Health Promotion for Family Caregivers and Nursing Practice

本研究的目的是通过纵向研究来检验家庭照顾者感知的积极方面，并根据结果考虑照顾者的护理实践。基于我们之前的研究结果，在进行访谈之前，对家庭照顾者的积极方面的看法进行了探讨。问卷询问了处理照顾困难的过程和日常照顾活动。半结构化访谈，每隔六个月进行三次。每次访谈结束后，我们与来访的护士就护理的积极方面和护理需求进行案例讨论。研究对象是18名使用家庭护理服务的家庭照顾者。由于被照顾者死亡或长期进入机构，6名家庭照顾者无法进行完整访谈。对数据进行定性分析。十二个家庭照顾者中的十一个人对照顾的积极方面有深刻的认识。深刻意识的一些因素被猜测如下；1. 2.依赖家庭成员的支持；2 .家庭成员理解照顾者的劳动；3 .有秘密的支持；有热情的工作或公共名册的，除了照顾者。结果表明，这些观点引导护士通过日常护理了解家庭照顾者的感知和体验。参与病例讨论的来访护士对家庭照护和家庭照护者的理解发生了变化。他们反映了他们对家庭照顾者的态度和注意到的支持需求。在病例讨论后，几乎所有来访护士都有意识地支持家庭照顾者。案例讨论是有用的护士实践集中在护理的积极方面。

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.