过渡时期的迷失:社区居住伴侣因认知能力衰退和长期护理机构而失去配偶的故事》(Community-Dwelling Partners' Stories of Losing a Spouse to Cognitive Decline and Long Term Care Facilities)。

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2024-06-07 eCollection Date: 2024-01-01 DOI:10.1177/23337214241257838
Olga Asrun Stefansdottir, Mai Camilla Munkejord, Tobba Sudmann
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引用次数: 0

摘要

这项定性叙事研究介绍了居住在社区的老年伴侣讲述的三个故事,讲述他们的配偶因认知能力下降而搬入长期护理机构。将阿尔维松和凯尔曼的神秘方法应用到这些故事中,可以发现当配偶的护理需求增加时,护理伴侣必须承担越来越多的实际工作和责任。这些伴侣在护理工作、大家庭和照顾夫妻之间的转换中迷失了方向。当他们的配偶搬到长期护理机构后,分居生活给护理和夫妻关系带来了新的挑战,每天都有新的、不可预见的任务需要处理。我们的研究结果表明,如果要维持夫妻感情,配偶之间的既定习惯和工作分工既是动力,也是障碍。这就需要居住在社区的伴侣发挥主观能动性和创造力,还需要一个支持他们的大家庭和充足的经济资源。对于近亲、长期护理居民和护理人员之间相互依存的期望,还需要有更多的了解。
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Lost in Transition: Community-Dwelling Partners' Stories of Losing a Spouse to Cognitive Decline and Long-Term Care Facilities.

This qualitative narrative study presents three stories told by older community-dwelling partners to spouses moving into long-term care facilities because of cognitive decline. Applying Alvesson and Kärreman's mystery method to these stories reveals that when spouses' caring needs increase, care partners must take on increasing loads of practical work and responsibilities. These partners become lost in the transitions between care work, extended family, and attending to their couplehood. When their spouses move into long-term care, living apart presents new challenges of care and couplehood, each day presenting new and unforeseen tasks to manage. Our findings suggest that if couplehood is to be maintained, well-established habits and work division between the spousal partners are both drivers and barriers. It necessitates agency, creativity from the community-dwelling partner, as well as a supportive extended family and sufficient economic resources. More knowledge is required regarding the interdependent expectations between the next-of-kin, long-term care residents, and caregiving staff members.

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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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