居家失能老人照护者压力性损伤风险认知与照护体验的质性研究
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女,硕士在读,学生

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华中科技大学护理学院自主创新项目(2021-3-20)


Qualitative study on risk perception of and nursing experiences related to pressure injury among caregivers of home dwelling disabled elderly people
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    目的 了解居家失能老人照护者对压力性损伤的风险认知与照护体验状况,为提升照护者认知水平及改善其照护体验提供参考。方法 采取半结构深度访谈法,以17名居家失能老人照护者为研究对象进行深入访谈,采用Colaizzi 7步分析法,通过Nvivo11.0plus软件对资料进行整理分析。结果 居家失能老人照护者压力性损伤风险认知归纳为3个主题:风险因素认知不全面、角色认知偏差、对照护结局盲目自信;照护体验归纳为4个主题:照护知识与技能无法保证、压力性损伤预防与照护负担较重、家庭及社会支持不足、照护素养需要逐步培养。结论 居家失能老人照护者对压力性损伤风险的认知存在诸多不足且照护负担较重,应通过普及压力性损伤相关教育、加强知识培训、夯实照护支持系统、注重心理疏导来提高照护者的认知水平,减轻照护者负担,以改善照护体验。

    Abstract:

    Objective To understand the status of risk perception of and nursing experiences related to pressure injury in caregivers of home dwelling disabled elderly people, and to provide a reference for measures aiming at enhancing caregivers′ perceptions and caregiving experiences. Methods Semi-structured in-depth interviews were conducted with 17 caregivers of home dwelling disabled elderly people. Interview data were collated and analyzed by Nvivo11.0 plus software pursuant to Colaizzi′s 7-step analytical method. Results Home dwelling disabled elderly caregivers′ perception of pressure injury risk was summarized into the following 3 themes:partial understanding of risk factor, role perception bias, having to much self-confidence about nursing outcome. Caregivers′ nursing experiences related to pressure injury were summarized in the following 4 themes:not having adequate nursing knowledge and skills as a guarantee fix, the high burden of pressure injury prevention and care, the lack of family and social support, and nursing literacy in need of improvement. Conclusion Home dwelling disabled elderly caregivers′ risk perceptions of pressure injury have many deficiencies and are burdened with care. Measures such as rolling out pressure injury related education, ramping up knowledge training, expanding support system, focusing on psychological care, are needed to improve caregivers′ knowledge level, reduce caregiving burden, and enhance their caregiving experiences.

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武晓茹,颜巧元,刘雪,周幺玲,潘路晨,沈婷,鲁莹.居家失能老人照护者压力性损伤风险认知与照护体验的质性研究[J].护理学杂志,2022,27(22):71-74

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  • 收稿日期:2022-04-23
  • 最后修改日期:2022-05-28
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  • 在线发布日期: 2023-08-29