The experiences of family caregivers in dealing with care-resistant behaviors in elderly individuals with dementia:a qualitative study
10.3761/j.issn.0254-1769.2024.23.012
- VernacularTitle:家庭照顾者对老年失智患者照护抗拒行为应对体验的质性研究
- Author:
Huiqin ZHANG
1
;
Lamei LIU
1
;
Zhihua WEI
1
;
Xiaoxuan WANG
1
;
Tongyao XU
1
;
Haojie WANG
1
;
Qihan ZHANG
1
Author Information
1. 450001 郑州市 郑州大学护理与健康学院
- Publication Type:Journal Article
- Keywords:
Aged;
Dementia;
Family Caregiver;
Care Resistant Behavior;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(23):2893-2899
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the experiences of family caregivers in dealing with the care-resistance behaviors in elderly patients with dementia,to improve the quality of care for elderly patients with dementia,and to enhance the ability of family caregivers to cope with resistance behaviors.Methods Utilizing purposeful sampling,we conducted in-depth interviews with 16 family caregivers of elderly patients with dementia between February 2024 and May 2024.The participants were recruited from a tertiary-grade hospital and the surrounding community in Zhengzhou,Henan Province.The interview data were subjected to thematic analysis using the Colaizzi 7-step method.Results A total of 19 interviews were conducted in this study,with each caregiver being interviewed for 30-44 minutes.The total transcription was about 82,000 words,and 4 themes and 11 sub-themes were identified:the considerable physical and psychological burden(persistent negative emotions,gradually increasing physical burden),realization of self-worth(sense of filial responsibility,care benefit feeling),subjective adjustment of coping strategies(actively seeking external support,resorting to restrictions and protection,passively coping out of helplessness),and facing multiple coping challenges(difficulty in establishing effective communication,poor sleep quality,lack of caregiving skills,unmet diverse support needs).Conclusion Family caregivers experience a heavier burden of care and develop various negative emotions when dealing with resistance behaviors.Different caregivers gradually adapt and develop different coping strategies in the care process.However,there are still some coping dilemmas that need to be resolved.Healthcare professionals should pay timely attention to caregivers'experiences in dealing with resistance behaviors,correct their attitudes towards care-resistance behaviors,strengthen health education on managing care-resistance behaviors,and improve their ability to cope with care-resistance behaviors.
