摘要
目的探讨老年吞咽障碍患者非正式照顾者角色适应过程体验,为制定照顾者支持方案提供参考依据。方法本研究为质性研究。采用目的抽样法,于2023年7—10月选取四川大学华西医院、成都市第二人民医院收治的25名老年吞咽障碍患者的非正式照顾者为研究对象,对其进行半结构式访谈。采用Colaizzi 7步分析法分析资料并提取主题。结果非正式照顾者照护体验共提炼出2个主题和9个亚主题,分别为多重角色适应不良(角色适应储备不足、生理节奏紊乱、负性情绪明显、社会参与受限、经济负担过重)和角色激活(情感和责任、外在支持系统助力、内在自我效能激发、自我疗愈)。结论医护人员需优化老年吞咽障碍患者非正式照顾者培训,增强非正式照顾者的知识技能储备,以缓解其角色适应不良体验,提升照护质量。
ObjectiveTo explore the role adaptation experience of informal caregivers of elderly patients with swallowing disorders,providing reference for developing caregiver support programs.MethodsThis study was a qualitative study.Purposive sampling method was used to select informal caregivers of elderly patients with swallowing disorders admitted to West China Hospital of Sichuan University and Chengdu Second People's Hospital from July to October 2023 for semi-structured interviews.Analyze the data and extract themes using Colaizzi's 7-step analysis method.ResultsFrom the caregiving experience,two main themes and nine subthemes were identified:poor adaptation to multiple roles(insufficient role adaptation resources,disrupted physiological rhythms,prominent negative emotions,limited social participation,heavy economic burden);role activation(emotion and responsibility,external support system assistance,internal self-efficacy enhancement,self-healing).ConclusionsMedical staff should optimize training for informal caregivers of elderly patients with swallowing disorders,enhancing their knowledge and skills to alleviate poor role adaptation experiences and improve the quality of care.
作者
赵宝玉
高玥珊
纪铮
蒋婷婷
陈茜
Zhao Baoyu;Gao Yueshan;Ji Zheng;Jiang Tingting;Chen Qian(West China School of Nursing,Sichuan University/Center of Gerontology and Geriatrics,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《中华现代护理杂志》
2025年第16期2153-2159,共7页
Chinese Journal of Modern Nursing
基金
四川省科技培训项目(2024JDKP0059)
四川省干部保健科研项目(2024-117)。
关键词
老年人
吞咽障碍
非正式照顾者
照护体验
质性研究
Aged
Swallowing disorder
Informal caregiver
Caregiving experience
Qualitative study
