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埃塞俄比亚农村地区老年人照料者的经历:共同居住生活安排下家庭照料者面临的挑战及可获得的社会支持

Experience of Caregivers for Older Adults in Rural Ethiopia: Challenges and Available Social Support for Family Caregivers in Co-Residential Living Arrangement.

作者信息

Mefteh Kidus Yenealem, Gashaw Shambel Desale, Hailu Tilahun Assefa, Hussien Seid Hassen

机构信息

University of Gondar, Gondar, Ethiopia.

出版信息

Gerontol Geriatr Med. 2024 Aug 26;10:23337214241273165. doi: 10.1177/23337214241273165. eCollection 2024 Jan-Dec.

Abstract

Family and kinship care is a common way of caring for older adults, particularly in rural Ethiopia, where institutional care arrangements are nonexistent. Moreover, the majority of studies on family caregivers of older adults were conducted in western cultures, which makes it difficult to understand family caregivers in the Ethiopian context. This study aims at exploring the experience of family caregivers for older adults in a co-residential setting. Specifically, it focuses on answering caregiving challenges and available social supports for family caregivers in a co-residential living arrangement. This study used a qualitative research method employing phenomenology to understand the lived experience of family caregivers for older adults in rural northwestern Ethiopia. Data were collected through a semi-structured interview with eight purposefully selected family caregivers of rural older adults. Regarding family caregivers's challenges and available social supports, four themes emerged from the collected data. These are economic challenges, the incongruence of older adult needs and caregiving capacity, work-caregiving conflict, work-social life conflict, and the presence of social support from different individuals and community-based institutions. In addition to strengthening caregiver support environments, it's critical to develop the capacity of family caregivers through training, economic support, and the integration of family caregivers with health extension workers.

摘要

家庭和亲属照料是照顾老年人的一种常见方式,在埃塞俄比亚农村地区尤为如此,因为当地不存在机构照料安排。此外,大多数关于老年人家庭照料者的研究是在西方文化背景下进行的,这使得理解埃塞俄比亚背景下的家庭照料者变得困难。本研究旨在探索共同居住环境中老年人家庭照料者的经历。具体而言,它着重回答共同居住生活安排中家庭照料者面临的照料挑战以及可获得的社会支持。本研究采用定性研究方法,运用现象学来理解埃塞俄比亚西北部农村地区老年人家庭照料者的生活经历。通过对八名经过有目的挑选的农村老年人家庭照料者进行半结构化访谈收集数据。关于家庭照料者的挑战和可获得的社会支持,从收集到的数据中浮现出四个主题。这些主题是经济挑战、老年人需求与照料能力的不一致、工作与照料的冲突、工作与社会生活的冲突,以及来自不同个人和社区机构的社会支持的存在。除了加强照料者支持环境外,通过培训、经济支持以及将家庭照料者与健康推广工作者相结合来发展家庭照料者的能力也至关重要。

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Family Caregiving for Older Adults.老年人家庭护理。
Annu Rev Psychol. 2020 Jan 4;71:635-659. doi: 10.1146/annurev-psych-010419-050754.

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