高龄失能脑卒中患者配偶照顾者照顾体验的质性研究

Qualitative study on experience of spouse caregivers of elderly and disable patients with stroke

目的探讨高龄失能脑卒中患者配偶照顾者的照顾体验。方法采取目的 抽样和便利取样法,抽取2015年7月-2016年6月某市某三甲医院高龄失能脑卒中患者的8名配偶照顾者,进行半结构式深入访谈法,采用NANCY分析法对访谈资料进行分析。结果最终得出配偶照顾者体验的5个主题:夫妻责任和义务;心理、生理压力;经济压力;有效信息缺乏;困境中积极感受与应对方式。结论配偶照顾者既承担了心理、生理、经济、信息缺乏等负担,也产生了责任、义务、积极感受和应对方式。需充分重视高龄配偶照顾者,帮助其减轻照顾过程中的压力,并努力挖掘其积极感受并促进个人成长。

Objective To explore the experience and feelings of spouse caregivers of elderly and disable patients with stroke in the process of care. Method Totally 8 spouse caregivers of elderly and disable patients with stroke were selected and investigated by semi structural in-depth interviews. Result Five major themes were found, e.g. responsibility and obligation of husband and wife,mental stress and physical stress, economic pressure, lack of effective information, positive feelings and countermeasures in the predicament. Conclusions The spouse caregivers suffer from psychological, physiological, economical and less information, but they are engaged with responsibility, obligation, positive feelings and coping. It is suggested that health care workers should take full attention to the elderly spouse caregivers and help them to reduce the pressure in the process of care, strive to tap their positive feelings and promote personal growth.