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“虽缓慢却持续,你正逐渐失去动力”:通过照片叙事法呈现的年迈父母照料经历

"Slowly but Steadily, You're Running Out of Steam": Aging Parents' Caregiving Experiences Through Photovoice.

作者信息

Nagl-Cupal Martin, Werner Marlene, Haselmayer Daniela, Falkenstein Thomas

机构信息

Department of Nursing Science, Faculty of Social Sciences, University of Vienna, 1080 Vienna, Austria.

Endowed Professorship in Nursing Science, Department of Primary Care Medicine, Center of Public Health, Medical University of Vienna, 1090 Vienna, Austria.

出版信息

Int J Environ Res Public Health. 2025 Aug 19;22(8):1297. doi: 10.3390/ijerph22081297.

DOI:10.3390/ijerph22081297
PMID:40869882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12386384/
Abstract

Aging parents caring for adult children with disabilities or other care needs face significant challenges and health-related issues over extended periods. The aim of this study was to explore the experiences of aging parents with caregiving responsibilities. This qualitative participatory study followed the research process of a photovoice study. Thirteen parents, aged 51 to 76 years, of adult children with care needs, aged 20 to 49 years, participated in this study. The parents captured photographs depicting their daily lives which were contextualized and coded during group discussions. The data were analyzed using thematic analysis and reviewed collaboratively with the participants. Six key themes emerged in the data analysis. 1. mastering complexity, 2. being an expert and advocate, 3. balancing autonomy and care, 4. care as a lifelong journey, 5. standing on the margins of society, and 6. worrying about the future. This study underscores the urgent need for comprehensive and coordinated support systems that ensure the well-being of aging caregivers while addressing the evolving needs of their adult children.

摘要

照顾有残疾或其他护理需求的成年子女的年迈父母,在很长一段时间内面临着重大挑战和与健康相关的问题。本研究的目的是探索承担照料责任的年迈父母的经历。这项定性参与式研究遵循了摄影声音研究的研究过程。13位年龄在51至76岁之间、其成年子女年龄在20至49岁且有护理需求的父母参与了本研究。父母们拍摄了描绘他们日常生活的照片,并在小组讨论中对这些照片进行背景化处理和编码。使用主题分析法对数据进行分析,并与参与者共同进行审查。数据分析中出现了六个关键主题。1. 掌控复杂性,2. 成为专家和倡导者,3. 平衡自主性和照料,4. 照料是一段终身旅程,5. 处于社会边缘,6. 担忧未来。本研究强调迫切需要全面和协调的支持系统,以确保年迈照料者的福祉,同时满足其成年子女不断变化的需求。

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本文引用的文献

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"Continuously struggling for balance": The lived experiences of Dutch parents caring for children with profound intellectual and multiple disabilities.“持续为平衡而奋斗”:荷兰父母照顾重度智力残疾和多重残疾儿童的生活经历
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Transitions-Related Support for Ageing Family Carers of Older People With Intellectual Disabilities Who Convey Behaviours That Challenge Others: A Systematic Rapid Scoping Review.为有智力障碍的老年人提供过渡相关支持:系统快速范围综述。 过渡相关支持:为有智力障碍的老年人提供过渡相关支持:系统快速范围综述。 过渡相关支持:为有智力障碍的老年人提供过渡相关支持:系统快速范围综述。
J Appl Res Intellect Disabil. 2025 Jan;38(1):e13322. doi: 10.1111/jar.13322.
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Family Caregiver Adaptation during the Transition to Adulthood of Individuals with Intellectual Disabilities: A Scoping Review.智障人士向成年期过渡期间家庭照顾者的适应:一项范围综述
Healthcare (Basel). 2024 Jan 3;12(1):116. doi: 10.3390/healthcare12010116.
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'What if I'm no longer around?': An evaluative description of a structured group conversation about the care for persons with profound intellectual and multiple disabilities when they outlive their parents.“如果我不在了怎么办?”:对一个关于当患有严重智力和多重残疾的人比他们的父母活得更长时,对其进行护理的结构化小组对话的评价性描述。
J Appl Res Intellect Disabil. 2024 Mar;37(2):e13185. doi: 10.1111/jar.13185. Epub 2023 Dec 14.
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'There's a timebomb': Planning for parental death and transitions in care for older people with intellectual disabilities and their families.“这是一颗定时炸弹”:为有智力残疾的老年人及其家庭的父母去世和护理过渡做规划。
J Appl Res Intellect Disabil. 2024 Mar;37(2):e13174. doi: 10.1111/jar.13174. Epub 2023 Dec 13.
6
Family caregiving as a global and lifespan public health issue.家庭照护作为一个全球性的、贯穿一生的公共卫生问题。
Lancet Public Health. 2024 Jan;9(1):e2-e3. doi: 10.1016/S2468-2667(23)00227-X. Epub 2023 Nov 14.
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Caregiver support, burden, and long-term planning among caregivers of individuals with intellectual and developmental disabilities: A cross-sectional study.智力和发育障碍患者照料者的照料者支持、负担及长期规划:一项横断面研究。
J Appl Res Intellect Disabil. 2023 Nov;36(6):1229-1240. doi: 10.1111/jar.13141. Epub 2023 Aug 2.
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A systematic review of photovoice research methods with people with intellectual disabilities.系统综述:智障人士参与的摄影实践研究方法
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Quality of Life and Concerns in Parent Caregivers of Adult Children Diagnosed with Intellectual Disability: A Qualitative Study.成年智障子女父母的生活质量和关注点:定性研究。
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The experience of mothers supporting self-determination of adult sons and daughters with intellectual disability.母亲支持智障成年子女自主决策的体验。
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