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父母患有早发性痴呆症:对成年子女的定性研究。

Having a Parent with Early-Onset Dementia: A Qualitative Study of Young Adult Children.

作者信息

Groennestad Hanne, Malmedal Wenche

机构信息

Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway.

出版信息

Nurs Res Pract. 2022 Jul 31;2022:7945773. doi: 10.1155/2022/7945773. eCollection 2022.

DOI:10.1155/2022/7945773
PMID:35957655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9357811/
Abstract

BACKGROUND

Children of a parent with early-onset dementia (EOD) are confronted with losing a parent to a progressive neurodegenerative illness, usually perceived as an older adult illness, which may have a great impact on their lives at a time that is usually preserved for self-development.

OBJECTIVE

The objective of this study is to explore the experiences and perceptions of young adult children of a parent with EOD, with specific focus on personal lives and family and social relationships in a Norwegian context.

METHODS

Semistructured interviews with 10 young adult children between the ages of 19 and 30 years of a parent with EOD were analysed using a thematic analysis.

RESULTS

The analysis identified six main themes. and . The participants expressed an overarching feeling of living parallel lives, summarised by the phrase Furthermore, the themes demonstrated that the participants experienced difficulties with managing new responsibilities, at the same time, as preserving their own lives. They also shared concerns about the future and often experienced a lack of understanding and support from others. Finally, the need for targeted support throughout the illness was a central theme, whereby many felt more comfortable talking with someone with similar experiences or knowledge of their situation.

CONCLUSION

The findings in this study strengthen the notion that the children of persons with EOD experience a challenging life situation, underlining the need for a person- and family-oriented approach.

摘要

背景

早发性痴呆(EOD)患者的子女面临着因一种进行性神经退行性疾病而失去父母的情况,这种疾病通常被视为一种老年疾病,而在通常用于自我发展的时期,这可能会对他们的生活产生重大影响。

目的

本研究的目的是探讨EOD患者的成年子女的经历和看法,特别关注挪威背景下的个人生活以及家庭和社会关系。

方法

对10名年龄在19至30岁之间的EOD患者的成年子女进行了半结构化访谈,并采用主题分析法进行分析。

结果

分析确定了六个主要主题。 以及 。参与者表达了一种生活仿佛平行展开的总体感受,用“此外,这些主题表明参与者在承担新责任的同时,在维持自己生活方面也遇到了困难。他们还对未来表示担忧,并且常常感到缺乏他人的理解和支持。最后,在整个疾病过程中需要有针对性的支持是一个核心主题,由此许多人觉得与有类似经历或了解他们情况的人交谈会更自在。

结论

本研究的结果强化了这样一种观念,即EOD患者的子女经历着具有挑战性的生活状况,强调了需要采取以人为本和以家庭为导向的方法。

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Dementia (London). 2022 Jan;21(1):196-213. doi: 10.1177/14713012211033494. Epub 2021 Aug 11.
2
Psychological distress among carers and the moderating effects of social support.照顾者的心理困扰及社会支持的调节作用。
BMC Psychiatry. 2020 Apr 6;20(1):154. doi: 10.1186/s12888-020-02571-7.
3
Physical and psychological conditions of parental chronic illness, parentification and adolescent psychological adjustment.父母慢性病的身心状况、家长化和青少年心理调适。
Psychol Health. 2020 Sep;35(9):1075-1094. doi: 10.1080/08870446.2019.1699091. Epub 2019 Dec 10.
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The Prevalence and Subtypes of Young Onset Dementia in Central Norway: A Population-Based Study.挪威中部青年发病型痴呆的流行率和亚型:一项基于人群的研究。
J Alzheimers Dis. 2019;69(2):479-487. doi: 10.3233/JAD-181223.
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Family caregivers' involvement in decision-making processes regarding admission of persons with dementia to nursing homes.家庭护理人员参与有关痴呆症患者入住养老院的决策过程。
Dementia (London). 2020 Aug;19(6):2038-2055. doi: 10.1177/1471301218814641. Epub 2018 Nov 23.
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