Intergenerational Caregivers of Parents With End-Stage Heart Failure.

Intergenerational Caregivers of Parents With End-Stage Heart Failure.
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DOI:
10.1891/1541-6577.32.4.413
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发表时间:
2018-11
影响因子:
0.6
通讯作者:
Hupcey JE
Hupcey JE
中科院分区:
医学4区
文献类型:
--
作者:
Alonso WW;Kitko LA;Hupcey JE

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本研究的目的是纵向探讨年轻人、成年人和老年人代际照顾者照顾终末期心力衰竭(HF)父母的经历。本研究是对一项纵向研究中收集的定性数据的二次分析,该研究旨在确定终末期心衰患者及其家庭照顾者的姑息治疗需求。对23名照顾终末期心力衰竭父母的年轻人、成年人和年龄较大的成年子女进行纵向访谈,进行主题分析。研究人员单独分析了这些访谈,然后作为一个团队,就主题达成了共识。研究确定了五个主要主题:照顾者资源、角色管理、照顾者与父母关系、孝顺责任和个人利益与挑战。这些代际照顾者努力平衡他们忙碌的生活和照顾角色。然而,大多数人感到得到了其他家庭成员或外部资源的支持。纵向调查结果表明,需要在研究和实践中改善雇主对代际照顾者的支持,并特别关注年轻照顾者。需要承认并倡导为慢性病父母提供照顾的代际照顾者。
The purpose of this study was to longitudinally explore the experiences of young adult, adult, and older adult intergenerational caregivers caring for a parent with end-stage heart failure (HF). This study was a secondary analysis of qualitative data collected during a longitudinal study that sought to determine the palliative care needs of individuals with end-stage HF and their family caregivers. Longitudinal interviews from 23 young adult, adult, and older adult children who were caring for a parent with end-stage HF were selected for thematic analysis. Researchers individually analyzed the interviews and then, as a group, came to a consensus about themes. Five major themes were identified: caregiver resources, role management, caregiver–parent relationships, filial responsibility, and personal benefits and challenges. These intergenerational caregivers struggled to balance their busy lives and caregiving roles. However, most felt supported by other family members or external resources. Longitudinal findings support a need for improved employer-based support for intergenerational caregivers and special attention to young carers in research and practice. Recognition of and advocacy for intergenerational caregivers providing care for a chronically ill parent is needed.
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