Concepts in caregiver research

Concepts in caregiver research
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DOI:
10.1111/j.1547-5069.2003.00027.x
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发表时间:
2003-01-01
影响因子:
3.4
通讯作者:
Hunt, CK
Hunt, CK
中科院分区:
医学2区
文献类型:
--
作者:
Hunt, CK

文献摘要

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目的:阐明和描述护理对家庭照顾者护理研究和实践的影响的概念化。组织结构:与照顾患有慢性病的亲戚或朋友相关的生物心理社会(心理社会和生理)后遗症,包括负面和积极的。方法:通过检索CINAHL,MEDLINE和计算机数据库获得文献,直到2002年年中。搜索的关键词是照顾者、照顾者、家庭照顾者、照顾者负担和照顾者评价。包括早期文献综述和原始研究的报告。结果:负面概念包括照顾者负担、麻烦、紧张和压力。积极的概念包括照顾者的尊重,照顾者的提升,照顾者的满意度,通过照看发现或创造意义,以及在照看经验中获得。描述照顾者过程的一个中性概念是照顾者评估。虽然早期的研究集中在照顾的消极方面,但最近的研究也包括积极的方面。结论:更多的关注应该关注(A)照顾的性别和文化差异,(B)灵活的干预措施的发展,以及(C)照顾的生物物理后遗症。
Purpose: To clarify and delineate conceptualizations of the effects of caregiving for nursing research and practice with family caregivers.Organizing Construct: The biopsychosocial (psychosocial and physiological) sequelae, both negative and positive, associated with providing care for a relative or friend with a chronic illness.Methods: Literature reviewed was obtained via searches of CINAHL, MEDLINE, and PsycInfo computerized databases through mid-2002. Key words for the searches were caregiver, caregiving, family caregiving, caregiver burden, and caregiver appraisal. Reports of both earlier reviews of literature and original research were included.Findings: Negative concepts included caregiver burden, hassles, strain, and stress. Positive concepts included caregiver esteem, uplifts of caregiving, caregiver satisfaction, finding or making meaning through caregiving, and gain in the caregiving experience. A neutral concept for describing the caregiving process is caregiver appraisal. Although earlier studies were focused on negative aspects of caregiving, more recent research has also included positive aspects.Conclusions: More attention should be given to (a) gender and cultural differences in caregiving, (b) development of flexible interventions, and (c) the biophysical sequelae of caregiving.