Cartwright J C, Archbold P G, Stewart B J, Limandri B
School of Nursing, Oregon Health Sciences University, Portland.
ANS Adv Nurs Sci. 1994 Sep;17(1):31-43. doi: 10.1097/00012272-199409000-00006.
Interview and observational data obtained from caregiver-care recipient dyads were analyzed in developing a theory of enrichment that explains how some families use pleasurable or meaningful experiences in their caregiving to frail elders. The personal history and frailty trajectory of both caregiver and care recipient, the quality of the dyadic relationship, and the caregiving situation are antecedents to enrichment processes. Core elements influencing the nature of enriching events include acquiring symbolic meaning, performing activity, and fine tuning. Categories of enrichment events are customary routines and innovative routine breakers. Consequences of enrichment are relationship and identity sustenance for both caregiver and care recipient, comfort for the care recipient, and rewards of meaning for the caregiver.
为了构建一种充实理论，我们对从照顾者与被照顾者二元组中获取的访谈和观察数据进行了分析，该理论解释了一些家庭如何在照顾体弱老年人的过程中利用愉悦或有意义的经历。照顾者和被照顾者的个人经历和衰弱轨迹、二元关系的质量以及照顾情况是充实过程的前提条件。影响充实事件性质的核心要素包括获得象征意义、进行活动以及微调。充实事件的类别包括常规惯例和创新性的常规打破者。充实的结果是照顾者和被照顾者的关系和身份维持、被照顾者的舒适以及照顾者的意义回报。
