影响痴呆症患者照护者复原力的因素

M. Cherry, P. Salmon, J. Dickson, D. Powell, S. Sikdar, J. Ablett
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引用次数: 64

摘要

大多数痴呆症患者住在社区,接受家人或非专业护理人员的照顾。护理人员的福祉及其提供的护理质量取决于他们在面对与照顾痴呆症患者相关的挑战时的适应力。然而,与护理人员的适应力相关的因素尚未完全了解。本综述的目的是对与照护者心理弹性相关的因素、材料和资源进行综合叙述。电子和手工检索识别相关的已发表文献,并进行叙述合成。一个由影响照顾者弹性的三个相互关联的因素组成的框架出现了,包括:社会和文化因素;关怀关系的性质;以及照顾者的心理因素。基于这一框架的整体评估可以帮助从业人员识别脆弱的护理人员,并针对导致他们脆弱但可以改变的因素提供有针对性的帮助。
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Factors influencing the resilience of carers of individuals with dementia
Most individuals with dementia live in the community, receiving care from family or lay carers. Carers’ wellbeing, and the quality of the care they provide, depends on their resilience in the face of the challenges associated with caring for someone with dementia. However, factors associated with carers’ resilience are not yet fully understood. The aim of this review is to present a narrative synthesis of factors, materials and resources associated with carers’ resilience. Electronic and hand searches identified relevant published literature, which was narratively synthesized. A framework consisting of three inter-related domains of factors influencing carers’ resilience emerged, encompassing: social and cultural factors; properties of the care relationship; and carers’ psychological factors. Holistic assessment based on this framework can help practitioners to identify vulnerable carers and to target help on factors that help to make them vulnerable but that are amenable to change.
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