After the care journey: exploring the experiences of family carers of people living with dementia

被引:5
作者
Jameson, Sonja [1 ]
Parkinson, Lynne [1 ]
Banbury, Annie [1 ]
机构
[1] Cent Queensland Univ, Ctr Reg Adv Learning Equ Access & Participat LEAP, Rockhampton, Qld, Australia
关键词
dementia; carers; qualitative; bereavement; support; LOVED ONE; OF-LIFE; CAREGIVERS; HEALTH; DEATH; INTERVENTIONS; PREPAREDNESS; INTERVIEWS; GRIEF; END;
D O I
10.1017/S0144686X19000667
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
While the burden of caring for people living with dementia has been well documented, considerably less is known about how carers transition into post-care life. This study aimed to understand the experiences of primary family care-givers of people with dementia after the person with dementia has died. A specific focus of the research was understanding the barriers to transitioning into a positive post-care life, and facilitators that help sustain carers as they move forward after their care journey has ended. A qualitative exploratory, descriptive study was undertaken with nine primary carers for a family member who died with dementia (five spouses and four adult children). Semi-structured face-to-face or telephone interviews were conducted with carers between July and August 2016. Interview transcripts were analysed using a thematic approach. A number of factors that can act as barriers or facilitators to transition for carers were identified. Contextualising loss, restructuring identity, psychological health issues and the influence of social attitudes seemed to have a strong influence on carer outcomes. The findings highlight the need for further systematic social and informational support for carers to moderate post-care trajectories and improve carer transition.
引用
收藏
页码:2429 / 2447
页数:19
相关论文
共 49 条
[31]   CAREGIVING AND THE STRESS PROCESS - AN OVERVIEW OF CONCEPTS AND THEIR MEASURES [J].
PEARLIN, LI ;
MULLAN, JT ;
SEMPLE, SJ ;
SKAFF, MM .
GERONTOLOGIST, 1990, 30 (05) :583-594
[32]   Differences between caregivers and noncaregivers in psychological health and physical health:: A meta-analysis [J].
Pinquart, M ;
Sörensen, S .
PSYCHOLOGY AND AGING, 2003, 18 (02) :250-267
[33]   Helping caregivers of persons with dementia:: which interventions work and how large are their effects? [J].
Pinquart, Martin ;
Soerensen, Silvia .
INTERNATIONAL PSYCHOGERIATRICS, 2006, 18 (04) :577-595
[34]  
Prince M, 2015, WORLD ALZHEIMER REPO
[35]   Recent global trends in the prevalence and incidence of dementia, and survival with dementia [J].
Prince, Martin ;
Ali, Gemma-Claire ;
Guerchet, Maelenn ;
Prina, A. Matthew ;
Albanese, Emiliano ;
Wu, Yu-Tzu .
ALZHEIMERS RESEARCH & THERAPY, 2016, 8
[36]  
Ryan G W., 2003, Field Methods, V15, P85, DOI [10.1177/1525822X02239569, DOI 10.1177/1525822(02239569, DOI 10.1177/1525822X02239569]
[37]   End-of-life care and the effects of bereavement on family caregivers of persons with dementia [J].
Schulz, R ;
Mendelsohn, AB ;
Haley, WE ;
Mahoney, D ;
Allen, RS ;
Zhang, S ;
Thompson, L ;
Belle, SH .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (20) :1936-1942
[38]   Predictors of complicated grief among dementia caregivers: A prospective study of bereavement [J].
Schulz, Richard ;
Boerner, Kathrin ;
Shear, Katherine ;
Zhang, Song ;
Gitlin, Laura N. .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2006, 14 (08) :650-658
[39]   An Exploratory Study of Grief and Health-Related Quality of Life for Caregivers of People With Dementia [J].
Shuter, Patricia ;
Beattie, Elizabeth ;
Edwards, Helen .
AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS, 2014, 29 (04) :379-385
[40]   Blessed assurance - The role of religion and spirituality in Alzheimer's disease caregiving and other significant life events [J].
Stuckey, JC .
JOURNAL OF AGING STUDIES, 2001, 15 (01) :69-84