如果我比他先死怎么办?"姑息关怀中照护者的担忧

Canan TUZ, Alis ÖZÇAKIR
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摘要

背景/目的:照顾者是为患病配偶提供无偿帮助的家庭成员。在土耳其,患者住院时需要家庭照顾、参与和支持。本研究旨在更好地了解在小猎犬姑息治疗环境下,照顾者行为背后的感受。& # x0D;方法:采用现象学设计的横断面定性研究方法。五位自愿参与的家庭照顾者接受了面对面的采访。纳入标准是目前在家中和医院为患者提供护理的成年非正式护理人员。& # x0D;结果:家庭照顾者由配偶5人组成,平均年龄44.8±4.80岁。每位护理人员均为女性,且为患者的配偶。这些患者分别被诊断为阿尔茨海默病、痴呆、胃癌和中风。护理时间约为2.79±1.62年。提出了四个主题和十一个副主题:对自己的关切:高估自己的保健问题;对保持强壮感到焦虑;病人的后果:像“英雄”一样记住病人;接受情况害怕“发现他死了”照顾的挑战牺牲生命责任过重照顾尿布的尴尬起初缺乏照顾的方向应对策略神的旨意宗教信仰。& # x0D;结论:本研究结果显示,家庭照护者对自己及角色的后果有顾虑。即使他们试图应对精神问题,医疗保健提供者也可以通过认识到他们的基本角色来支持他们。
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‘Ya Ondan Önce Ölürsem?' Palyatif Bakımda Bakımverenlerin Endişeleri
Background/Aims: Caregivers are family members who provide unpaid assistance to their ill spouses. In Turkey, family caregiving, engagement, and support are needed when patients are hospitalized. This study aims to better understand the feelings of caregivers behind their behaviors in a terrier palliative care setting. Methods: This research is a cross-sectional qualitative study designed with phenomenology. Five family caregivers who volunteered to participate were interviewed face-to-face. Inclusion criteria were adult informal caregivers who currently provided care to the patient at home and in the hospital. Results: The family caregivers consist of five spouses with a mean age of 44.8 ± 4.80 years. Each caregiver is a female and the spouse of the patient. Of the patients diagnosis was Alzheimer’s disease, dementia, gastric cancer, and stroke, respectively. The caregiving time was approximately 2.79 ± 1.62 years. Four themes and eleven subthemes were indicated: Concerns about themselves: Overestimating their health care problems, Anxiety about staying strong; Consequences of the patient: Remembering the patient like a “hero”; Acceptance of the situation Fear of “finding him death” Challenges about caregiving Sacrificing from life Excessive responsibility Embarrassment from diaper care Lack of orientation for caregiving at first Coping strategies Devine providence Religious beliefs. Conclusions: The findings of the study indicate that family caregivers have concerns about themselves and the consequences of their roles. Even if they try to cope with spirituality, healthcare providers can support them by recognizing their essential roles.
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