The Strategy of Home-care to support client and their family in end-of-life period

支持客户及其家人临终关怀的家庭护理策略

• 批准号: 20592682
• 负责人: KAWAKAMI Michiko
• 金额: $ 2.83万
• 依托单位: Kochi Women's University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2008
• 资助国家: 日本
• 起止时间: 2008 至 2010
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-20592682/
• 关键词: 訪問看護; 在宅療養; 家族; 高齢者; 看取り; 在宅療養者; 家族ケア; ターミナル期

The home-care nurse perceived "death" for the client in a terminal stage and his/her family and concerned parties such as home-care nurses as "the unavoidable that is an extension of everyday life and comes in the course of time through the process of interaction that has some common meaning." The family caregivers perceived "death" not as something to prepare and resolve themselves for but as an extension of their everyday life into which they incorporate care as a matter of fact and which they will adjust as necessary, and were seeking support that would allow them to spend their daily life quietly. As strategies to support the process of caregiving by family, the following 8 categories were extracted and I created a model that uses these in combination : 1) support family's decision-making, 2) support the decision family made, 3) explain the current state, 4) explain based on predictive judgments, 5) get along with the emotional swings of family, 6) reduce family's burden of caregiving, 7) prompt family to participate in the care, 8) support the maintenance of family's daily life.

家庭护理护士认为，处于临终阶段的病人及其家人和有关方面(如家庭护理护士)的“死亡”是“不可避免的，这是日常生活的延伸，是通过具有某种共同意义的互动过程而来的。”家庭照顾者将“死亡”视为日常生活的延伸，而不是做好准备和解决问题，事实上，他们将照料纳入其中，并将在必要时进行调整，他们正在寻求支持，使他们能够平静地度过日常生活。作为支持家庭照看过程的策略，我提取了以下8类，并创建了一个综合使用这些策略的模型：1)支持家庭的决策，2)支持家庭做出的决定，3)解释现状，4)基于预测性判断解释，5)与家庭的情绪波动相处，6)减轻家庭的照看负担，7)促使家庭参与照顾，8)支持维持家庭的日常生活。