痴呆患者与亲属照顾者情感互动过程的扎根研究  

Affective interaction between dementia patients and relative caregivers based on grounded theory:a qualitative study

作　　者：郭楠 刘尖尖[2] 岳鹏[1] GUO Nan;LIU Jian-jian;YUE Peng(School of Nursing,Capital Medical University,Beijing 100069,China;Dept.of Neurology,Fuxing Hospital Affiliated to Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学护理学院,北京100069 [2]首都医科大学附属复兴医院神经内科,北京100038

出　　处：《护理学报》2023年第12期7-12,共6页Journal of Nursing（China）

摘　　要：目的探索痴呆患者与亲属照顾者的情感互动过程,为构建互动干预方案提供理论依据。方法应用扎根理论研究方法,以轻、中度痴呆患者及其亲属照顾者为一组研究对象,采用观察法和访谈结合的方法收集资料,通过开放性编码、主轴编码、选择性编码的步骤进行资料分析。结果共纳入16组研究对象,通过分析得到53个一级编码,5个二级编码和2个三级编码。情感互动过程可划分为破损阶段(情感失衡状态、情感摸索状态、情感隔绝状态)和重塑阶段(情感调试状态、情感交融状态)。结论痴呆患者及其亲属照顾者的情感互动需要帮助双方进入角色,发挥亲属照顾者的主导作用,提升任务性互动质量改善情感性互动。Objective To explore the affective interaction between dementia patients and their relative caregivers,and to provide reference for grounded theory-based intervention.Methods Grounded theory was applied in the study.Patients with slight and mild dementia and their relative caregivers were selected as group subject,and the data were collected by observation method and interviews,and were analyzed by open coding,axical coding and selective coding.Results Sixteen group subjects were included in the study and 53 first-level,5 second-level,and 2 third-level codes were collected.The affective interaction could be divided into breakdown phase(affection imbalance,groping and isolation)and re-establishment phase(affection adaptation and blending).Conclusion Relative caregivers should play a dominated role in affective interaction with dementia patients to improve the quality of task-based interaction and affective interaction.

关 键 词：痴呆照护 情感互动 扎根理论 质性研究 

分 类 号：R47[医药卫生—护理学]