痴呆症护理的创造意义:对定性研究的系统审查
Shuangzhou Chen1, Vivian W Q Lou2, Reynold Leung3
1School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong; Department of Social Work and Social Administration, Sau Po Center on Ageing, The University of Hong Kong, Hong Kong.
创造意义有助于痴呆症照顾者通过理解他们的角色和经验来应对挑战. 本系统性审查综合了定性证据,以澄清痴呆症护理中创造意义的过程和维度.
科学领域:
- 老年学是指老年学的学科.
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 痴呆症患者的非正式照顾者面临着重大的身体和心理负担.
- 创造意义是一个至关重要的应对策略,以减轻照顾者的负担并提高幸福感.
- 在痴呆症护理中创造意义的维度和过程需要更清晰的概念化.
研究的目的:
- 综合关于痴呆症护理中的意义创造的定性证据.
- 识别情境层面,使护理场景有意义.
- 阐明在痴呆症护理期间创造意义过程的演变.
主要方法:
- 62项定性研究 (1969-2022) 的系统审查.
- 收录标准:非正式痴呆症护理人员,创造意义的重点,定性设计,全文文章.
- 定性证据综合用于生成关于意义创造维度和阶段的主题.
主要成果:
- 痴呆症护理涉及复杂的需求,双向相互作用动态和适应性应对 (损失,成长,价值观,自我效能).
- 意义创造过程包括几个阶段:意义创造,意义评估 (同化/适应) 和意义坚持.
- 护理人员的经验是通过多个维度和分阶段,递归的过程来理解的.
结论:
- 在痴呆症护理中创造意义是一个多方面的,分阶段的,反复的过程.
- 干预措施应侧重于提高角色意识,痴呆知识,重构技术和寻求有意义的视角.
- 赋权自我认同,角色,期望和双层关系可以克服创造意义的障碍.
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