Kumpfer抗逆力视域下失能老人配偶照顾者照顾体验的质性研究

A qualitative study on the care experience of spouse caregivers of disabled elderly individuals from the perspective of Kumpfer resilience

目的探索失能老人配偶照顾者的抗逆力体验。方法采用现象学研究方法,于2022年10-12月对10名失能老人配偶照顾者进行半结构化访谈,运用Colaizzi 7步分析法对访谈结果进行分析。结果失能老人配偶照顾者的抗逆力体验涵盖4个主题、10个亚主题:(1)经历压力源(内部压力、外部压力)。(2)支持资源的缓冲(照顾经验丰富、子女支持有加、夫妻义务驱动)。(3)抗逆力特质的激发(同理心、包容心、胜任力)。(4)建立抗逆力(坚定照护信念、肯定角色价值)。结论失能老人配偶照顾者通过与环境“动态互动”来建立抗逆力,该过程的4个主题有望为制定失能老人配偶照顾者抗逆力干预方案提供新的见解。

Objective To explore the resilience experience of the spouse caregivers of the disabled elderly individuals.Methods A total of 10 spouse caregivers of disabled elderly were conducted the semi-structured interviews using the phenomenological research method from October to December in 2022,and interview data were analyzed by the Colaizzi 7-step analysis method.Results The resilience experience of spouse caregivers of disabled elderly individuals covered 4 core themes and 10 subthemes:(1)Experience stressors(internal pressure,external pressure);(2)Buffer of support resources(rich care experience,children support,husband and wife obligations drive);(3)Stimulation of resilience traits(empathy,inclusiveness,and competence);(4)Building resilience(firm care belief,affirm role value).Conclusions The spouse caregivers of disabled elderly individuals build resilience through"Dynamic interaction"with the environment,and 4 core themes of this process are expected to provide new insights into the development of resilience intervention programmes for spouse caregivers of the disabled elderly.