Caregiving for frail home-dwelling older people: A qualitative study of family caregivers' experiences

IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Bente Egge Søvde MNSc, RN, PhD, Anne Marie Sandvoll PhD, RN, Eli Natvik PhD, PT, Jorunn Drageset PhD, MNSc, RN
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Abstract

Background

The increasing frailty of home-dwelling older people can lead to rising expectations from their family caregivers due to various demographic developments and political guidelines. European data show that 60% of home-dwelling older people receive informal care. Frailty among older people is a state of vulnerability, increasing the risk of adverse health outcomes, declining daily activities and needing long-term care.

Aim

To explore family caregivers' lived experiences with caring for frail, home-dwelling older people.

Methods

We conducted a phenomenological study to obtain in-depth descriptions of the phenomenon. We interviewed nine family caregivers, five men and four women between 52 and 90 years old, in-depth in their homes. We used a hermeneutical phenomenological approach described by van Manen and followed the COREQ checklist.

Results

The phenomenon's essential meaning is described as striving to adapt throughout the caring relationship. The interrelated themes describe different caring relationships, caring for a family member and letting go of the primary caring responsibility.

Conclusions

Family caregivers describe care as meaningful yet demanding. In our study, the varying condition of frailty was an additional challenge in care. By addressing these challenges, healthcare providers can better support and help family caregivers to withstand their caring relationships. The Norwegian Centre for Research Data approved the study (Ref.61202).

体弱居家长者的照护:家庭照护者经验的质性研究。
背景:由于各种人口发展和政治指导方针,居家老年人的日益虚弱可能导致其家庭照顾者的期望不断提高。欧洲的数据显示,60%的居家老人接受非正式护理。老年人的虚弱是一种易受伤害的状态,会增加不良健康结果的风险,减少日常活动,需要长期护理。目的:探讨家庭照顾者照顾体弱居家老人的生活经验。方法:采用现象学方法对该现象进行深入描述。我们深入采访了9位家庭照顾者,5男4女,年龄在52岁到90岁之间。我们使用van Manen描述的解释学现象学方法,并遵循COREQ检查表。结果:该现象的本质含义被描述为在整个关爱关系中努力适应。相关的主题描述了不同的照顾关系,照顾家庭成员和放弃主要的照顾责任。结论:家庭照顾者认为护理是有意义的,但也是有要求的。在我们的研究中,不同的虚弱状况是护理的另一个挑战。通过应对这些挑战,医疗保健提供者可以更好地支持和帮助家庭照顾者承受他们的照顾关系。挪威研究数据中心批准了这项研究(参考文献61202)。
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来源期刊
CiteScore
3.60
自引率
9.10%
发文量
77
期刊介绍: International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
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