Experiences of Formal and Informal Support Among Adult-Daughter Caregivers of People With Dementia in Sweden: A Qualitative Study.

IF 2.2
Oscar Blomberg, Abla Sami, Paul Farrand, Renita Sörensdotter, Frida Svedin, Anders Brantnell, Louise von Essen, Anna Cristina Åberg, Joanne Woodford
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Abstract

People with dementia are living longer in the community and reliance on informal caregivers is increasing. Few studies have focused on the experiences of adult-daughter caregivers (daughter caregivers), who may have increased risk of depression and lack of support compared with spousal caregivers. We aimed to explore the experiences of accessing and receiving formal and informal support among daughter caregivers of people living with dementia in Sweden. We conducted semi-structured interviews with 23 daughter caregivers. A topic guide was used to explore experiences of accessing and receiving formal and informal support in their caregiving role. We analyzed the interviews using reflexive thematic analysis. We generated two themes: Types of support, and Mismatched support. The first theme, with subthemes Sharing experiences, Professional support, and Getting some relief, captured the caregiver support context with different types of support accessed and received by daughter caregivers, with peer support and informational support identified as important components of caregiver support. The second theme, with subthemes Lack of tailoring to daughter caregivers' needs and Difficulties navigating support, captured how daughter caregivers perceived existing support to be inadequate to meet their specific needs and the complex structure of available support limited their opportunities to access support. Daughter caregivers experience a mismatch between the type of support accessed and received and their specific support needs. Support better tailored to the needs and situation of daughter caregivers of people with dementia in Sweden is required. The potential of utilizing peer support for caregivers warrants further research.

瑞典痴呆症患者成年女儿照顾者的正式和非正式支持经验:一项定性研究。
痴呆症患者在社区生活的时间越来越长,对非正式照护者的依赖也在增加。很少有研究关注成年女儿照顾者(女儿照顾者)的经历,与配偶照顾者相比,她们可能有更高的抑郁风险和缺乏支持。我们的目的是探索瑞典痴呆症患者的女儿照顾者获得和接受正式和非正式支持的经验。我们对23名照顾女儿的人进行了半结构化访谈。本研究采用主题指南探讨在护理角色中获得和接受正式和非正式支持的经验。我们使用反身性主题分析来分析访谈。我们生成了两个主题:支持类型和不匹配的支持。第一个主题,包括分享经验、专业支持和获得一些缓解,捕捉了照顾者支持的背景,包括女儿照顾者获得和接受的不同类型的支持,同伴支持和信息支持被确定为照顾者支持的重要组成部分。第二个主题的子主题是“缺乏针对女儿照顾者需求的量身定制”和“难以获得支持”,它反映了女儿照顾者如何认为现有的支持不足以满足她们的特定需求,以及现有支持的复杂结构限制了她们获得支持的机会。照顾女儿的人在获得和接受的支持类型与她们的具体支持需求之间存在不匹配。需要更好地针对瑞典痴呆症患者女儿照顾者的需求和情况提供支持。利用同伴支持照顾者的潜力值得进一步研究。
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