支持护理中患有痴呆症的老年人的灵性：对老年人及其家庭成员的体验的诠释学现象学研究。
Supporting the spirituality of older people living with dementia in nursing care: A hermeneutic phenomenological inquiry into older people's and their family members' experiences.
机构信息
Department of Nursing Science, University of Turku, Turku, Finland.
Department of Nursing Science, Cyprus University of Technology, Limassol, Cyprus.
出版信息
Int J Older People Nurs. 2023 Jan;18(1):e12514. doi: 10.1111/opn.12514. Epub 2022 Nov 15.
BACKGROUND
Supporting spirituality is an essential aspect of the holistic nursing care of older people living with dementia. Spirituality is defined as a search for answers to questions about the meaning and purpose of life and the individual's relationship with the sacred or transcendent. This relationship may or may not involve an affiliation with a specific religion.
OBJECTIVE
To understand how older people living with dementia and their family members experience spirituality and its support in nursing care.
DESIGN
A qualitative study informed by the principles of Ricoeurian hermeneutic phenomenology.
SETTINGS
We conducted the study in home care and long-term care settings in Southern Finland.
PARTICIPANTS
We collected data between 2017-2020 from a purposive sample of 10 older people living with dementia and their 9 family members (n = 19).
METHODS
We used interviews to collect data and adapted and used Ricoeur's theory of interpretation as a method for analysis.
RESULTS
The findings of this study show that older people living with dementia need spiritual support in nursing care based on their personal understanding of spirituality. The four elements of this spirituality that emerged were: religion, meaningful relationships, nature, and art. The participants addressed some challenges to spiritual support in the nursing care of older people living with dementia including: the competence and abilities of nursing, time available, presence and experience.
CONCLUSIONS
Older people living with dementia and their family members consider spiritual support an important aspect of nursing care. To support the spirituality of these older people, the elements of spirituality need to be understood as these are central to each person's spiritual position. Additionally, spiritual support requires understanding knowledge, experience, time and presence, to manage all four elements with individuals.
背景
支持灵性是老年痴呆症患者整体护理的一个重要方面。灵性被定义为对生命的意义和目的以及个人与神圣或超越的关系的问题的探索。这种关系可能涉及也可能不涉及与特定宗教的联系。
目的
了解患有老年痴呆症的老年人及其家庭成员如何体验灵性及其在护理中的支持。
设计
受里克尔的解释学现象学原则指导的定性研究。
设置
我们在芬兰南部的家庭护理和长期护理环境中进行了这项研究。
参与者
我们从一个有目的的样本中收集了 2017 年至 2020 年的数据，该样本包括 10 名患有老年痴呆症的老年人及其 9 名家庭成员（n=19）。
方法
我们使用访谈收集数据，并改编和使用了里克尔的解释理论作为分析方法。
结果
这项研究的结果表明，患有老年痴呆症的老年人需要基于他们对灵性的个人理解的护理中的灵性支持。出现的灵性的四个要素是：宗教、有意义的关系、自然和艺术。参与者提出了一些关于老年痴呆症患者护理中灵性支持的挑战，包括：护理的能力和能力、可用时间、存在和经验。
结论
患有老年痴呆症的老年人及其家庭成员认为灵性支持是护理的一个重要方面。为了支持这些老年人的灵性，需要理解灵性的要素，因为这些要素是每个人的精神立场的核心。此外，灵性支持需要理解知识、经验、时间和存在，以便与个人一起管理所有四个要素。
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