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Health Promotion for Family Caregivers and Nursing Practice

家庭护理人员的健康促进和护理实践

基本信息

批准号：
14572241
负责人：
YASUDA Kieko
金额：
$ 1.79万
依托单位：
Nagano College of Nursing, School of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

项目摘要

The purpose of this study is to examine positive aspects of family caregivers' perception using longitudinal study and to consider nursing practice for caregivers based on results.Viewpoints of positive aspects of family caregivers' perceptions were made before conducting interview based on results of our prior research. The questionnaire asked about the process for coping with caregiving difficulties and about daily care activities. Semi-structured interview conducted three times at six months intervals. We had case discussion with visiting nurses who visit subjects' home about positive aspects of caregiving and nursing needs after each interviews. The subjects were eighteen family caregivers who were using home care services. Complete interview couldn't conduct for six family caregivers because of death of care-receiver or long-term institution entrance. Data were analyzed qualitative. Profound awareness of positive aspects of caregiving identified from eleven among twelve family caregivers.Some factors in profound awareness were guessed as follows; 1. putting reliance on support from family members, 2. family members understand caregivers' labor, 3. having confidential support, 4. having enthusiastic work or public roll except caregiving.The results suggested that the viewpoints lead nurses to understand family caregivers' perception and experiences through daily care.Visiting nurses who participate in case discussion showed change on their understanding of family caregiving and family caregivers. They reflected their attitude for family caregivers and noticed support needs. And almost visiting nurses supported family caregivers consciously after case discussion. Case discussion is useful for nurses' practice focused positive aspects of caregiving.

本研究目的在探讨家庭照顾者知觉之正面观点，并以追踪研究之结果为基础，探讨照顾者护理实务之考量。问卷调查询问了应对生活困难的过程和日常护理活动。半结构化访谈进行了三次，间隔六个月。每次访谈后，我们都与到受试者家中的访视护士进行个案讨论，了解受试者对护理的积极方面和护理需求。研究对象为十八位使用居家照护服务的家庭照顾者。六位照顾者因照顾对象死亡或长期进入机构而无法进行完整访谈。对数据进行定性分析。在十二位照顾者中，十一位对照顾的正面意义有深刻的认知。依靠家庭成员的支持; 2.家庭成员理解照顾者的劳动，3。有保密的支持，4。结果显示，护理人员对家庭照顾者的认知与经验，参与个案讨论的访视护士对家庭照顾者与家庭照顾者的认知与经验有改变。他们反映了他们对家庭照顾者的态度，并注意到支持需求。访视护士在个案讨论后，大多数有意识地支持家庭照顾者。病例讨论有助于护士在实践中注重积极的方面。