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应对痴呆症的影响:男性配偶照顾者的经历

Navigating the Impacts of Dementia: The Experience of Male Spousal Carers.

作者信息

Tolhurst Edward, Weicht Bernhard

机构信息

School of Health, Science and Wellbeing, Staffordshire University, Stoke on Trent ST4 2DE, UK.

Department of Sociology, University of Innsbruck, 6020 Innsbruck, Austria.

出版信息

Healthcare (Basel). 2023 Sep 8;11(18):2492. doi: 10.3390/healthcare11182492.

DOI:10.3390/healthcare11182492
PMID:37761689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10531409/
Abstract

This article investigates the experience of male spousal carers for women living with dementia. While cultural discourses on care are highly gendered, social scientific research often addresses care relationships in gender-neutral terms. Setting out to address this matter, this qualitative research study incorporated semi-structured joint interviews with 10 couples in which a male spouse cared for a woman with dementia. The aim was to explore how couples negotiate relationships and care following a diagnosis of dementia. The focus of this paper is on the perspectives expressed in these joint interviews by the male carers. A thematic analysis was undertaken to establish the key content of the men's accounts. Three principal themes were identified: making sense of the condition; treating dementia as a problem to be solved; and engaging with professionals and support. The gendered basis of experience for male carers is explored within these themes, demonstrating how societal norms of masculinity intersect with caring roles. The paper concludes that a nuanced research approach to dementia care must continue to be developed, accounting for how gender shapes personal responses to the navigation of care relationships. Practitioners and policymakers must also consider how gendered experience shapes the identities and strategies of male carers.

摘要

本文探讨了男性配偶照顾痴呆症女性患者的经历。虽然关于照顾的文化话语具有强烈的性别特征,但社会科学研究往往以性别中立的方式探讨照顾关系。为了解决这个问题,这项定性研究对10对夫妻进行了半结构化联合访谈,其中男性配偶照顾患有痴呆症的女性。目的是探讨夫妻在痴呆症诊断后如何协商关系和照顾事宜。本文的重点是男性照顾者在这些联合访谈中表达的观点。进行了主题分析以确定男性叙述的关键内容。确定了三个主要主题:理解病情;将痴呆症视为一个需要解决的问题;与专业人员接触并获得支持。在这些主题中探讨了男性照顾者经历的性别基础,展示了男性气质的社会规范如何与照顾角色相互交织。本文得出结论,必须继续发展一种细致入微的痴呆症护理研究方法,考虑到性别如何塑造个人对照顾关系的应对方式。从业者和政策制定者还必须考虑性别化的经历如何塑造男性照顾者的身份和策略。

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引用本文的文献

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Quality of Life and Relationships in Caregivers of People With Dementia. A Gender Perspective.《痴呆症患者照顾者的生活质量和人际关系:性别视角》
Am J Alzheimers Dis Other Demen. 2024 Jan-Dec;39:15333175241276404. doi: 10.1177/15333175241276404.

本文引用的文献

1
The Spousal Unit and Dementia: Investigating the Relational Basis of the Couplehood Concept.配偶与痴呆症:探究夫妻关系概念的关系基础。
Healthcare (Basel). 2023 Aug 3;11(15):2191. doi: 10.3390/healthcare11152191.
2
Sustaining relational subjectivity: The experience of women with dementia.维持关系主体性:痴呆女性的经历。
Sociol Health Illn. 2023 Mar;45(3):503-521. doi: 10.1111/1467-9566.13594. Epub 2022 Dec 14.
3
Current Stereotypes Associated with Nursing and Nursing Professionals: An Integrative Review.当前与护理及护理专业人员相关的刻板印象:综合评价。
Int J Environ Res Public Health. 2022 Jun 22;19(13):7640. doi: 10.3390/ijerph19137640.
4
Which factors increase informal care hours and societal costs among caregivers of people with dementia? A systematic review of Resource Utilization in Dementia (RUD).哪些因素会增加痴呆症患者照料者的非正式照料时长和社会成本?对痴呆症资源利用(RUD)的系统评价。
Health Econ Rev. 2021 Sep 18;11(1):37. doi: 10.1186/s13561-021-00333-z.
5
Gendered experiences of providing informal care for older people: a systematic review and thematic synthesis.为老年人提供非正式护理的性别体验:系统评价和主题综合。
BMC Health Serv Res. 2021 Jul 23;21(1):730. doi: 10.1186/s12913-021-06736-2.
6
Male family carers' experiences of formal support - a meta-ethnography.男性家庭成员照顾者获得正式支持的体验——元民族志研究。
Scand J Caring Sci. 2021 Dec;35(4):1027-1037. doi: 10.1111/scs.12919. Epub 2020 Oct 27.
7
Predictors of caregiver burden and care costs for older persons with dementia in Taiwan.预测台湾地区老年痴呆症患者照顾者负担和护理费用的因素。
Int Psychogeriatr. 2019 Jun;31(6):885-894. doi: 10.1017/S1041610218001382. Epub 2018 Dec 6.
8
Predicting caregiver burden in informal caregivers caring for persons with dementia living at home - A follow-up cohort study.预测居家痴呆症患者非正式照料者的照料负担——一项随访队列研究。
Dementia (London). 2020 Apr;19(3):640-660. doi: 10.1177/1471301218782502. Epub 2018 Jun 21.
9
Dementia and the gender trouble?: Theorising dementia, gendered subjectivity and embodiment.痴呆症与性别困境?:对痴呆症、性别化主体性与具体体现的理论阐释
J Aging Stud. 2018 Jun;45:25-31. doi: 10.1016/j.jaging.2018.01.004. Epub 2018 Jan 17.
10
Development of older men's caregiving roles for wives with dementia.老年男性对患有痴呆症妻子的照顾角色发展。
Scand J Caring Sci. 2017 Dec;31(4):957-964. doi: 10.1111/scs.12419. Epub 2017 Jan 25.