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在长期寄宿照料环境中,近亲如何影响其患有痴呆症的亲属的职业体验:一项诠释现象学分析。

How close family members contribute to the occupational experiences of their relatives with dementia in long-term residential care: An interpretative phenomenological analysis.

作者信息

Woodhall Emma, Shaw Sarah

机构信息

University of Derby, Derby, UK.

Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.

出版信息

Br J Occup Ther. 2024 Feb;87(2):89-97. doi: 10.1177/03080226231201741. Epub 2023 Oct 15.

Abstract

INTRODUCTION

This research examines how close family members consider themselves to contribute to the activities, routines and occupational identity of their elderly relatives with dementia who reside in long-term residential care, and the factors that support or challenge their involvement.

METHOD

Five participants engaged in a single semi-structured interview, which were analysed utilising interpretative phenomenological analysis.

RESULTS

Close family members contributed to their relatives' occupational experiences by being vigilant and advocating to rectify perceived deficits in care home staff's provision of activity; providing their relatives with personalised, hands-on support to access more frequent and higher-quality opportunities for occupational participation and engagement; and maintaining their relatives' occupational identity.

CONCLUSION

Close family members promote frequent opportunities for meaningful occupational participation and engagement for their relatives, and potentially mitigate the extent of occupational injustice that their relatives experience. Accordingly, health and social care staff should enhance close family members' efforts by developing constructive partnerships with close family members and providing close family members with caregiver training.

摘要

引言

本研究探讨了亲密家庭成员如何看待自己对居住在长期护理机构中的患有痴呆症的老年亲属的活动、日常事务和职业身份所做的贡献,以及支持或阻碍他们参与的因素。

方法

五名参与者进行了一次半结构化访谈,并采用解释现象学分析方法对访谈进行分析。

结果

亲密家庭成员通过保持警惕并倡导纠正他们认为护理院工作人员在提供活动方面存在的不足,为亲属的职业体验做出贡献;为亲属提供个性化的亲身支持,以获得更频繁、更高质量的职业参与和投入机会;以及维护亲属的职业身份。

结论

亲密家庭成员为亲属创造了频繁参与有意义的职业活动和投入的机会,并有可能减轻亲属所经历的职业不公正程度。因此,卫生和社会护理人员应通过与亲密家庭成员建立建设性的伙伴关系并为亲密家庭成员提供护理者培训,来加强他们的努力。

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本文引用的文献

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Family care experiences in nursing home facilities.养老院设施中的家庭护理体验。
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