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“祸兮福之所倚,福兮祸之所伏”——中国新冠肺炎疫情期间痴呆患者家庭照顾者的生活体验:一项现象学研究。

'There is always good fortune in misfortune to encourage us in coping with difficulties'-The lived experiences of family caregivers of people with dementia during the COVID-19 outbreak in China: A phenomenological study.

机构信息

Department of Clinical Nursing, School of Nursing, Xuzhou Medical University, Xuzhou, China.

Department of Geriatric Psychiatry, Xuzhou Medical University Affiliated Oriental People's Hospital, Xuzhou, China.

出版信息

J Clin Nurs. 2024 Feb;33(2):678-690. doi: 10.1111/jocn.16897. Epub 2023 Oct 4.

Abstract

AIM

To describe the lived experiences of family caregivers of individuals with dementia during the coronavirus disease (COVID-19) outbreak in China.

DESIGN

This study used a descriptive phenomenological research method.

METHODS

Between May and September 2021, semi-structured interviews were conducted with 22 family caregivers of people with dementia. Colaizzi's method was used for manual analysis.

RESULTS

Qualitative data revealed an overarching experience of finding 'There is always good fortune in misfortune to encourage us in coping with difficulties'. Three themes emerged: family reactions to the COVID-19 outbreak, feeling supported by multiple resources performing respective functions and resilient adaptation to new situations.

CONCLUSION

During the COVID-19 outbreak, family caregivers of people living with dementia in China looked for positive aspects among difficulties and experienced corresponding reactions, social support resources and resilient adapted coping styles.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Nurses in China and other countries facing similar pandemic characteristics, cultures or economic development levels, can guide family caregivers to look at family hardships from a positive perspective, develop interventions to rapidly respond to families' reactions after a disaster and help them identify social support resources and form adapted coping styles.

IMPACT

We identified the resilience and the positive experiences of Chinese family caregivers of individuals with dementia during the COVID-19 outbreak. The results can inform countries with similar cultures and economic levels, offering measures to support their adaptation to pandemics.

REPORTING METHOD

This study followed the COREQ guidelines.

PATIENT OR PUBLIC CONTRIBUTION

Family caregivers of people with dementia who met the inclusion criteria and who were interested in sharing their understanding of their experiences, participated in the study.

摘要

目的

描述中国新冠疫情期间,痴呆患者家属的照护体验。

设计

本研究采用描述现象学研究方法。

方法

2021 年 5 月至 9 月,对 22 名痴呆患者的家属进行了半结构式访谈。采用科拉兹方法进行手动分析。

结果

定性数据分析揭示了一个总体体验,即“在应对困难时,祸兮福所倚”。出现了三个主题:家庭对新冠疫情的反应、多种资源发挥各自功能的支持感、以及对新情况的弹性适应。

结论

在中国新冠疫情期间,痴呆患者的家属在困难中寻找积极方面,并经历了相应的反应、社会支持资源和弹性适应应对方式。

对专业和/或患者护理的意义:面临类似大流行特征、文化或经济发展水平的中国和其他国家的护士,可以指导家属从积极的角度看待家庭困难,制定干预措施,快速应对灾难后家庭的反应,帮助他们识别社会支持资源并形成适应的应对方式。

影响

我们确定了中国痴呆患者家属在新冠疫情期间的韧性和积极体验。结果可为具有相似文化和经济水平的国家提供措施,以支持他们适应大流行。

报告方法

本研究遵循 COREQ 指南。

患者或公众参与

符合纳入标准且有兴趣分享其对体验的理解的痴呆患者家属参加了这项研究。

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