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痴呆症患者家庭照顾者的创伤后成长经历:一项描述性定性研究。

The Post-Traumatic Growth Experience in Family Caregivers of People with Dementia: A Descriptive Qualitative Study.

作者信息

Wang Yang, Gu Yanhong, Qiu Ruxia, Long Dechao, Sun Na

机构信息

Nursing Department, Shanghai Fifth People's Hospital, Fudan University, Shanghai, People's Republic of China.

School of Nursing, Fudan University, Shanghai, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2025 Jun 26;18:1495-1507. doi: 10.2147/PRBM.S525683. eCollection 2025.

Abstract

PURPOSE

To explore and illuminate the post-traumatic growth experience among family caregivers of people with dementia.

PATIENTS AND METHODS

Descriptive qualitative research was conducted using purposive sampling. Between June and October 2024, 19 family caregivers of dementia patients were selected from an outpatient clinic for memory disorders and a mental health center in Shanghai. The NVivo 20.0 software was used to organize and code the interview data, and the data were analyzed and thematically condensed using the directed content analysis method.

RESULTS

Four themes were identified, along with eleven sub-themes associated with them: cognitive-behavioral shift (transitioning family roles, recognizing disease characteristics, focusing on health management, and responding positively and effectively); personal strength enhancement (enhancing coping capacity, increased psychological resilience and increased responsibility); improved relationships with others (harmonizing in family relations and benefiting from social interactions); and changes in life perceptions (reshaping of values, and reconstructing the meaning of life).

CONCLUSION

Family caregivers of people with dementia experience multifaceted post-traumatic growth after a traumatic event of disease diagnosis and patient caregiving. It is necessary to focus on positive psychological resources for family caregivers to improve the burden of caregiving. Future research should take measures to promote family caregivers' positive perceptions, explore their own potential and strengths, and help them make full use of family and social support to enhance their post-traumatic growth.

摘要

目的

探讨并阐明痴呆症患者家庭照料者的创伤后成长经历。

患者与方法

采用目的抽样法进行描述性定性研究。2024年6月至10月期间,从上海一家记忆障碍门诊和一家心理健康中心选取了19名痴呆症患者的家庭照料者。使用NVivo 20.0软件对访谈数据进行整理和编码,并采用定向内容分析法对数据进行分析和主题归纳。

结果

确定了四个主题以及与之相关的11个子主题:认知行为转变(转变家庭角色、认识疾病特征、注重健康管理以及积极有效应对);个人力量增强(提高应对能力、增强心理韧性和增加责任感);与他人关系改善(家庭关系融洽并从社会交往中受益);以及生活观念变化(重塑价值观和重构生活意义)。

结论

痴呆症患者的家庭照料者在疾病诊断和照料患者这一创伤性事件后经历了多方面的创伤后成长。有必要关注家庭照料者的积极心理资源,以减轻照料负担。未来的研究应采取措施促进家庭照料者的积极认知,挖掘他们自身的潜力和优势,并帮助他们充分利用家庭和社会支持来增强其创伤后成长。

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