A Phenomenological Qualitative Study of Primary Informal Caregiver of Chinese Patients with Advanced Stage COPD: An In-Depth Exploration of Experiences and Needs.

IF 3.1 3区 医学 Q2 RESPIRATORY SYSTEM
Xingshuai Ren, Fang Li, Tao Gao, Xilin Xu, Liyuan Sun, Shuangqi Liu, Yanhong Liu, Fei Wang
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Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disorder. It poses significant challenges in its advanced stages and requires frequent hospitalizations and complex care strategies. The burden on informal caregivers, who play a crucial role in managing the disease, is profound and multifaceted, involving physical, emotional, and social challenges.

Objective: This study aimed to explore the lived experiences and needs of primary informal caregivers for patients with advanced COPD in China, with a focus on their emotional, physical, and social challenges and coping strategies.

Methods: A phenomenological qualitative approach was employed to provide an in-depth understanding of caregiver experiences. Data were collected through face-to-face semi-structured interviews with 15 primary informal caregivers of advanced COPD patients from Central China. The interviews were analyzed using Colaizzi's method to extract key themes.

Results: Caregivers reported significant emotional burdens, including anxiety and fear related to the patient's health and future. Physical challenges were prevalent, with many caregivers experiencing fatigue and health deterioration due to the demands of caregiving. Social isolation was also a critical issue, as caregiving responsibilities limited personal time and social interactions. Despite these challenges, caregivers employed various coping strategies, though these were often insufficient to fully mitigate the stress of caregiving.

Conclusion: Informal caregivers of patients with advanced COPD often face intense physical and psychological burdens and need comprehensive support systems. Enhancements in caregiver education, the development of targeted psychological supports, and the integration of caregivers into formal care plans are essential to improve the health outcomes of both caregivers and patients.

中国晚期慢性阻塞性肺病患者初级非正规照护者的现象学定性研究:经验与需求的深入探索。
背景:慢性阻塞性肺疾病(COPD)是一种进行性呼吸系统疾病。它在其晚期阶段构成重大挑战,需要经常住院治疗和复杂的护理策略。非正式照护者在疾病管理中发挥着至关重要的作用,他们的负担是深刻和多方面的,涉及身体、情感和社会挑战。目的:本研究旨在探讨中国晚期COPD患者初级非正式照护者的生活经历和需求,重点关注他们的情绪、身体和社会挑战以及应对策略。方法:采用现象学定性方法深入了解照顾者体验。数据通过面对面半结构化访谈收集,访谈对象为中部地区15名晚期COPD患者的主要非正式护理人员。使用Colaizzi的方法对访谈进行分析,以提取关键主题。结果:护理人员报告了显著的情绪负担,包括与患者健康和未来相关的焦虑和恐惧。身体上的挑战很普遍,许多照顾者由于照顾的需求而感到疲劳和健康恶化。社会孤立也是一个关键问题,因为照料责任限制了个人时间和社会互动。尽管存在这些挑战,护理人员采用了各种应对策略,尽管这些策略往往不足以完全减轻护理的压力。结论:晚期COPD患者的非正式护理人员往往面临巨大的生理和心理负担,需要全面的支持系统。加强护理人员教育,发展有针对性的心理支持,并将护理人员纳入正式护理计划,对于改善护理人员和患者的健康结果至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
10.70%
发文量
372
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals
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