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将文化照护理论应用于巴干达女性艾滋病照护者。

Use of Culture Care Theory with Baganda women as AIDS caregivers.

作者信息

MacNeil J M

出版信息

J Transcult Nurs. 1996 Jan-Jun;7(2):14-20. doi: 10.1177/104365969600700204.

DOI:10.1177/104365969600700204
PMID:8974412
Abstract

In Uganda, AIDS patients are increasingly cared for at home by women in their traditional role of family caregiver. This transcultural nursing study utilized Leininger's (1991) Culture Care Theory to discover the meanings, patterns, and expressions of AIDS caregiving for Baganda women. Ethnonursing, supported by life history and Leininger's (1988, 1990, 1991, 1993) Sunrise Model, was used to discover care among 12 key and 25 general Baganda informants providing AIDS caregiving to family members at home. In-depth interviews were conducted with informants selected from home-based nursing care programs in the Rakai/Masaka and Kampala areas. Data were analyzed using Leininger's (1990) Phases of Ethnonursing Analysis for Qualitative Data. Six major themes were identified. The findings highlighted the struggle of Baganda women to provide care and love for family members with AIDS, identified intergenerational care as essential for survival and prevention of HIV infection, and offered insight into improving the quality of life for those who are HIV positive. Care knowledge from these findings can be used to provide culturally congruent nursing care to Baganda families who are affected by AIDS through the three modes of action and decision of the theory.

摘要

在乌干达,艾滋病患者越来越多地由承担家庭照料者传统角色的女性在家中照料。这项跨文化护理研究运用了莱宁格(1991年)的文化护理理论,以探寻巴干达女性照料艾滋病患者的意义、模式及表现形式。民族护理学在生活史及莱宁格(1988年、1990年、1991年、1993年)的日出模式的支持下,用于在12位关键信息提供者和25位普通巴干达信息提供者中发掘在家中为家庭成员提供艾滋病照料的护理情况,这些信息提供者都在拉克伊/马萨卡和坎帕拉地区的家庭护理项目中工作。对从这些地区的家庭护理项目中挑选出的信息提供者进行了深入访谈。数据运用莱宁格(1990年)的定性数据民族护理分析阶段进行分析。确定了六个主要主题。研究结果突出了巴干达女性为患艾滋病的家庭成员提供关爱时所面临的困难,确定了代际护理对生存及预防艾滋病毒感染至关重要,并为改善艾滋病毒呈阳性者的生活质量提供了见解。这些研究结果中的护理知识可用于通过该理论的三种行动和决策模式,为受艾滋病影响的巴干达家庭提供符合文化习俗的护理。

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