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COVID-19 大流行对需要在家中接受专门姑息治疗的非 COVID-19 患者的家庭护理者的意义:一项定性研究。

The significance of the COVID-19 pandemic for family caregivers of non-COVID-19 patients in need of specialized palliative care at home: a qualitative study.

机构信息

Faculty of Health, University College Copenhagen, Denmark.

Arresoedal Hospice, Denmark.

出版信息

Int J Qual Stud Health Well-being. 2022 Dec;17(1):2113021. doi: 10.1080/17482631.2022.2113021.

DOI:10.1080/17482631.2022.2113021
PMID:35979626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9397423/
Abstract

PURPOSE

It is well known that being a family caregiver of a palliative patient in general is rewarding as well as burdensome. The COVID-19 pandemic may have exacerbated this situation. We therefore explored the significance of the COVID-19 pandemic for family caregivers of non-COVID-19 patients in need of specialized palliative care at home.

METHODS

Open-ended, semi-structured telephone interviews were conducted with 15 family caregivers of patients treated by a specialized palliative outpatient unit in a Danish hospital. Interviews were analysed using inductive thematic analysis.

RESULTS

Four themes concerning the significance of the COVID-19 pandemic were identified: 1) being a family caregiver of a patient whose lifespan is already limited, 2) dealing with the risk of passing on COVID-19 oneself, 3) dealing with the risk of others passing on COVID-19 to the patient at home, and 4) living with modified specialized palliative care.

CONCLUSION

The COVID-19 pandemic had a radical impact on some family caregivers causing emotional despair. They feared not only infecting the patient with SARS-CoV-2 to cause an untimely death but also being unable to be there for the patient during hospitalization, especially in the patient's final days.

摘要

目的

众所周知,一般来说,照顾绝症患者的家属既有回报,也有负担。COVID-19 大流行可能使这种情况恶化。因此,我们探讨了 COVID-19 大流行对需要在家中接受专门姑息治疗的非 COVID-19 患者的家庭照顾者的意义。

方法

对丹麦一家医院专门的姑息治疗门诊单位治疗的 15 名患者的家庭照顾者进行了开放式、半结构式电话访谈。使用归纳主题分析对访谈进行分析。

结果

确定了与 COVID-19 大流行意义相关的四个主题:1)作为绝症患者的家属,患者的寿命已经有限,2)自身感染 COVID-19 的风险,3)家中其他人将 COVID-19 传染给患者的风险,4)接受经过调整的专门姑息治疗。

结论

COVID-19 大流行对一些家庭照顾者产生了重大影响,导致他们情绪绝望。他们不仅担心 SARS-CoV-2 感染患者会导致过早死亡,还担心在患者住院期间无法陪伴在患者身边,尤其是在患者的最后几天。

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Expressing grief through metaphors: family caregivers' experience of care and grief during the Covid-19 pandemic.通过隐喻表达悲伤:新冠疫情期间家庭护理者的护理和悲伤体验。
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