医护人员对其与痴呆症患者家庭关系的看法:定性研究。

Dementia (London, England) Pub Date : 2024-05-01 Epub Date: 2024-02-19 DOI:10.1177/14713012241234955
Kuai In Tam, Jianwei Wu, Mingxia Zhu
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引用次数: 0

摘要

目的:医护人员和家庭在确保痴呆症患者的护理质量方面发挥着至关重要的作用。然而,医护人员与痴呆症患者家属之间的关系并没有得到广泛的研究,尤其是在中国的痴呆症文化背景下。本研究旨在探讨医护人员对其与痴呆症患者家属之间关系的看法:本定性研究以解释性现象学分析框架为基础:方法:通过焦点小组访谈收集数据。采用解释性现象分析法对定性数据进行逐字转录和分析:研究共招募了来自 3 家长期护理机构的 26 名医护专业人员。研究发现,专业人员与痴呆症患者家属之间的关系存在固有冲突,冲突主要体现在三个核心领域:1)家属对痴呆症缺乏了解;2)专业人员在处理家属对痴呆症患者的疾病状况和预后不切实际的期望时面临挑战;3)家属不认为自己有责任照顾痴呆症患者:本研究发现,根据医护人员的报告,医护人员与痴呆症患者家属之间关系冲突的主要因素是痴呆症患者家属对痴呆症缺乏了解。
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Views of healthcare professionals on their relationships with families of people living with dementia: A qualitative study.

Objective: Healthcare professionals as well as families play a vital role in ensuring the quality of care for people living with dementia. However, the relationships between healthcare professionals and families of people living with dementia are not extensively examined, particularly within the Chinese cultural context of dementia. The goal of this study was to explore the views of healthcare professionals on their relationships with families of people living with dementia.

Design: This qualitative study was grounded in the interpretative phenomenological analysis framework.

Methods: Data were collected using focus-group interviews. Qualitative data were transcribed verbatim and analysed using interpretative phenomenological analysis.

Results: The study recruited a total of 26 healthcare professionals from 3 long-term care facilities. The study found that conflicts were inherent in the relationships between professionals and families of people living with dementia, and conflicts were found to manifest in three core domains: 1) Families demonstrated a lack of understanding about dementia, 2) Professionals faced challenges in managing families' unrealistic expectations regarding the disease status and the prognosis of people living with dementia, 3) Families did not perceive themselves as being responsible for the care of people living with dementia.

Conclusions: The present study found that the prevailing factor underpinning the relational conflicts between healthcare professionals and families of people living with dementia, as reported by healthcare professionals was the perceived lack of understanding about dementia amongst families of those affected.

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