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与帕金森病共存:配偶观点的定性研究。

Living with Parkinson's disease: A qualitative study of spousal perspectives.

机构信息

The Academic College of Tel Aviv-Yaffo, Israel.

Sheba Medical Center, Israel.

出版信息

J Health Psychol. 2023 May;28(6):541-553. doi: 10.1177/13591053221134740. Epub 2022 Nov 7.

DOI:10.1177/13591053221134740
PMID:36337043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10119893/
Abstract

Research has demonstrated that Parkinson's disease can have adverse psychological effects on caregivers. Very few studies have focused on the experiences of spouses who are not primary caregivers or who do not identify as primary caregivers. The aim of this study was to explore the experiences of spouses who are not primary caregivers or do not identify as primary caregivers. Twelve Israeli women, spouses of men with Parkinson's disease, were interviewed using a semi-structured in-depth approach. Thematic analysis revealed five themes: before diagnosis, at diagnosis, after diagnosis, interpersonal ways of coping, and intrapersonal ways of coping. A dynamic of oscillation between confronting and avoiding losses was indicated. Non-death losses were mostly unacknowledged among spouses' social circles. Results were interpreted in the context of grieving processes after diagnosis. Findings suggest a need for psychological interventions aimed at creating safe spaces for spouses to engage in a grieving process after diagnosis.

摘要

研究表明,帕金森病会对护理人员产生不良的心理影响。很少有研究关注非主要照顾者或不认为自己是主要照顾者的配偶的经历。本研究旨在探讨非主要照顾者或不认为自己是主要照顾者的配偶的经历。采用半结构化深入访谈的方法,对 12 名以色列妇女(帕金森病男性患者的配偶)进行了访谈。主题分析揭示了五个主题:诊断前、诊断时、诊断后、人际应对方式和个体应对方式。表明存在一种在面对和回避损失之间波动的动态。非死亡损失在配偶的社交圈中大多未得到承认。研究结果在诊断后悲伤过程的背景下进行了解释。研究结果表明,需要进行心理干预,为配偶在诊断后创造一个安全的空间,让他们参与悲伤过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90b/10119893/b7482f428d19/10.1177_13591053221134740-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90b/10119893/54eb244057ac/10.1177_13591053221134740-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90b/10119893/b7482f428d19/10.1177_13591053221134740-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90b/10119893/54eb244057ac/10.1177_13591053221134740-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90b/10119893/b7482f428d19/10.1177_13591053221134740-fig2.jpg

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本文引用的文献

1
Caregivers' Grief in Acquired Non-death Interpersonal Loss (NoDIL): A Process Based Model With Implications for Theory, Research, and Intervention.照顾者在后天性非死亡人际丧失(NoDIL)中的悲伤:一个基于过程的模型及其对理论、研究和干预的启示。
Front Psychol. 2021 Apr 30;12:676536. doi: 10.3389/fpsyg.2021.676536. eCollection 2021.
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Prevalence and Associated Factors of Depressive Disorder in Caregivers of Individuals With Parkinson Disease.帕金森病患者照料者中抑郁症的患病率及相关因素
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Benefits of a Self-Management Program for the Couple Living With Parkinson's Disease: A Pilot Study.
帕金森病患者夫妻共同参与自我管理项目的获益:一项初步研究。
J Appl Gerontol. 2021 Aug;40(8):881-889. doi: 10.1177/0733464820918136. Epub 2020 May 13.
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A Pilot Trial of Cognitive Behavioral Therapy for Caregivers After Deep Brain Stimulation for Parkinson's Disease.帕金森病脑深部电刺激术后照顾者认知行为疗法的一项试点试验。
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Palliative care needs in Parkinson's disease: focus on anticipatory grief in family carers.帕金森病的姑息治疗需求:关注家庭照料者的预期性悲伤
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PLoS One. 2019 May 31;14(5):e0217581. doi: 10.1371/journal.pone.0217581. eCollection 2019.
7
Quality of life in Parkinson's disease: A gender-specific perspective.帕金森病患者的生活质量:一个性别视角。
Acta Neurol Scand. 2019 Jul;140(1):17-22. doi: 10.1111/ane.13095. Epub 2019 Apr 23.
8
Easing Burden and Stress: Intervention Needs of Family Members of Patients with Parkinson's Disease.减轻负担和压力:帕金森病患者家属的干预需求。
J Parkinsons Dis. 2019;9(1):221-227. doi: 10.3233/JPD-181456.
9
A qualitative study of female caregiving spouses' experiences of intimate relationships as cognition declines in Parkinson's disease.一项关于帕金森病认知能力下降时女性照顾配偶者亲密关系体验的定性研究。
Age Ageing. 2018 Jul 1;47(4):604-610. doi: 10.1093/ageing/afy049.
10
The role and profile of the informal carer in meeting the needs of people with advancing Parkinson's disease.非专业护工在满足帕金森病晚期患者需求方面的作用和特点。
Aging Ment Health. 2019 Mar;23(3):337-344. doi: 10.1080/13607863.2017.1421612. Epub 2018 Jan 2.