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首页> 外文期刊>International journal of older people nursing >The caregiving process of the family unit caring for a frail older family member at home: A grounded theory study
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The caregiving process of the family unit caring for a frail older family member at home: A grounded theory study

机译：家庭单位在家里照顾年老体弱的家庭成员的照料过程：一项扎根的理论研究

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Background. Previous research on family caregiving has demonstrated the interdependence between individual members' health and family status and suggested the importance of support provided to the family as a unit. However, little research that could be used as the basis for nursing interventions has focused on the caregiving process of the family unit caring for a frail older family member in the community. Design. The grounded theory approach was applied in this study. Methods. Eighteen families were recruited using the method of theoretical sampling. Data were collected through face-to-face semi-structured interviews. Constant comparative analysis proceeded with data collection. Findings. Two core categories were identified: 'degree of routinisation of daily life' and 'degree of minimisation of competing needs within the family'. The caregiving process was classified according to the core categories into the following four phases: confusion, fluctuating disharmony, stable disharmony and stable harmony. The conditions for the routinisation and the competing needs and coping strategies of the family were also clarified. Conclusions. To lead a stable family life, families caring for a frail older member try to control the competing needs among members and routinise by adopting various strategies. Nurses should support or enhance such family action and interactions. Implications for practice. The degrees of daily life routinisation and of minimising competing needs within a family can be used to assess families caring for a frail older member. Nurses can determine the current state of the caregiving family from these two aspects and support family strategies that build daily routines and regulate their competing needs.
机译：背景。以前有关家庭护理的研究表明，个体成员的健康状况与家庭状况之间存在相互依存关系，并提出了向家庭提供整体支持的重要性。但是，很少有可以用作护理干预基础的研究集中在家庭单位照顾社区中年老体弱的家庭成员的护理过程中。设计。本研究采用扎根理论方法。方法。使用理论抽样的方法招募了18个家庭。数据是通过面对面的半结构化访谈收集的。不断进行比较分析并收集数据。发现。确定了两个核心类别：“日常生活的常规化程度”和“家庭内部竞争需求的最小化程度”。照料过程按核心类别分为以下四个阶段：混乱，波动不和谐，稳定不和谐和稳定和谐。还阐明了常规化的条件以及家庭的竞争需求和应对策略。结论为了过上稳定的家庭生活，照顾年老体弱的成员的家庭试图通过采取各种策略来控制成员之间的竞争需求并例行常规化。护士应支持或加强这种家庭行为和互动。对实践的启示。日常生活的日常化程度以及家庭内部竞争需求的最小化可用于评估家庭照顾年老体弱的家庭。护士可以从这两个方面确定护理家庭的当前状况，并支持建立日常工作和调节竞争需求的家庭策略。

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