Caregiver role development in chronic disease: A qualitative study of informal caregiving for veterans with diabetes.

Caregiver role development in chronic disease: A qualitative study of informal caregiving for veterans with diabetes.
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DOI:
10.1177/1742395320949633
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发表时间:
2022-03
期刊:
影响因子:
1.3
通讯作者:
Rosland, Ann-Marie
Rosland, Ann-Marie
中科院分区:
医学4区
文献类型:
--
作者:
Fields, Beth;Makaroun, Lena;Rodriguez, Keri L.;Robinson, Claire;Forman, Jane;Rosland, Ann-Marie

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朋友和家人对糖尿病等慢性病的支持对健康管理和结果产生积极影响,但关于护理人员如何以及为什么为其他独立的老年人承担特定支持角色的数据有限。我们进行了一项定性研究,以2型糖尿病为例,研究护理人员在支持退伍军人管理慢性病方面的作用的性质以及护理人员承担这些角色的原因。32次访谈与退伍军人与2型糖尿病(n 20)和他们的照顾者(n 12)。两名编码员使用主题分析方法独立分析了采访记录。护理人员在糖尿病管理中的三个核心角色被描述为:直接护理支持、记忆支持/护理组织者和倡导者。出现了三种解释:患者健康状况的变化,家庭角色的自然演变,以及护理人员的医疗保健经验或培训。了解护理人员扮演什么角色以及为什么要设计服务以支持护理人员帮助改善老年人的慢性健康状况管理至关重要。
Support for chronic conditions such as diabetes from friends and family positively influences health management and outcomes, but limited data exist on how and why caregivers assume specific support roles for otherwise independent aging adults. We conducted a qualitative study to examine the nature of caregivers roles in supporting Veterans management of a chronic condition and caregivers reasons for assuming those roles, using Type 2 diabetes as an example. Thirty-two interviews were conducted with Veterans with Type 2 diabetes (n 20) and their caregivers (n 12). Two coders independently analyzed interview transcripts using a thematic analysis approach. Three central roles of caregivers in diabetes management were described: direct care support, memory support/care organizer, and advocate. Three explanations for assuming caregiving roles emerged: changes in patient health, natural evolution of family roles, and caregivers health care experience or training. Understanding what roles caregivers fill and why is critical to designing services to support caregivers in helping improve chronic health condition management for aging adults.
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