联系、学习、支持:照顾者的压力和痛苦经历——生物心理社会团体干预。

Dementia (London, England) Pub Date : 2024-01-01 Epub Date: 2023-10-27 DOI:10.1177/14713012231207946
Craig F Wilson, Sue Turnbull, Lisa Gadon
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引用次数: 0

摘要

背景:家庭护理人员是支持痴呆症患者留在家中的基础,然而,他们的护理角色可能会导致心理困扰。对年轻痴呆症患者护理人员的干预措施,包括他们的干预经验和干预的中介过程的研究仍然有限。方法:一项解释性现象学分析探讨了参与“应对痴呆症中的痛苦”小组的护理者经历及其对护理的影响。对五名家庭护理人员进行了访谈,讨论内容涵盖了从第一次注意到症状到访谈的这段时间。结果:在小组体验中,确定了四个上级主题:“与其他照顾者联系”、“学习照顾”、“小组因素”和“减少照顾者痛苦”。在小组结束后的时期,三个上级主题得到了认可:“保持支持”、“应用学习”和“使护理正常化”。结论:该研究强调了几个相互关联的主题,包括在具有相似经历的护理人员之间建立联系、社会学习和通过小组结构和促进的支持性学习。许多过程反映了现有痴呆症护理者干预研究中发现的那些过程。建议包括为同伴支持小组提供便利和探索全家庭方法。
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Connecting, learning, supporting: Caregivers' experiences of a stress and distress biopsychosocial group intervention.

Background: Family caregivers are fundamental in supporting people living with dementia to remain at home, however, psychological distress can occur as a result of their caring role. Research into interventions for caregivers of people living with young-onset dementia, including their experience of and the mediating processes of such interventions, remains limited.

Methods: An Interpretative Phenomenological Analysis explored caregiver experiences and influence on caregiving of participating in a "Responding to Distress in Dementia" group. Five family caregivers were interviewed with discussions covering the period from first noticing symptoms to the interview session.

Results: Within the group experience, four superordinate themes were identified: 'connecting to other caregivers', 'learning about caregiving', 'group factors' and 'reduced caregiver distress'. During the post-group period, three superordinate themes were recognised: 'maintaining support', 'applying learning', and 'normalising caregiving'.

Conclusions: The study highlighted several interrelated themes involving creating connections amongst caregivers with similar experiences, social learning, and supportive learning through group structure and facilitation. Many of the processes reflected those found in existing dementia caregiver intervention research. Recommendations included facilitating peer support groups and exploring whole-family approaches.

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