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新冠疫情期间的痴呆症照护:对照护者经历的诠释现象学分析

Dementia caregiving during the COVID-19 pandemic: an interpretative phenomenological analysis of caregivers' experiences.

作者信息

Pinto-Grau Marta, Blanco-Campal Alberto, Bramham Jessica

机构信息

School of Psychology, University College Dublin, Dublin, Ireland.

Psychology Services, County Louth, Health Service Executive, Ireland.

出版信息

Ir J Psychol Med. 2024 Sep 19:1-9. doi: 10.1017/ipm.2024.15.

Abstract

OBJECTIVE

To explore the lived experience of informal dementia caregivers during the COVID-19 pandemic.

METHODS

Interpretative Phenomenological Analysis (IPA) was employed. Eight primary informal caregivers were recruited from a community mental health service for older people when attending in their role as caregiver of a service-user. Semi-structured interviews were conducted at home or in the clinic based on the participants' convenience and preference. IPA was completed following Smith and colleagues framework for analysis.

RESULTS

Six group experiential themes, each with a number of subthemes, emerged from the cross-case interpretative analysis: the ambivalent experience of caregiving (subtheme: ); navigating lockdown: lived challenges and opportunities (subthemes: , , , and ); transitioning out of lockdown (subthemes: and ); the present with COVID-19, but mostly with dementia (subthemes: , and ); looking into the future (subthemes: and ); and a word on coping (subtheme: ).

CONCLUSION

Findings demonstrate the significance of the meaning caregivers ascribed to their experiences on their wellbeing and ability to cope in times of COVID-19 and thereafter. Gaining an understanding of the caregivers' unique experiences is crucial to appreciate how to best support them.

摘要

目的

探讨新冠疫情期间非专业痴呆症照护者的生活体验。

方法

采用解释现象学分析(IPA)方法。从一个为老年人提供社区心理健康服务的机构中招募了8名主要非专业照护者,他们当时是以服务对象照护者的身份前来就诊的。根据参与者的便利程度和偏好,在其家中或诊所进行半结构化访谈。IPA分析是按照史密斯及其同事的分析框架完成的。

结果

跨案例解释性分析得出了6个群体体验主题,每个主题都有若干子主题:照护的矛盾体验(子主题: );应对封锁:生活中的挑战与机遇(子主题: 、 、 、 );解除封锁(子主题: 、 );当下与新冠疫情相伴,但主要是与痴呆症相伴(子主题: 、 );展望未来(子主题: 、 );以及关于应对的一言(子主题: )。

结论

研究结果表明,照护者对自身经历赋予的意义对其在新冠疫情期间及之后的幸福感和应对能力具有重要意义。了解照护者的独特经历对于理解如何最好地支持他们至关重要。

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