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新冠疫情期间家庭照顾者的经历:定性研究

Family Caregivers' Experiences during the COVID-19 Pandemic: Qualitative Study.

作者信息

Rico-Blázquez Milagros, Sánchez-Ruano Raquel, Oter-Quintana Cristina, Polentinos-Castro Elena, Martín-García Ángel, Otones-Reyes Pedro, González-Beltrán Damián, Martínez-Marcos Mercedes

机构信息

Research Unit, Primary Care Assistance Management, Madrid Health Service, 28035 Madrid, Spain.

Research Network on Chronicity, Primary Care and Health Promotion-RICAPPS-(RICORS), ISCIII, 28035 Madrid, Spain.

出版信息

Healthcare (Basel). 2024 May 8;12(10):970. doi: 10.3390/healthcare12100970.

Abstract

The COVID-19 pandemic imposed lockdown measures that affected caregiving. Understanding caregivers' context provides reveals their adaptive strategies to continue caring in this situation of uncertainty and isolation. To better understand the caregiving experiences of caregivers looking after dependent individuals living in the community during the pandemic. Qualitative research, phenomenological approach. Primary healthcare centers in Madrid region (Spain). 21 family caregivers. Purposive and theoretical sampling was used to recruit caregivers across nurses from primary healthcare centers. Participants were interviewed using a semi-structured interview guide to explore the caring experience. Interview transcripts were evaluated using thematic analysis. The findings were categorized into two themes: "Caregivers during lockdown-providing care in a time of adversity" and "Caregiving toward normality". The sub-themes identified were the re-structuring of before-care services and the introduction of new care approaches, managing the dependent person's health problems, looking after oneself, and dealing with adversity. To adapt to the new normal, strategies were put in place designed to recover confidence and trust, reincorporate assistance, and reconnect with others. Care intensified during the pandemic. Caregivers took on the task without assistance, focusing on preventing contagion and protecting themselves to be able to continue giving care.

摘要

新冠疫情实施的封锁措施影响了照料工作。了解照料者的背景能揭示他们在这种不确定和隔离情况下继续照料的适应策略。为了更好地理解疫情期间照料社区中依赖他人生活者的照料者的照料经历。采用定性研究、现象学方法。研究地点为西班牙马德里地区的初级医疗中心。研究对象为21名家庭照料者。采用目的抽样和理论抽样从初级医疗中心的护士中招募照料者。使用半结构化访谈指南对参与者进行访谈以探索照料经历。对访谈记录进行主题分析。研究结果分为两个主题:“封锁期间的照料者——在逆境中提供照料”和“朝着正常状态的照料”。确定的子主题包括重新构建照料前服务和引入新的照料方法、管理受照料者的健康问题、照顾自己以及应对逆境。为了适应新常态,制定了旨在恢复信心和信任、重新引入援助以及与他人重新建立联系的策略。疫情期间照料工作得到加强。照料者在没有帮助的情况下承担起任务,专注于预防感染和保护自己以便能够继续提供照料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/110d/11121002/ff0c6d6f3349/healthcare-12-00970-g001.jpg

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