Data collection took place through interviews, participant observation, and documentation analysis, between October 2016 and January 2018. Data was collected and analyzed simultaneously, following the stages of open, axial, and selective coding.

RESULTS

The comparative analysis of the findings identified the conceptual category "Fear of falls in the caregivers of institutionalized elders". The main category is associated with the categories: maintaining safety, hidden fear of falls, the perceived self-efficacy in the prevention of falls, falls and interpersonal relations, previous experiences, and team support.

CONCLUSIONS

The fear has an influence on the self-efficacy perceived in the prevention of falls; the quality of the teamwork, in turn, is affected by previous negative experiences and by the support of the team.

摘要

目的

了解养老院护理人员中跌倒恐惧的产生和表现方式。

方法

这是一项基于扎根理论的定性研究,研究对象为 24 名非正式护理人员、5 名护士、2 名医生和 2 名葡萄牙养老院院长。数据收集于 2016 年 10 月至 2018 年 1 月期间通过访谈、参与式观察和文件分析进行。数据的收集和分析是同步进行的,遵循开放式、轴向式和选择性编码的阶段。

结果

对研究结果的比较分析确定了概念类别“养老院中老年人护理人员的跌倒恐惧”。主要类别与以下类别相关:保持安全、跌倒的隐藏恐惧、预防跌倒的自我效能感、跌倒和人际关系、以往经验以及团队支持。

结论

恐惧对预防跌倒的自我效能感有影响;团队合作的质量反过来又受到先前负面经验和团队支持的影响。

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